rider have been issued on a substandard basis
is non-cancelable with what?
Same rates are How does community rating for
charged for underwriting purposes determined?
individual and group
plans in the same
geographical area
point-of-service A plan which combines indemnity plan
(POS) features with those of an HMO
Large Group rating Experience rating.
he may be Insured disregarded an accident and
reimbursed for health insurance policy provision that
surgical procedure requires him to seek a second surgical
at a reduced benefit option,
level
Containment of the What does a Mandatory Second Surgical
employer's premium Opinion provision provide to an employer-
cost. paid health insurance plan?
1. issuing policy, Basic underwriting action for accident and
declining policies, health insurance
excluding a
particular health
condition from
coverage
,NO FEDERAL Accidental Death, Blanket Health and
TAXES AFTER Major Medical (only will the Disability
CLAIM Income be taxed federally after a claim)
Disability Income was recently issued with a rating which
insurance policy means policyowner will be charged an
addition premium.
Corporation paying In what situation would disability income
for group disability insurance premiums be a deductible
income coverage for expense?
its employees.
The length of time Which of these result of concurrent review
spent in the hospital ?
is monitored.
A review of the What is the functional assessment for long-
insured's ability to term care benefits?
perform the
activities of daily
living.
20 day free-look period is required for the Medicare
period Supplement policy .
Long-Term Care Eating, bathing, dressing appropriately.
coverage ADL
, 4, Medicare Medicare B
Supplement core
benefit
Custodial Care Assists individual with performing basic
daily activities such as bathing, dressing,
eating, etc.
eligibile benefits Long term Care Policies will usually pay for
using Expense
incurred
Acute Care , EXCLUDED in long-term care
custodial care
outside US and self-
inflicted injuries
Medicare additional benefit of Medical care
emergency health supplement.
care travelling
abroad
Insured uses reflects portrayal of Medicare
preferred providers
in exchange for
paying lower
premiums
Medicare Medicare companies of privately owned
Supplement companies
Respite Care found in Long Term Care policy