ACCIDENT AND HEALTH CORE EXAMS SET 2025/2026
QUESTIONS AND SOLUTION RATED A+
✔✔The Consolidated Omnibus Budget Reconciliation Act(CORBA) gives workers( and
their families) whose employment has been terminated the right to - ✔✔Continue group
health benefits
✔✔If the insured and primary beneficiary are both killed in the same accident and it
cannot be determined who died first, where are the death proceeds to be directed under
the Uniform Simultaneous Death Act? - ✔✔Insured's contingent beneficiary
✔✔An insured covered by Accidental Death and Dismemberment (AD&D) insurance
has just died. What will happen if the primary beneficiary had already died before the
insured and contingent beneficiary? - ✔✔Proceeds will go to the contingent beneficiary
✔✔All students attending a large university could be covered by - ✔✔a blanket policy
✔✔Which type of the following is the reimbursement of benefits for the treatment of a
beneficiary's injuries caused by a third party? - ✔✔Subrogation
✔✔Which of the following claims are typically excluded from medical expense policies -
✔✔Intentionally self-inflicted injuries
✔✔Which of the following characteristics is associated with a large group of disability
income policy - ✔✔No medical underwriting
✔✔Which of the following would be a likely candidate for disability income insurance on
a key employee - ✔✔Company executive
✔✔Accidental death coverage is provided to commercial airline passengers in which of
the following types of policies - ✔✔Blanket Accident policy
✔✔B has a $100,000 Accidental Death and Dismemberment policy that pays triple
indemnity for common carrier death. If B is killed from an accident on a commercial
flight, what will the policy pay B's beneficiary? - ✔✔$300,000
✔✔A Business Disability Buyout plan policy is designed - ✔✔to pay benefits to the
Corporation or other shareholders
✔✔On an Accidental Death and Dismemberment (AD&D) insurance policy, who is
qualified to change the beneficiary designation? - ✔✔Policyowner
,✔✔XYZ Company pays the entire premium for its group health plan. The MINIMUM
percentage of eligible employees that must be covered is - ✔✔100%
✔✔G is an accountant who has ten employees and is concerned about how the
business would survive financially if G became disabled. The type of policy which BEST
addresses this concern is - ✔✔Business Overhead Expense
✔✔A life insurance policy would be considered a wagering contract without -
✔✔insurable interest
✔✔What is the consideration given by an insurer in the Consideration clause of life
policy - ✔✔Promise to pay a death benefit to a named beneficiary
✔✔Which of the these is considered a statement that is assured to be true in every
aspect - ✔✔Warranty
✔✔Who makes the legally enforceable promises in a unilateral insurance policy? -
✔✔Insurance Company
✔✔Which of these is not considered to be an element of an insurance contract? -
✔✔Negotiating
✔✔A life insurance arrangement which circumvents insurable interest statues is called -
✔✔Investor-Originated Life Insurance
✔✔Which of these arrangements allows one to bypass insurable interest laws? -
✔✔Investor-Originated Life Insurance
✔✔Stranger Originated Life Insurance (STOLI) has been found to be in violation of
which of the following contractual elements? - ✔✔Legal Purpose(Insurable Interest)
✔✔Statements made on an insurance application that are believed to be true to the
best of the applicant's knowledge are called - ✔✔representations
✔✔Which of the following consists of offer, acceptance, and consideration? -
✔✔Contract
✔✔A policy of adhesion can only be modified by whom? - ✔✔The insurance company
✔✔When must insurable interest exist for a life insurance contract to be valid? -
✔✔Inception of the contract
, ✔✔The consideration clause of an insurance contract includes - ✔✔the schedule and
amount of premium payments
✔✔If a contract of adhesion contains questionable language, to whom would the
interpretation be in favor of? - ✔✔Insured
✔✔The part of life insurance policy guaranteed to be true is called an - ✔✔Warranty
✔✔Which of these is considered a true statement regarding Medicaid - ✔✔Funded by
both state and federal governments
✔✔A 66 year-old is covered under a group health plan while employed with a business
that has 40 employees. If she injures herself while walking in the park, what coverage
would be considered primary? - ✔✔Her group health plan
✔✔Medicare Part A and Part B do NOT pay for - ✔✔dental work
✔✔Under what system do a group of doctors and hospitals in a designated area
contract with an insurer to provide services at a prearranged cost to the insured? -
✔✔PPO
✔✔Which of the following statements is true about Blue Cross/ Blue Shield
organizations? - ✔✔They are nonprofit organizations
✔✔Which of the following reimburses it's insured for covered medical expense? -
✔✔Commercial Insurers
✔✔A medical care provider which typically delivers health services at its own local
medical facility is known as a - ✔✔health maintenance organization
✔✔Which of the following does social security not provide benefits for ? -
✔✔dismemberment
✔✔Which type of provider is known for stressing preventative medical care? -
✔✔Health Maintenance Organizations (HMO's)
✔✔Medicaid was designed to assist individuals who are - ✔✔below a specific income
limit
✔✔The first portion of a covered Major Medical insurance expense that the insured is
required to pay is called the - ✔✔initial deductible
