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Exam (elaborations)

Florida Health Insurance Exam – Questions and Answers (2025/2026) – A+ Grade Study Material

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This document provides complete questions and detailed answers for the Florida Health Insurance Licensing Exam, covering health policy provisions, state insurance regulations, underwriting, managed care concepts, disability income insurance, and required ethical standards. It includes scenario-based items commonly tested on the 2025/2026 Florida health licensing exams and is structured to help learners study efficiently. The material supports accurate, confident exam preparation and reflects the latest state guidelines.

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Uploaded on
November 23, 2025
Number of pages
13
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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Florida Health Insurance Exam questions
and answers 2025\2026 A+ Grade

Accident
- correct answer An unplanned, unforeseen event which occurs suddenly and at an unspecified place



Accident Insurance
- correct answer A type of insurance that protects the insured against loss due to accidental bodily injury



Accidental Bodily Injury
- correct answer Unplanned, unforeseen traumatic injury to the body



Accidental Death and Dismemberment
- correct answer An insurance policy which pays a specified amount or a specified multiple of the
insured's benefit if the insured dies, loses his/her sight, or loses two limbs due to an accident



Accidental Death Benefits
- correct answer A policy rider that states that the cause of death will be analyzed to determine if it
complies with the policy description of accidental death



Activities of Daily Living
- correct answer Activities individuals must do every day such as moving about, getting dressed, eating,
bathing, etc.



Actual Charge
- correct answer The amount a physician or supplier actually bills for a particular service or supply



Adhesion
- correct answer A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's
only option is to accept or reject the contract. Any ambiguities in the contract will be settled in favor of
the insured

, Admitted (Authorized) Insurer
- correct answer An insurance company authorized and licensed to transact insurance in a particular
state



Adult Day Care
- correct answer A program for impaired adults that attempts to meet their health, social, and functional
needs in a setting away from their homes



Adverse Selection
- correct answer The tendency of risks with higher probability of loss to purchase and maintain
insurance more often than the risks who present lower probability



Agent
- correct answer An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf
of the insurer



Aleatory
- correct answer A contract in which participating parties exchange unequal amounts. Insurance
contracts are this in that the amount the insured will pay in premiums is unequal to the amount the
insurer will pay in the event of a loss



Alien Insurer
- correct answer An insurance company that is incorporated outside the USA



Apparent Authority
- correct answer The appearance or the assumption of authority based on the actions, words, or deeds
of the principal or because of circumstances the principal created



Approved Amount
- correct answer The amount Medicare determines to be reasonable for a service that is covered under
Part B of Medicare



Assignment
- correct answer A claim to a provider or medical supplier to receive payments directly from Medicare

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