updated new!!
How many eligible employees must be included in a contributory health insurance plan? - Ans
50%
A man works for Company A and his wife works for Company B. The spouses are covered by
health plans through their respec#ve companies that also cover the other spouse. If the
husband files a claim, - Ans The insurance through his company is primary.
What is the period of coverage for events such as death or divorce under COBRA? - Ans 36
months
Twenty-five days a,er a health insurance policy is delivered, the policyowner decides that she
would like to return the policy and receive a refund of premium. Which of the following is true?
- Ans The policyowner will not receive a refund because the free-look period is over.
An insured is involved in a car accident. In addi#on to general, less serious injuries, he
permanently loses the use of his leg and is rendered completely blind. The blindness improves a
month later. To what extent will he receive Presump#ve Disability benefits? - Ans No benefits
For the purpose of insurance, risk is defined as - Ans The uncertainty or chance of loss.
Which of the following is an example of a producer's fiduciary duty? - Ans The trust that a
client places in the producer in regard to handling premiums.
Which of the following is NOT true of basic medical expense plans? - Ans Coverage for
catastrophic medical expenses
, Which of the following is NOT a feature of a noncancellable policy? - Ans The insurer may
terminate the contract only at renewal for certain condi#ons.
What is the best way to change an applica#on? - Ans Start over with a fresh applica#on
On a major medical insurance policy, the amount that an insured must pay on a claim before the
insurer will pay is known as - Ans Deduc#ble.
Which of the following is correct about a group health insurance policy issued in New York? -
Ans It cannot exclude newborn children from coverage.
Which of the following is NOT a characteris#c of a group long-term disability plan? - Ans The
benefit can be up to 50% of one's yearly income.
In which Medicare supplemental policies are the core benefits found? - Ans All plans
When benefits are paid directly to the insured under a health insurance policy, the policy
provides benefits on what type of basis? - Ans Reimbursement
If an employee terminates her employment, which of the following provisions would allow her
to con#nue health coverage under an individual policy, if requested within 60 days? - Ans
Conversion
To be eligible under HIPAA regula#ons, for how long should an individual conver#ng to an
individual health plan have been covered under the previous group plan? - Ans 18 months
Under which of the following disability income plans would the benefits be subject to income
tax? - Ans Group