Florida Insurance Exam (2-15)
Questions with Detailed Verified
Answers
Question: A Supplementary Medical Expense policy combines the benefits of
what two types of plans?
Ans: Basic Medical and Major Medical
Question: Which of the following is not correct concerning Health
Maintenance Organizations?
Ans: They mandate enrollment for groups of 25 or more.
Question: Which is not true concerning a Hospital Fixed-Rate plan?
Ans: Benefits are paid directly to the hospital
Question: When benefits are paid to a policyowner covered under a Hospital
Expense policy, the policy is considered to be which of the following?
Ans: Fixed-Rate plan
Question: Which of the following about Health Reimbursement Accounts
HRA's is/are correct?
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Ans: HRA's are established by the employer
Question: Which of the following statements is true about Basic Hospital,
Medical, and Surgical Expense Policies?
Ans: They usually have a stated limit for specific expenses.
Question: Which of the following plans used with High Deductible Health
Plans is employee owned?
Ans: Health Savings Accounts (HSAs)
Question: 6. Which of the following service providers allows for a primary
care physician as well as out-of-network care?
Ans: Point of Service Plan (POS)
Question: Which of the following is true about coinsurance?
Ans: It helps control overutilization of benefits.
Question: In a Basic Surgical policy, which of the following pays per point?
Ans: Relative Value
Question: The type of health care provider that provides both the health care
services and the health care financing is a:
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Ans: Health Maintenance Organization
Question: Which of the following non-insurance entities are NOT involved
with self-insured plans?
Ans: Actuaries
Question: Which of the following policies would cover a student pilot taking
flying lessons?
Ans: Special Risk
Question: An applicant for insurance may pay the initial premium and receive
a document from the agent indicating that if the policy is issued as requested
coverage begins on the date of the documents. What is this document called?
Ans: Conditional receipt
Question: How does a basic medical plan avoid small claims and keep the
cost of premiums down?
Ans: by imposing benefit limits
Question: A limited risk policy will pay for dread diseases
:
Ans: such as cancer