HEALTH INSURANCE FLORIDA 2-40 PRACTICE ORIGINAL EXAM / NEW VERSION WITH WELL-DETAILED QUESTIONS AND THOROUGH EXPLAINED ANSWERS / GET IT 100% CORRECT ANSWERS / ALREADY GRADED A+

HEALTH INSURANCE FLORIDA 2-40 PRACTICE ORIGINAL
EXAM / NEW VERSION WITH WELL-DETAILED QUESTIONS
AND THOROUGH EXPLAINED ANSWERS / GET IT 100%
CORRECT ANSWERS / ALREADY GRADED A+



QUESTION:
Which of the following is NOT a form of medical insurance?
-Business overhead expense
-Surgical expense
-Hospital expense
-Long term care
Business overhead expense (Explanation:Business Overhead
Expense insurance is designed to reimburse a business for
overhead expenses in the event a business owner becomes
disabled. Expenses such as rent, utilities, telephone, equipment,
employees' salaries, etc.)

QUESTION:
All of the following are state or federal government programs that
provide health insurance, EXCEPT?
-Medicare
-OASDI disability
-Medicaid
-Medigap
Medigap (Explanation:A Medigap policy is a Medicare supplement
insurance policy sold by private insurance companies to fill "gaps"
in Medicare Parts A and B.)

QUESTION:
What type of health insurance is available to assist low-income
individuals?
-Social Security disability
-Medicare supplement
-Medicare
-Medicaid
Medicaid

,QUESTION:
What types of reserves are set aside and held by health insurance
companies?
-Premium reserves
-Premium and Claims reserves
-Claims reserves
-Deductible and Premium reserves
Premium and Claims reserves (Explanation:Reserves are set aside
for the payment of future claims.)

QUESTION:
Group health insurance is generally written on a basis that
provides for dividends or experience rating. What is the basis
called?
-Contributory
-Noncontributory
-Nonparticipating
-Participating
Participating (Explanation:Group plans written by mutual
companies provide for dividends while stock companies frequently
issue experience-rated plans.)

QUESTION:
Which of the following is NOT TRUE regarding eligibility for
subsidies for families under the new health care act?
-For those who make between 100-400% of the Federal Poverty -
Level
-Cannot be covered by an employer
-Cannot be eligible for Medicare
-Can be eligible for Medicaid
Can be eligible for Medicaid

QUESTION:
Which of the following operates as a corporation, society, or
association to provide life insurance primarily for the mutual
benefit of its members, has a lodge or social system with rituals
and representative form of government?
A) Mutual companies
B) Fraternal associations
C) Stock companies
-Fraternal benefit society
B) Fraternal associations

,QUESTION:
What does each member pay in a typical HMO plan?
-Fixed premium based on a deductible and copay
-Fixed premium whether or not plan is used
-Premium based on how often plan is used
Fixed premium whether or not plan is used

QUESTION:
Which of the following is correct about those who are eligible for
Medicare and wish to join an HMO?
-They must have a current Medicare supplement policy
-They must be told that they are disenrolled from Medicare
-They must be age 70 and above
-They must have been enrolled previously in an HMO
They must be told that they are disenrolled from Medicare

QUESTION:
Joyce is totally disabled. Her HMO policy just terminated. All of the
following are correct regarding "extension of benefits" for Joyce,
EXCEPT?
-Coverage ends once maximum benefits have been exhausted
-Coverage ends once another carrier assumes coverage
-Coverage ends if no longer totally disabled
-Coverage ends after 18 months
Coverage ends after 18 months

QUESTION:
All of the following are correct regarding Florida regulation of
HMOs, EXCEPT?
-Must obtain a Certificate of Authority
-Must file a report of its activities within 3 months of the end of
each fiscal year
-Must deposit $100,000 with the Rehabilitation Administration
Expense Fund
-Must be sold by agents licensed and appointed as health
insurance agents
Must deposit $100,000 with the Rehabilitation Administration
Expense Fund (Explanation:
They must deposit $10,000 with the Rehabilitation Administration
Expense Fund.)

QUESTION:

, What is "capitation" as it relates to an HMO?
-Amount to be collected by the HMO from participating health care
providers
-Fixed amount paid by an HMO during a policy period
-Fixed amount paid by an HMO to a physician for medical services
-Amount required to be deposited with the State of Florida
Fixed amount paid by an HMO to a physician for medical services

QUESTION:
When a person is covered by an HMO, the contract certificate or
member's handbook must be delivered within how many days after
approval of the enrollment by the HMO?
-20 days
-10 days
-5 days
-14 days
10 days

QUESTION:
Which of the following statements about health service
organizations is true?
-They reimburse Policyowners directly for physicians' fees
-They provide loss of income benefits to Policyowners
-They reimburse Policyowners directly for all medical expenses
-They provide benefit payments directly to the hospitals and
physicians providing services
They provide benefit payments directly to the hospitals and
physicians providing services

QUESTION:
What is the period of time for an HMO "open enrollment"?
-45 days during every 18-month period
-30 days during every 12-month period
-30 days during every 18-month period
-45 days during every 12-month period
30 days during every 18-month period

QUESTION:
If an HMO is found guilty of unfair trade practices, what is the
maximum penalty that can be charged?
-Up to $50,000
-Up to $150,000