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Exam (elaborations)

XCEL Solutions Exam Questions and Answers 100% Pass

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XCEL Solutions Exam Questions and Answers 100% Pass John's health plan benefits of 90% for in-network providers and 70% for out-of-netword providers. What kind of plan is this. - PPO - Preferred Provider Organization MRMIP is a - State program that offers health coverage to California residents who are not able to obtain coverage due to pre- existing conditions. When intentional concealment is involved, what course of action is the injured party entitled to? - Rescission of the Contract In a renewable term life insurance policy , the contract will usually - require a higher premium payable at each renewal What area of group health insurance is regulated under the Employee Retirement Security Act of 1974 (ERISA)? - Disclosure and reporting At what age is a surviving spouse without dependents eligible for social security survivor benefits ? - 60 A life insurance policy where the insured can choose where the cash value can be invested is called - Variable life EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 2 Cindy buys a 10-year certain annuity with an installment refund. After receiving monthly payments for 5 years, Cindy dies. How many remaining payments will the insurer make to her beneficiary? - 60 payments potential for loss - loss exposure Major medical expense plans typically use a cost containment measure for emergency hospital care. This is referred to as a(n) - deductible where must you specifically reside to qualify for MRMIP? - California statement is NOT true regarding Social Security benefits ? - Benefits are designed to replace the entire amount of the workers earnings Medicare Part A covers what type of care? - Skilled nursing facility care Christine has a health insurance policy that has been in force beyond the incontestable period. The insurer has discovered that a fraudulent statement was made on the application. What would the insurer have to pay on a claim, assuming this wasn't a guaranteed renewable policy? - Nothing will be paid because of fraud Which type of worker has Social Security benefits available to them? - Fully insured An insurance policy written after 1988 that fails to pass the seven-pay test is know as - a modified endowment contract EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 3 Not a valid reason to replace an existing long-term care policy? - New policy has higher premium with fewer benefits statement that is true about Medicare - Benefits for diagnostic tests and X-rays performed on an outpatient basis are provided by part B In California , an insurer organized under the state laws of Oregon is Called a(n) - foreign insurer The conditions, times, and circumstances under which an insured is NOT covered by a health policy are called? - Exclusions Which of the following does the California insurance code Not require an insurance policy to specify? - Insurer's financial rating Which of the following services are health maintenance organizations (HMO's) Not required to provide? - Prescription Drugs

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Uploaded on
January 10, 2025
Number of pages
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Written in
2024/2025
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XCEL Solutions Exam Questions
and Answers 100% Pass

John's health plan benefits of 90% for in-network providers and 70% for out-of-netword

providers. What kind of plan is this. - ✔✔PPO - Preferred Provider Organization


MRMIP is a - ✔✔State program that offers health coverage to California residents who

are not able to obtain coverage due to pre- existing conditions.


When intentional concealment is involved, what course of action is the injured party

entitled to? - ✔✔Rescission of the Contract


In a renewable term life insurance policy , the contract will usually - ✔✔require a higher

premium payable at each renewal


What area of group health insurance is regulated under the Employee Retirement

Security Act of 1974 (ERISA)? - ✔✔Disclosure and reporting


At what age is a surviving spouse without dependents eligible for social security

survivor benefits ? - ✔✔60


A life insurance policy where the insured can choose where the cash value can be

invested is called - ✔✔Variable life




EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 1

,Cindy buys a 10-year certain annuity with an installment refund. After receiving

monthly payments for 5 years, Cindy dies. How many remaining payments will the

insurer make to her beneficiary? - ✔✔60 payments


potential for loss - ✔✔loss exposure


Major medical expense plans typically use a cost containment measure for emergency

hospital care. This is referred to as a(n) - ✔✔deductible


where must you specifically reside to qualify for MRMIP? - ✔✔California


statement is NOT true regarding Social Security benefits ? - ✔✔Benefits are designed to

replace the entire amount of the workers earnings


Medicare Part A covers what type of care? - ✔✔Skilled nursing facility care


Christine has a health insurance policy that has been in force beyond the incontestable

period. The insurer has discovered that a fraudulent statement was made on the

application. What would the insurer have to pay on a claim, assuming this wasn't a

guaranteed renewable policy? - ✔✔Nothing will be paid because of fraud


Which type of worker has Social Security benefits available to them? - ✔✔Fully insured


An insurance policy written after 1988 that fails to pass the seven-pay test is know as -

✔✔a modified endowment contract




EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 2

, Not a valid reason to replace an existing long-term care policy? - ✔✔New policy has

higher premium with fewer benefits


statement that is true about Medicare - ✔✔Benefits for diagnostic tests and X-rays

performed on an outpatient basis are provided by part B


In California , an insurer organized under the state laws of Oregon is Called a(n) -

✔✔foreign insurer


The conditions, times, and circumstances under which an insured is NOT covered by a

health policy are called? - ✔✔Exclusions


Which of the following does the California insurance code Not require an insurance

policy to specify? - ✔✔Insurer's financial rating


Which of the following services are health maintenance organizations (HMO's) Not

required to provide? - ✔✔Prescription Drugs


Not covered under vision care insurance - ✔✔eye surgery


How does a conditional receipt differ from a binding receipt? - ✔✔Binding receipts

always provide insurance which starts from the date of receipt


John owns an insurance policy that gives him the right to share in the insurer's surplus.

What kind of policy is this? - ✔✔Participating policy , gives rights to share the insurers

surplus




EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 3

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