SICKNESS PRACTICE EXAM questions and
answers 2025\2026 A+ Grade
Which of the following is TRUE of a point of service plan
- correct answer A patient's care is coordinated by an in-network primary care physician.
In a Level term life policy, which always remains constant ?
- correct answer death benefit
which part of an insurance contract contains the promise to pay losses covered by the policy in
exchange for the insureds premium and compliance with policy terms ?
- correct answer insuring clause
In a home healthcare benefit, all of the following are eligible expenses EXCEPT
- correct answer blood transfusions
in noncontributory plans, which percentage of eligible members must participate?
- correct answer 1
How are issues of ambiguity usually resolved because insurance contracts are contracts of adhesion?
- correct answer In favor of the insured because the insurance company drafts the language in the
contract.
Why is the accidental death benefit referred to as double indemnity?
- correct answer It provides twice the face value in the policy for death due to accident.
which types of rider reimburses health and social service expenses incurred in a convalescent or nursing
home facility
- correct answer long term care rider
, All life insurance and health insurance contracts contain all of the following EXCEPT
- correct answer representations
all of the following are requirements to qualify for social security disability benefits except when
- correct answer unable to work in occupation in which the worker was trained or educated.
what is the order in which beneficiaries receive proceeds from a life insurance policy ?
- correct answer succession of beneficiaries
If a company provides group disability insurance to its employees, which of the following may be tax-
deductible?
- correct answer the premiums paid by the company as a business expense
Which annuity settlement option provides a stated monthly amount to the annuitant and upon the
annuitant's death the same or a lesser amount paid for the lifetime of the survivor?
- correct answer Joint and survivorship option
which of the following policy types is considered double indemnity
- correct answer accidental death
How long after being entitled to disability benefits will an individual be eligible to receive Medicare
benefits?
- correct answer 2 years
which of the following is an example of a hospital indemnity plan
- correct answer pays a fixed amount per day to the insured for each day the insured is hospitalized
According to the time of payment of claims provisions, the insurer must make the payment immediately
after receiving proof of loss EXCEPT
- correct answer For claims involving periodic payments
Which one of the following is particularly important to an insurance producer to explain to a client upon
delivery of a life insurance policy ?
- correct answer Any exclusions