Louisiana Accident/Health Insurance
Questions and Answers Latest Version
Already Passed
What is the primary purpose of accident and health insurance?
✔✔To provide financial protection against medical expenses and loss of income due to illness or
injury
What type of policy provides income replacement if an insured is unable to work due to illness
or injury?
✔✔Disability income insurance
What is the waiting period called before disability benefits begin?
✔✔Elimination period
What type of insurance covers the cost of hospital stays and surgical procedures?
✔✔Major medical insurance
Who is the policyholder in a group health insurance plan?
1
,✔✔The employer or organization
What kind of health policy allows the insurer to change the premium but not cancel the policy?
✔✔Guaranteed renewable policy
What is the Louisiana required grace period for a health insurance policy with monthly
premiums?
✔✔10 days
What benefit pays a fixed amount for each day the insured is hospitalized?
✔✔Hospital indemnity
What is the purpose of the coordination of benefits provision in group health insurance?
✔✔To avoid duplicate payments when insured by multiple policies
Who regulates accident and health insurance in Louisiana?
✔✔Louisiana Department of Insurance
2
,What kind of policy pays out if a person loses sight or a limb due to an accident?
✔✔Accidental Death and Dismemberment (AD\&D) insurance
What is the time limit in Louisiana for filing a health insurance claim after receiving medical
services?
✔✔18 months
What document explains the benefits and exclusions of a health insurance policy?
✔✔Summary of Benefits and Coverage
When does coverage under a group health plan typically begin after an employee becomes
eligible?
✔✔After the waiting period ends
What is the purpose of a deductible in a health insurance plan?
✔✔To reduce the insurer's risk by requiring the insured to pay initial costs
What type of policy helps pay costs not covered by Medicare?
3
, ✔✔Medicare Supplement (Medigap)
What provision ensures that an insurer cannot deny a claim due to an error after a policy has
been in force for a certain period?
✔✔Incontestability clause
What is the term for a doctor or hospital that has a contract with a health insurance provider?
✔✔In-network provider
What type of account allows individuals to save for medical expenses with tax advantages?
✔✔Health Savings Account (HSA)
What is the time period called where an insured cannot receive benefits for a pre-existing
condition?
✔✔Waiting period
What kind of disability policy only pays benefits if the insured cannot perform their own
occupation?
4
Questions and Answers Latest Version
Already Passed
What is the primary purpose of accident and health insurance?
✔✔To provide financial protection against medical expenses and loss of income due to illness or
injury
What type of policy provides income replacement if an insured is unable to work due to illness
or injury?
✔✔Disability income insurance
What is the waiting period called before disability benefits begin?
✔✔Elimination period
What type of insurance covers the cost of hospital stays and surgical procedures?
✔✔Major medical insurance
Who is the policyholder in a group health insurance plan?
1
,✔✔The employer or organization
What kind of health policy allows the insurer to change the premium but not cancel the policy?
✔✔Guaranteed renewable policy
What is the Louisiana required grace period for a health insurance policy with monthly
premiums?
✔✔10 days
What benefit pays a fixed amount for each day the insured is hospitalized?
✔✔Hospital indemnity
What is the purpose of the coordination of benefits provision in group health insurance?
✔✔To avoid duplicate payments when insured by multiple policies
Who regulates accident and health insurance in Louisiana?
✔✔Louisiana Department of Insurance
2
,What kind of policy pays out if a person loses sight or a limb due to an accident?
✔✔Accidental Death and Dismemberment (AD\&D) insurance
What is the time limit in Louisiana for filing a health insurance claim after receiving medical
services?
✔✔18 months
What document explains the benefits and exclusions of a health insurance policy?
✔✔Summary of Benefits and Coverage
When does coverage under a group health plan typically begin after an employee becomes
eligible?
✔✔After the waiting period ends
What is the purpose of a deductible in a health insurance plan?
✔✔To reduce the insurer's risk by requiring the insured to pay initial costs
What type of policy helps pay costs not covered by Medicare?
3
, ✔✔Medicare Supplement (Medigap)
What provision ensures that an insurer cannot deny a claim due to an error after a policy has
been in force for a certain period?
✔✔Incontestability clause
What is the term for a doctor or hospital that has a contract with a health insurance provider?
✔✔In-network provider
What type of account allows individuals to save for medical expenses with tax advantages?
✔✔Health Savings Account (HSA)
What is the time period called where an insured cannot receive benefits for a pre-existing
condition?
✔✔Waiting period
What kind of disability policy only pays benefits if the insured cannot perform their own
occupation?
4
