INSURANCE 215 EXAM QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED
ANSWER) LATEST 2025/2026
An insured has a health benefit schedule
plan that pays established
amounts in accordance benefits schedule set predetermined limits or
with a list of injuries, maximums on how much money and insured can be
surgical procedures, or reimbursed for a covered loss.
other losses. This list is
called a
Who is the individual paid Provider
on a fee-for-service basis?
Giving the insured an article of merchandise printed
Which of the following is with the producer's name costing $5
NOT an illegal
inducement? $5 or less of tokens or merchandise to applicants is
allowed.
Making a statement that is defamation
false or maliciously critical
of the financial condition
of an insurer is known as
Which of the following is change of occupation
NOT a required provision
in an accident and health the change of occupation provision is considered an
insurance policy? OPTIONAL provision
, Funded by federal, sate, and local taxes
Which of these statements
about Medicaid is
Medicaid is funded by federal, state, and local taxes
CORRECT?
but is administered by each state.
producing in an adequate amount of new premium
all of the following
CORRECT: having been convicted of a felony, forging another's
occurrences may result in
name to an application for insurance, failing to meet court-
license revocation ordered child support obligations
EXCEPT
a proposed insured for a indicates a pre-existing condition
health insurance policy
was treated for heart
disease within the past
year. When applying for
health insurance, the heart
disease treatment
The time limit for filing legal actions
claim disputes is
addressed in which
provision of an accident
and health policy?
All of the following plans Health reimbursement Arrangement plan
allow for employee
contributions to be taken employers contribute to health reimbursement
on a pre-tax basis EXCEPT Arrangement planz (HRA's), not employees.
,All of these are Marital Status
considered key factors in
underwriting life insurance Correct: tobacco use, health history, age
EXCEPT
$5 pen
Which of the following
gifts from a producer
A producer quoting life insurance may give an
would NOT be considered
applicant an article of merchandise having an invoice
rebating?
value of $5.00 or less.
Written notice for a health 20
claim must be given to the
insurer ___ days after the
occurrence of the loss.
Chris is an insured own occupation
bricklayer who severed his
left hand in an automobile the "own occupation" definition of total disability
accident. Although his requires that the insured be unable to perform the
primary duty cannot be insured's current occupation as a result of an accident
performed, Chris is also a or sickness.
substitute high school
teacher. He collects a full
disability income check
every month. How does
his policy define total
disability?
, Which approach predicts Human life value approach
a person's earning
potential and determines The human life value approach predicts an individual's
how much of that amount future earning potential and determines how much of
would be devoted to that amount would be devoted to dependents.
dependents?
Index whole life insurance hedge against inflation
contains a securities
component that acts as
a(n)
Phil is shopping for an Guaranteed lifetime withdrawal benefit
annuity that guarantees he
CANNOT outlive the The guaranteed lifetime withdrawal benefit normally
benefits. Which of these requires a fee, but it ensures that the income benefit
benefit options would he will be paid for life without actually annuitizing the
choose? contract.
Which of these factors average age
would an insurer consider
when determining and insurer would consider the average age when
whether to accept a group determining whether to accept a group Life Plan.
life plan?
This MANDATORY health the entire insurance contract between the parties
policy provision states that
the policy, including
endorsements and
attached papers,
constitutes
The monthly benefit for an over insurance
individual disability
income policy is usually
limited to a percentage of
the insured's income in
order to avoid