Pearson Vue National Health Insurance
Practice Test 2025 Questions and
Answers
An insurer must provide claim forms to an insured within a MAXIMUM of how
many days after receiving notice of an Accident & Health claim?
A. Five
B. Fifteen
C. Twenty
D. Thirty - --ANSWER--b
Under a group health plan, an employer may offer additional benefits to classes of
employees on the basis of all of the following factors EXCEPT:
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,A. length of employment
B. gender
C. salary grade
D. job category - --ANSWER--b
Which of the following statements is CORRECT about a Waiver of Premium
provision in a Disability Income policy?
A. It allows the insurer to deduct premiums due from the disabled insured's benefit
payments.
B. It allows the insurer to increase the amount of premium during the insured's
time of disability.
C. It allows the insured to extend the length of the Grace Period while disabled.
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,D. It allows the insured to maintain a policy in force while disabled and unable to
pay premiums. - --ANSWER--d
Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of
the following policy features?
A. Extensions of coverage
B. Benefits clause
C. Riders
D. Exclusions - --ANSWER--d
An insured becomes disabled three years after his Disability Income policy is
issued. The disability is caused by a condition that existed prior to the policy issue
date but was not specifically excluded from coverage. In this situation, the insurer
will most likely take which of the following actions?
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, A. Pay the full claim
B. Pay the claim for a maximum of six months only
C. Deny the claim on the basis of misrepresentation
D. Deny the claim because it involves a pre-existing condition - --ANSWER--a
A health care plan that reimburses a flat fee for medical care it provides at a clinic
it owns and operates is referred to as:
A. Health Maintenance Organization
B. Medicaid
C. Medicare
D. Multiple Employer Trust (MET) - --ANSWER--a
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
Practice Test 2025 Questions and
Answers
An insurer must provide claim forms to an insured within a MAXIMUM of how
many days after receiving notice of an Accident & Health claim?
A. Five
B. Fifteen
C. Twenty
D. Thirty - --ANSWER--b
Under a group health plan, an employer may offer additional benefits to classes of
employees on the basis of all of the following factors EXCEPT:
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,A. length of employment
B. gender
C. salary grade
D. job category - --ANSWER--b
Which of the following statements is CORRECT about a Waiver of Premium
provision in a Disability Income policy?
A. It allows the insurer to deduct premiums due from the disabled insured's benefit
payments.
B. It allows the insurer to increase the amount of premium during the insured's
time of disability.
C. It allows the insured to extend the length of the Grace Period while disabled.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,D. It allows the insured to maintain a policy in force while disabled and unable to
pay premiums. - --ANSWER--d
Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of
the following policy features?
A. Extensions of coverage
B. Benefits clause
C. Riders
D. Exclusions - --ANSWER--d
An insured becomes disabled three years after his Disability Income policy is
issued. The disability is caused by a condition that existed prior to the policy issue
date but was not specifically excluded from coverage. In this situation, the insurer
will most likely take which of the following actions?
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, A. Pay the full claim
B. Pay the claim for a maximum of six months only
C. Deny the claim on the basis of misrepresentation
D. Deny the claim because it involves a pre-existing condition - --ANSWER--a
A health care plan that reimburses a flat fee for medical care it provides at a clinic
it owns and operates is referred to as:
A. Health Maintenance Organization
B. Medicaid
C. Medicare
D. Multiple Employer Trust (MET) - --ANSWER--a
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
