FL Health Insurance License Exam – 240
Questions (2025/2026 Latest Exam Prep) |
Complete Study Guide & Verified Q&A
Which of the following statements regarding the tax treatment of medical expense
insurance premiums and benefits is correct?
- premiums are not deductible and benefits are taxable
- premiums are not deductible and benefits are not taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are
taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are
not taxable - correct answerpremiums may be deductible as an unreimbursed medical
expense and benefits are not taxable
To control health care costs, HMOs stress the importance of what kind of health care
among their members?
- cosmetic care
- hospital care
- surgical care
- preventive care - correct answerpreventive care
A guaranteed insurability rider guarantees an individual disability income policyowner's
right to buy additional coverage even if:
- the insured has duplicate coverage from another health insurance provider
- the insured cannot provide satisfactory evidence of insurability
- the insured cannot afford the additional premium charged
- state law prohibits the same coverage to be sold under a separate policy - correct
answerthe insured cannot provide satisfactory evidence of insurability
What was the forerunner to the health savings account (HSA)?
- health maintenance organization (HMO)
- preferred provider organization (PPO)
- medical savings account (MSA)
- provider sponsored organization (PSO) - correct answermedical savings account
(MSA)
Which coverage does a person who is eligible for Medicare buy from a private insurer?
- Medicare Part A
,- Medicare Part B
- Medicare Advantage
- Medicaid - correct answerMedicare Advantage
For purposes of group health insurance, a small employer is defined in Florida as any
person or entity that employs no more than how many employees?
- 100
- 50
- 20
- 2 - correct answer50
Which of the following optional health insurance policy provisions applies specifically to
disability income insurance policies?
- the relation of earnings to insurance provision
- the unpaid premium provision
- the cancellation provision
- the conformity with state statutes provision - correct answerthe relation of earnings to
insurance provision
Gracie has a Medicare Advantage policy and needs emergency care while traveling.
However, there are no network providers nearby. What should she do?
- delay treatment until she locates a provider within the network
- see any suitable provider even if outside the network
- seek a provider in another network
- submit her expenses to her insurer for reimbursement - correct answersee any
suitable provider even if outside the network
Which is NOT considered an activity of daily living (ADL) for purposes of qualifying for
long-term care insurance benefits?
- eating
- dressing
- bathing
- driving - correct answerdriving
HMOs operate within geographic areas that are called:
- provider networks
- service areas
- covered areas
- managed care areas - correct answerservice areas
, HIPAA guarantees the availability of health insurance coverage in the individual market
for eligible individuals who have had at least how many months of aggregate creditable
coverage?
-6
- 12
- 18
- 24 - correct answer18
What kind of policy only covers cancer, stroke, heart attack, and Parkinson's disease?
- medical surgical expense policy
- catastrophic medical policy
-limited disability policy
- specified disease policy - correct answerspecified disease policy
Eddie bought a Medicare supplement policy five years ago and now suffers from
dementia. What can the insurer do in light of Eddie's current health status?
- cancel the policy
- increase the premium
- decrease the amount of coverage
- keep the policy in force - correct answerkeep the policy in force
In 2006, federal legislation expanded Medicare to provide prescription drug coverage
through:
- Part C
- a revised Medigap program
- Part D
- Part A - correct answerPart D
Which statement about maternity coverage in group and individual health plans is
correct?
- Individual and group plans must cover maternity care.
- Individual and group plans that cover maternity care must cover the services of
midwives and birth centers.
- Individual and group plans must provide up to $10,000 in benefits for maternity care.
- Individual and group plans that cover maternity care may limit the length of hospital
stays. - correct answerIndividual and group plans that cover maternity care must cover
the services of midwives and birth centers.
Which statement accurately describes the MIB (Medical Information Bureau)?
- It contains the complete medical history of insurance applicants.
Questions (2025/2026 Latest Exam Prep) |
Complete Study Guide & Verified Q&A
Which of the following statements regarding the tax treatment of medical expense
insurance premiums and benefits is correct?
- premiums are not deductible and benefits are taxable
- premiums are not deductible and benefits are not taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are
taxable
- premiums may be deductible as an unreimbursed medical expense and benefits are
not taxable - correct answerpremiums may be deductible as an unreimbursed medical
expense and benefits are not taxable
To control health care costs, HMOs stress the importance of what kind of health care
among their members?
- cosmetic care
- hospital care
- surgical care
- preventive care - correct answerpreventive care
A guaranteed insurability rider guarantees an individual disability income policyowner's
right to buy additional coverage even if:
- the insured has duplicate coverage from another health insurance provider
- the insured cannot provide satisfactory evidence of insurability
- the insured cannot afford the additional premium charged
- state law prohibits the same coverage to be sold under a separate policy - correct
answerthe insured cannot provide satisfactory evidence of insurability
What was the forerunner to the health savings account (HSA)?
- health maintenance organization (HMO)
- preferred provider organization (PPO)
- medical savings account (MSA)
- provider sponsored organization (PSO) - correct answermedical savings account
(MSA)
Which coverage does a person who is eligible for Medicare buy from a private insurer?
- Medicare Part A
,- Medicare Part B
- Medicare Advantage
- Medicaid - correct answerMedicare Advantage
For purposes of group health insurance, a small employer is defined in Florida as any
person or entity that employs no more than how many employees?
- 100
- 50
- 20
- 2 - correct answer50
Which of the following optional health insurance policy provisions applies specifically to
disability income insurance policies?
- the relation of earnings to insurance provision
- the unpaid premium provision
- the cancellation provision
- the conformity with state statutes provision - correct answerthe relation of earnings to
insurance provision
Gracie has a Medicare Advantage policy and needs emergency care while traveling.
However, there are no network providers nearby. What should she do?
- delay treatment until she locates a provider within the network
- see any suitable provider even if outside the network
- seek a provider in another network
- submit her expenses to her insurer for reimbursement - correct answersee any
suitable provider even if outside the network
Which is NOT considered an activity of daily living (ADL) for purposes of qualifying for
long-term care insurance benefits?
- eating
- dressing
- bathing
- driving - correct answerdriving
HMOs operate within geographic areas that are called:
- provider networks
- service areas
- covered areas
- managed care areas - correct answerservice areas
, HIPAA guarantees the availability of health insurance coverage in the individual market
for eligible individuals who have had at least how many months of aggregate creditable
coverage?
-6
- 12
- 18
- 24 - correct answer18
What kind of policy only covers cancer, stroke, heart attack, and Parkinson's disease?
- medical surgical expense policy
- catastrophic medical policy
-limited disability policy
- specified disease policy - correct answerspecified disease policy
Eddie bought a Medicare supplement policy five years ago and now suffers from
dementia. What can the insurer do in light of Eddie's current health status?
- cancel the policy
- increase the premium
- decrease the amount of coverage
- keep the policy in force - correct answerkeep the policy in force
In 2006, federal legislation expanded Medicare to provide prescription drug coverage
through:
- Part C
- a revised Medigap program
- Part D
- Part A - correct answerPart D
Which statement about maternity coverage in group and individual health plans is
correct?
- Individual and group plans must cover maternity care.
- Individual and group plans that cover maternity care must cover the services of
midwives and birth centers.
- Individual and group plans must provide up to $10,000 in benefits for maternity care.
- Individual and group plans that cover maternity care may limit the length of hospital
stays. - correct answerIndividual and group plans that cover maternity care must cover
the services of midwives and birth centers.
Which statement accurately describes the MIB (Medical Information Bureau)?
- It contains the complete medical history of insurance applicants.
