Illinois Accident and Health Insurance
Exam Questions and Answers Graded A+
Short Term Disability - Correct answer-Elimination period of 1 to 7 days. Benefits
could start in two weeks and continue for 2 years. Most popular payment period is
26 weeks of benefits. Must be completely disabled. Can be flat amount or limited
to 50-70% of gross weekly income.
Long Term Disability - Correct answer-Provides benefits after Short Term
Disability ends. Can be as short as 2 years or go until age 65.
Key Employee Policies - Correct answer-Covers the cost of providing a paycheck
to a disabled employee. Frees up money to hire a replacement.
Accidental Death and Dismemberment - Correct answer-Insured dies or is
dismembered as a result of an accident. Severance through or above the wrist or
ankle. Benefits are payable in the form of a principle sum and a capital sum.
Basic Hospital - Correct answer-Provides first dollar coverage for daily room and
board for a maximum period of time and dollar amount. (i.e. $500 per day, up to 30
days.)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Covered by Basic Hospital - Correct answer--Diagnostic Xray/Lab fees
-Radiology therapy
-In-patient Doctor Treatments
-Ambulance Service
Miscellaneous Expense Benefit - Correct answer--Operating room
-Lab fees
-Drugs (Over the counter only)
-Anesthetics
-Dressings
Surgical Expenses - Correct answer--Surgeon fees
-Anesthetist
-Post-operative care
Major Medical - Correct answer--Private Duty Nursing
-Convalescent nursing home care
-Rental of special medical equipment
-Out of hospital prescription medication
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, -Higher policy limits
-Preventative care
Major Medical Payment - Correct answer--Deductible called a corridor
-80/20 coinsurance
Period of Time Contract - Correct answer-Policy terminates at the end of the policy
term (1-12 months)
Comprehensive Major Medical - Correct answer-Most commonly issued in a group
basis. Provides same coverage as basic and major medical but usually adds dental
and vision coverage. Provides a stop-loss provision.
Health Maintenance Organization (HMO) - Correct answer-Primary care
physician. Pre-paid fixed amount for each enrollee. Must see PCP once a year.
Required to get a referral from PCP to see a specialist.
Covers:
-Emergency care
-Inpatient care
-Physician care
-Mental health services
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Exam Questions and Answers Graded A+
Short Term Disability - Correct answer-Elimination period of 1 to 7 days. Benefits
could start in two weeks and continue for 2 years. Most popular payment period is
26 weeks of benefits. Must be completely disabled. Can be flat amount or limited
to 50-70% of gross weekly income.
Long Term Disability - Correct answer-Provides benefits after Short Term
Disability ends. Can be as short as 2 years or go until age 65.
Key Employee Policies - Correct answer-Covers the cost of providing a paycheck
to a disabled employee. Frees up money to hire a replacement.
Accidental Death and Dismemberment - Correct answer-Insured dies or is
dismembered as a result of an accident. Severance through or above the wrist or
ankle. Benefits are payable in the form of a principle sum and a capital sum.
Basic Hospital - Correct answer-Provides first dollar coverage for daily room and
board for a maximum period of time and dollar amount. (i.e. $500 per day, up to 30
days.)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Covered by Basic Hospital - Correct answer--Diagnostic Xray/Lab fees
-Radiology therapy
-In-patient Doctor Treatments
-Ambulance Service
Miscellaneous Expense Benefit - Correct answer--Operating room
-Lab fees
-Drugs (Over the counter only)
-Anesthetics
-Dressings
Surgical Expenses - Correct answer--Surgeon fees
-Anesthetist
-Post-operative care
Major Medical - Correct answer--Private Duty Nursing
-Convalescent nursing home care
-Rental of special medical equipment
-Out of hospital prescription medication
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, -Higher policy limits
-Preventative care
Major Medical Payment - Correct answer--Deductible called a corridor
-80/20 coinsurance
Period of Time Contract - Correct answer-Policy terminates at the end of the policy
term (1-12 months)
Comprehensive Major Medical - Correct answer-Most commonly issued in a group
basis. Provides same coverage as basic and major medical but usually adds dental
and vision coverage. Provides a stop-loss provision.
Health Maintenance Organization (HMO) - Correct answer-Primary care
physician. Pre-paid fixed amount for each enrollee. Must see PCP once a year.
Required to get a referral from PCP to see a specialist.
Covers:
-Emergency care
-Inpatient care
-Physician care
-Mental health services
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
