Health Insurance Florida 2-40 Practice
Exam Questions #2 2025/2026 Exam
Questions and Correct Answers | New
Update
Which of the following is NOT a form of medical insurance?
-Business overhead expense
-Surgical expense
-Hospital expense
-Long term care - 🧠 ANSWER ✔✔Business overhead expense
(Explanation:Business Overhead Expense insurance is designed to
reimburse a business for overhead expenses in the event a business
owner becomes disabled. Expenses such as rent, utilities, telephone,
equipment, employees' salaries, etc.)
All of the following are state or federal government programs that provide
health insurance, EXCEPT?
-Medicare
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
,-OASDI disability
-Medicaid
-Medigap - 🧠 ANSWER ✔✔Medigap (Explanation:A Medigap policy is a
Medicare supplement insurance policy sold by private insurance
companies to fill "gaps" in Medicare Parts A and B.)
What type of health insurance is available to assist low-income individuals?
- 🧠 ANSWER ✔✔Medicaid
What types of reserves are set aside and held by health insurance
companies? - 🧠 ANSWER ✔✔Premium and Claims reserves
(Explanation:Reserves are set aside for the payment of future claims.)
Group health insurance is generally written on a basis that provides for
dividends or experience rating. What is the basis called? - 🧠 ANSWER
✔✔Participating (Explanation:Group plans written by mutual companies
provide for dividends while stock companies frequently issue experience-
rated plans.)
Which of the following is NOT TRUE regarding eligibility for subsidies for
families under the new health care act?
-For those who make between 100-400% of the Federal Poverty -Level
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
,-Cannot be covered by an employer
-Cannot be eligible for Medicare
-Can be eligible for Medicaid - 🧠 ANSWER ✔✔Can be eligible for Medicaid
Which of the following operates as a corporation, society, or association to
provide life insurance primarily for the mutual benefit of its members, has a
lodge or social system with rituals and representative form of government?
A) Mutual companies
B) Fraternal associations
C) Stock companies
-Fraternal benefit society - 🧠 ANSWER ✔✔B) Fraternal associations
What does each member pay in a typical HMO plan?
-Fixed premium based on a deductible and copay
-Fixed premium whether or not plan is used
-Premium based on how often plan is used - 🧠 ANSWER ✔✔Fixed
premium whether or not plan is used
Which of the following is correct about those who are eligible for Medicare
and wish to join an HMO?
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
, -They must have a current Medicare supplement policy
-They must be told that'll be getting all the benefits from the Medicare
Advantage plan
-They must be age 70 and above
-They must have been enrolled previously in an HMO - 🧠 ANSWER
✔✔They must be told that'll be getting all the benefits from the Medicare
Advantage plan
Joyce is totally disabled. Her HMO policy just terminated. All of the
following are correct regarding "extension of benefits" for Joyce, EXCEPT?
-Coverage ends once maximum benefits have been exhausted
-Coverage ends once another carrier assumes coverage
-Coverage ends if no longer totally disabled
-Coverage ends after 18 months - 🧠 ANSWER ✔✔Coverage ends after 18
months
All of the following are correct regarding Florida regulation of HMOs,
EXCEPT?
-Must obtain a Certificate of Authority
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
Exam Questions #2 2025/2026 Exam
Questions and Correct Answers | New
Update
Which of the following is NOT a form of medical insurance?
-Business overhead expense
-Surgical expense
-Hospital expense
-Long term care - 🧠 ANSWER ✔✔Business overhead expense
(Explanation:Business Overhead Expense insurance is designed to
reimburse a business for overhead expenses in the event a business
owner becomes disabled. Expenses such as rent, utilities, telephone,
equipment, employees' salaries, etc.)
All of the following are state or federal government programs that provide
health insurance, EXCEPT?
-Medicare
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,-OASDI disability
-Medicaid
-Medigap - 🧠 ANSWER ✔✔Medigap (Explanation:A Medigap policy is a
Medicare supplement insurance policy sold by private insurance
companies to fill "gaps" in Medicare Parts A and B.)
What type of health insurance is available to assist low-income individuals?
- 🧠 ANSWER ✔✔Medicaid
What types of reserves are set aside and held by health insurance
companies? - 🧠 ANSWER ✔✔Premium and Claims reserves
(Explanation:Reserves are set aside for the payment of future claims.)
Group health insurance is generally written on a basis that provides for
dividends or experience rating. What is the basis called? - 🧠 ANSWER
✔✔Participating (Explanation:Group plans written by mutual companies
provide for dividends while stock companies frequently issue experience-
rated plans.)
Which of the following is NOT TRUE regarding eligibility for subsidies for
families under the new health care act?
-For those who make between 100-400% of the Federal Poverty -Level
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,-Cannot be covered by an employer
-Cannot be eligible for Medicare
-Can be eligible for Medicaid - 🧠 ANSWER ✔✔Can be eligible for Medicaid
Which of the following operates as a corporation, society, or association to
provide life insurance primarily for the mutual benefit of its members, has a
lodge or social system with rituals and representative form of government?
A) Mutual companies
B) Fraternal associations
C) Stock companies
-Fraternal benefit society - 🧠 ANSWER ✔✔B) Fraternal associations
What does each member pay in a typical HMO plan?
-Fixed premium based on a deductible and copay
-Fixed premium whether or not plan is used
-Premium based on how often plan is used - 🧠 ANSWER ✔✔Fixed
premium whether or not plan is used
Which of the following is correct about those who are eligible for Medicare
and wish to join an HMO?
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
3
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, -They must have a current Medicare supplement policy
-They must be told that'll be getting all the benefits from the Medicare
Advantage plan
-They must be age 70 and above
-They must have been enrolled previously in an HMO - 🧠 ANSWER
✔✔They must be told that'll be getting all the benefits from the Medicare
Advantage plan
Joyce is totally disabled. Her HMO policy just terminated. All of the
following are correct regarding "extension of benefits" for Joyce, EXCEPT?
-Coverage ends once maximum benefits have been exhausted
-Coverage ends once another carrier assumes coverage
-Coverage ends if no longer totally disabled
-Coverage ends after 18 months - 🧠 ANSWER ✔✔Coverage ends after 18
months
All of the following are correct regarding Florida regulation of HMOs,
EXCEPT?
-Must obtain a Certificate of Authority
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
