Xcel Final Exam Questions and
Answers 100% Pass
Typically, Long-Term Disability benefits are coordinated with which benefit plan? -
✔✔Social Security
The focus of major medical insurance is providing coverage for - ✔✔medical and
hospitalization expenses
An insured under a Major Medical expense plan with a zero deductible and 80/20
coinsurance provision files a $1,000 claim. How much of this claim is the insured
responsible for? - ✔✔$200
because this policy has a zero deductible, the insures is only responsible for the 20%
coinsurance on this claim, or $200
An insured has a stop-loss limit of $5,000 and an 80/20 coinsurance. The insured incurs
$25,000 of covered losses. How much will the insured pay? - ✔✔$5,000
Which type of plan would be the most appropriate for an individual on Medicare and
concerned that Medicare will NOT pay for charges exceeding the approved amount? -
✔✔Medicare supplement Plan F
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,When can a group health policy renewal be denied according to the Health Insurance
Portability and Accountability Act (HIPAA)? - ✔✔when contribution or participation
rules have been violated
What does the word "level: in Level Term describe? - ✔✔the face amount
A non-contributory health insurance plan helps the insurer avoid - ✔✔adverse selection
because all eligible employees are usually covered, non-contributory plans are desirable
from an underwriting standpoint because adverse selection is minimized.
To qualify for a resident producer license in the state of Michigan, an individual -
✔✔must complete the required pre-licensing education within 12 months of license
application
Under an expense-incurred individual health policy, what is the MAXIMUM length of
time after issuance of the policy that an insurer can exclude coverage for a pre-existing
condition? - ✔✔12 months
pre-existing conditions may be excluded for a maximum of 12 months from the date of
enrollment.
An insured has a health plan that pays established amounts in accordance with a list of
injuries, surgical procedures, or other losses. This list is called a - ✔✔benefit schedule
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,benefits schedule set predetermined limits or maximums on how much money and
insured can be reimbursed for a covered loss.
Who is the individual paid on a fee-for-service basis? - ✔✔Provider
Which of the following is NOT an illegal inducement? - ✔✔Giving the insured an article
of merchandise printed with the producer's name costing $5
$5 or less of tokens or merchandise to applicants is allowed.
Making a statement that is false or maliciously critical of the financial condition of an
insurer is known as - ✔✔defamation
Which of the following is NOT a required provision in an accident and health insurance
policy? - ✔✔change of occupation
the change of occupation provision is considered an OPTIONAL provision
Which of these statements about Medicaid is CORRECT? - ✔✔Funded by federal, sate,
and local taxes
Medicaid is funded by federal, state, and local taxes but is administered by each state.
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, All of these are considered key factors in underwriting life insurance EXCEPT -
✔✔Marital Status
Correct: tobacco use, health history, age
The time limit for filing claim disputes is addressed in which provision of an accident
and health policy? - ✔✔legal actions
All of the following plans allow for employee contributions to be taken on a pre-tax
basis EXCEPT - ✔✔Health reimbursement Arrangement plan
employers contribute to health reimbursement Arrangement planz (HRA's), not
employees.
Which of the following gifts from a producer would NOT be considered rebating? -
✔✔$5 pen
A producer quoting life insurance may give an applicant an article of merchandise
having an invoice value of $5.00 or less.
Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss. - ✔✔20
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Answers 100% Pass
Typically, Long-Term Disability benefits are coordinated with which benefit plan? -
✔✔Social Security
The focus of major medical insurance is providing coverage for - ✔✔medical and
hospitalization expenses
An insured under a Major Medical expense plan with a zero deductible and 80/20
coinsurance provision files a $1,000 claim. How much of this claim is the insured
responsible for? - ✔✔$200
because this policy has a zero deductible, the insures is only responsible for the 20%
coinsurance on this claim, or $200
An insured has a stop-loss limit of $5,000 and an 80/20 coinsurance. The insured incurs
$25,000 of covered losses. How much will the insured pay? - ✔✔$5,000
Which type of plan would be the most appropriate for an individual on Medicare and
concerned that Medicare will NOT pay for charges exceeding the approved amount? -
✔✔Medicare supplement Plan F
EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 1
,When can a group health policy renewal be denied according to the Health Insurance
Portability and Accountability Act (HIPAA)? - ✔✔when contribution or participation
rules have been violated
What does the word "level: in Level Term describe? - ✔✔the face amount
A non-contributory health insurance plan helps the insurer avoid - ✔✔adverse selection
because all eligible employees are usually covered, non-contributory plans are desirable
from an underwriting standpoint because adverse selection is minimized.
To qualify for a resident producer license in the state of Michigan, an individual -
✔✔must complete the required pre-licensing education within 12 months of license
application
Under an expense-incurred individual health policy, what is the MAXIMUM length of
time after issuance of the policy that an insurer can exclude coverage for a pre-existing
condition? - ✔✔12 months
pre-existing conditions may be excluded for a maximum of 12 months from the date of
enrollment.
An insured has a health plan that pays established amounts in accordance with a list of
injuries, surgical procedures, or other losses. This list is called a - ✔✔benefit schedule
EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 2
,benefits schedule set predetermined limits or maximums on how much money and
insured can be reimbursed for a covered loss.
Who is the individual paid on a fee-for-service basis? - ✔✔Provider
Which of the following is NOT an illegal inducement? - ✔✔Giving the insured an article
of merchandise printed with the producer's name costing $5
$5 or less of tokens or merchandise to applicants is allowed.
Making a statement that is false or maliciously critical of the financial condition of an
insurer is known as - ✔✔defamation
Which of the following is NOT a required provision in an accident and health insurance
policy? - ✔✔change of occupation
the change of occupation provision is considered an OPTIONAL provision
Which of these statements about Medicaid is CORRECT? - ✔✔Funded by federal, sate,
and local taxes
Medicaid is funded by federal, state, and local taxes but is administered by each state.
EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 3
, All of these are considered key factors in underwriting life insurance EXCEPT -
✔✔Marital Status
Correct: tobacco use, health history, age
The time limit for filing claim disputes is addressed in which provision of an accident
and health policy? - ✔✔legal actions
All of the following plans allow for employee contributions to be taken on a pre-tax
basis EXCEPT - ✔✔Health reimbursement Arrangement plan
employers contribute to health reimbursement Arrangement planz (HRA's), not
employees.
Which of the following gifts from a producer would NOT be considered rebating? -
✔✔$5 pen
A producer quoting life insurance may give an applicant an article of merchandise
having an invoice value of $5.00 or less.
Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss. - ✔✔20
EMILY CHARLENE © 2025, ALL RIGHTS RESERVED 4
