MONTANA HEALTH REVIEW EXAM
QUESTIONS AND ANSWERS
Probationary period - Correct Answers -Initial period of time specified in a disability
income policy that must pass, after policy is in force, before a loss can be covered
Proof of Loss under a health insurance policy - Correct Answers -should be filed within
60 days of a loss
In LTC insurance, what type of care is provided with intermediate care? - Correct
Answers -Occasional Nursing/ rehabilitation care
Disability income coverage specifies that the policy covers the Insured if he is unable to
perform any job for which he is qualified. Total disability is defined as - Correct Answers
-any occupation, more restrictive than others
When both parties to a contract must perform certain duties and follow rules of conduct
to make the contract enforceable, the contract is - Correct Answers -Conditional
Concerning Medicare Part B, which statement is INCORRECT? - Correct Answers -It is
fully funded by Social Security taxes (FICA)
In LTC, as the benefit period lengthens, the premium - Correct Answers -increases
The Commissioner has the authority to do all of the following except - Correct Answers -
Order witnesses to testify
All of the following are considered rebates except - Correct Answers -dividends from
mutual insurer
Employees are entitled to convert their coverage to individual - Correct Answers -Yes if
they are employed for at least 3 months
An Insurance Commissioner's investigation requires more staff to be employed. Who
pays? - Correct Answers -Insurance company
L has a major medical policy with a $500 deductible and 80/20 coinsurance. L is
hospitalized and sustains a $2,500 loss. What is the maximum amount that L will have
to pay? - Correct Answers -900 (deductible + 20% of bill after deductible
QUESTIONS AND ANSWERS
Probationary period - Correct Answers -Initial period of time specified in a disability
income policy that must pass, after policy is in force, before a loss can be covered
Proof of Loss under a health insurance policy - Correct Answers -should be filed within
60 days of a loss
In LTC insurance, what type of care is provided with intermediate care? - Correct
Answers -Occasional Nursing/ rehabilitation care
Disability income coverage specifies that the policy covers the Insured if he is unable to
perform any job for which he is qualified. Total disability is defined as - Correct Answers
-any occupation, more restrictive than others
When both parties to a contract must perform certain duties and follow rules of conduct
to make the contract enforceable, the contract is - Correct Answers -Conditional
Concerning Medicare Part B, which statement is INCORRECT? - Correct Answers -It is
fully funded by Social Security taxes (FICA)
In LTC, as the benefit period lengthens, the premium - Correct Answers -increases
The Commissioner has the authority to do all of the following except - Correct Answers -
Order witnesses to testify
All of the following are considered rebates except - Correct Answers -dividends from
mutual insurer
Employees are entitled to convert their coverage to individual - Correct Answers -Yes if
they are employed for at least 3 months
An Insurance Commissioner's investigation requires more staff to be employed. Who
pays? - Correct Answers -Insurance company
L has a major medical policy with a $500 deductible and 80/20 coinsurance. L is
hospitalized and sustains a $2,500 loss. What is the maximum amount that L will have
to pay? - Correct Answers -900 (deductible + 20% of bill after deductible