QUESTIONS AND SOLUTION RATED A+
✔✔The Consolidated Omnibus Budget Reconciliation Act(CORBA) gives workers( and
their families) whose employment has been terminated the right to - ✔✔Continue group
health benefits
✔✔If the insured and primary beneficiary are both killed in the same accident and it
cannot be determined who died first, where are the death proceeds to be directed under
the Uniform Simultaneous Death Act? - ✔✔Insured's contingent beneficiary
✔✔An insured covered by Accidental Death and Dismemberment (AD&D) insurance
has just died. What will happen if the primary beneficiary had already died before the
insured and contingent beneficiary? - ✔✔Proceeds will go to the contingent beneficiary
✔✔All students attending a large university could be covered by - ✔✔a blanket policy
✔✔Which type of the following is the reimbursement of benefits for the treatment of a
beneficiary's injuries caused by a third party? - ✔✔Subrogation
✔✔Which of the following claims are typically excluded from medical expense policies -
✔✔Intentionally self-inflicted injuries
✔✔Which of the following characteristics is associated with a large group of disability
income policy - ✔✔No medical underwriting
✔✔Which of the following would be a likely candidate for disability income insurance on
a key employee - ✔✔Company executive
✔✔Accidental death coverage is provided to commercial airline passengers in which of
the following types of policies - ✔✔Blanket Accident policy
✔✔B has a $100,000 Accidental Death and Dismemberment policy that pays triple
indemnity for common carrier death. If B is killed from an accident on a commercial
flight, what will the policy pay B's beneficiary? - ✔✔$300,000
✔✔A Business Disability Buyout plan policy is designed - ✔✔to pay benefits to the
Corporation or other shareholders
✔✔On an Accidental Death and Dismemberment (AD&D) insurance policy, who is
qualified to change the beneficiary designation? - ✔✔Policyowner
,✔✔XYZ Company pays the entire premium for its group health plan. The MINIMUM
percentage of eligible employees that must be covered is - ✔✔100%
✔✔G is an accountant who has ten employees and is concerned about how the
business would survive financially if G became disabled. The type of policy which BEST
addresses this concern is - ✔✔Business Overhead Expense
✔✔A life insurance policy would be considered a wagering contract without -
✔✔insurable interest
✔✔What is the consideration given by an insurer in the Consideration clause of life
policy - ✔✔Promise to pay a death benefit to a named beneficiary
✔✔Which of the these is considered a statement that is assured to be true in every
aspect - ✔✔Warranty
✔✔Who makes the legally enforceable promises in a unilateral insurance policy? -
✔✔Insurance Company
✔✔Which of these is not considered to be an element of an insurance contract? -
✔✔Negotiating
✔✔A life insurance arrangement which circumvents insurable interest statues is called -
✔✔Investor-Originated Life Insurance
✔✔Which of these arrangements allows one to bypass insurable interest laws? -
✔✔Investor-Originated Life Insurance
✔✔Stranger Originated Life Insurance (STOLI) has been found to be in violation of
which of the following contractual elements? - ✔✔Legal Purpose(Insurable Interest)
✔✔Statements made on an insurance application that are believed to be true to the
best of the applicant's knowledge are called - ✔✔representations
✔✔Which of the following consists of offer, acceptance, and consideration? -
✔✔Contract
✔✔A policy of adhesion can only be modified by whom? - ✔✔The insurance company
✔✔When must insurable interest exist for a life insurance contract to be valid? -
✔✔Inception of the contract
, ✔✔The consideration clause of an insurance contract includes - ✔✔the schedule and
amount of premium payments
✔✔If a contract of adhesion contains questionable language, to whom would the
interpretation be in favor of? - ✔✔Insured
✔✔The part of life insurance policy guaranteed to be true is called an - ✔✔Warranty
✔✔Which of these is considered a true statement regarding Medicaid - ✔✔Funded by
both state and federal governments
✔✔A 66 year-old is covered under a group health plan while employed with a business
that has 40 employees. If she injures herself while walking in the park, what coverage
would be considered primary? - ✔✔Her group health plan
✔✔Medicare Part A and Part B do NOT pay for - ✔✔dental work
✔✔Under what system do a group of doctors and hospitals in a designated area
contract with an insurer to provide services at a prearranged cost to the insured? -
✔✔PPO
✔✔Which of the following statements is true about Blue Cross/ Blue Shield
organizations? - ✔✔They are nonprofit organizations
✔✔Which of the following reimburses it's insured for covered medical expense? -
✔✔Commercial Insurers
✔✔A medical care provider which typically delivers health services at its own local
medical facility is known as a - ✔✔health maintenance organization
✔✔Which of the following does social security not provide benefits for ? -
✔✔dismemberment
✔✔Which type of provider is known for stressing preventative medical care? -
✔✔Health Maintenance Organizations (HMO's)
✔✔Medicaid was designed to assist individuals who are - ✔✔below a specific income
limit
✔✔The first portion of a covered Major Medical insurance expense that the insured is
required to pay is called the - ✔✔initial deductible
