XCEL EXAM WITH CORRECT ANSWERS
2025/2026
Typically, kLong-Term kDisability kbenefits kare kcoordinated kwith kwhich kbenefit kplan? k-
kCORRECT kANSWER k-Social kSecurity
The kfocus kof kmajor kmedical kinsurance kis kproviding kcoverage kfor k- kCORRECT kANSWER k-
medical kand khospitalization kexpenses
An kinsured kunder ka kMajor kMedical kexpense kplan kwith ka kzero kdeductible kand k80/20
kcoinsurance kprovision kfiles ka k$1,000 kclaim. kHow kmuch kof kthis kclaim kis kthe kinsured
kresponsible kfor? k- kCORRECT kANSWER k-$200
because kthis kpolicy khas ka kzero kdeductible, kthe kinsures kis konly kresponsible kfor kthe k20%
kcoinsurance kon kthis kclaim, kor k$200
An kinsured khas ka kstop-loss klimit kof k$5,000 kand kan k80/20 kcoinsurance. kThe kinsured kincurs
k$25,000 kof kcovered klosses. kHow kmuch kwill kthe kinsured kpay? k- kCORRECT kANSWER k-
$5,000
Which ktype kof kplan kwould kbe kthe kmost kappropriate kfor kan kindividual kon kMedicare kand
kconcerned kthat kMedicare kwill kNOT kpay kfor kcharges kexceeding kthe kapproved kamount? k-
kCORRECT kANSWER k- kMedicare ksupplement kPlan kF
When kcan ka kgroup khealth kpolicy krenewal kbe kdenied kaccording kto kthe kHealth kInsurance
kPortability kand kAccountability kAct k(HIPAA)? k- kCORRECT kANSWER k-when kcontribution kor
,kparticipation krules khave kbeen kviolated
What kdoes kthe kword k"level: kin kLevel kTerm kdescribe? k- kCORRECT kANSWER k-the kface kamount
,A knon-contributory khealth kinsurance kplan khelps kthe kinsurer kavoid k- kCORRECT kANSWER k-
adverse kselection
because kall keligible kemployees kare kusually kcovered, knon-contributory kplans kare kdesirable
kfrom kan kunderwriting kstandpoint kbecause kadverse kselection kis kminimized.
To kqualify kfor ka kresident kproducer klicense kin kthe kstate kof kMichigan, kan kindividual k-
kCORRECT kANSWER k-must kcomplete kthe krequired kpre-licensing keducation kwithin k12
kmonths kof klicense kapplication
Under kan kexpense-incurred kindividual khealth kpolicy, kwhat kis kthe kMAXIMUM klength kof
ktime kafter kissuance kof kthe kpolicy kthat kan kinsurer kcan kexclude kcoverage kfor ka kpre-
existing kcondition? k-
CORRECT kANSWER k-12 kmonths
pre-existing kconditions kmay kbe kexcluded kfor ka kmaximum kof k12 kmonths kfrom kthe kdate kof
kenrollment.
An kinsured khas ka khealth kplan kthat kpays kestablished kamounts kin kaccordance kwith ka klist
kof kinjuries, ksurgical kprocedures, kor kother klosses. kThis klist kis kcalled ka k- kCORRECT
kANSWER k-benefit kschedule
benefits kschedule kset kpredetermined klimits kor kmaximums kon khow kmuch kmoney kand
kinsured kcan kbe kreimbursed kfor ka kcovered kloss.
Who kis kthe kindividual kpaid kon ka kfee-for-service kbasis? k- kCORRECT kANSWER k-Provider
Which kof kthe kfollowing kis kNOT kan killegal kinducement? k- kCORRECT kANSWER k-Giving kthe
kinsured kan karticle kof kmerchandise kprinted kwith kthe kproducer's kname kcosting k$5
$5 kor kless kof ktokens kor kmerchandise kto kapplicants kis kallowed.
, Making ka kstatement kthat kis kfalse kor kmaliciously kcritical kof kthe kfinancial kcondition kof kan
kinsurer kis kknown kas k- kCORRECT kANSWER k-defamation
Which kof kthe kfollowing kis kNOT ka krequired kprovision kin kan kaccident kand khealth kinsurance
kpolicy? k-
CORRECT kANSWER k-change kof koccupation
the kchange kof koccupation kprovision kis kconsidered kan kOPTIONAL kprovision
Which kof kthese kstatements kabout kMedicaid kis kCORRECT? k- kCORRECT kANSWER k-Funded
kby kfederal, ksate, kand klocal ktaxes
Medicaid kis kfunded kby kfederal, kstate, kand klocal ktaxes kbut kis kadministered kby keach kstate.
All kof kthese kare kconsidered kkey kfactors kin kunderwriting klife kinsurance kEXCEPT k- kCORRECT
kANSWER k-Marital kStatus
Correct: ktobacco kuse, khealth khistory, kage
The ktime klimit kfor kfiling kclaim kdisputes kis kaddressed kin kwhich kprovision kof kan kaccident
kand khealth kpolicy? k- kCORRECT kANSWER k-legal kactions
All kof kthe kfollowing kplans kallow kfor kemployee kcontributions kto kbe ktaken kon ka kpre-tax
kbasis kEXCEPT k- kCORRECT kANSWER k-Health kreimbursement kArrangement kplan
employers kcontribute kto khealth kreimbursement kArrangement kplanz k(HRA's), knot kemployees.
2025/2026
Typically, kLong-Term kDisability kbenefits kare kcoordinated kwith kwhich kbenefit kplan? k-
kCORRECT kANSWER k-Social kSecurity
The kfocus kof kmajor kmedical kinsurance kis kproviding kcoverage kfor k- kCORRECT kANSWER k-
medical kand khospitalization kexpenses
An kinsured kunder ka kMajor kMedical kexpense kplan kwith ka kzero kdeductible kand k80/20
kcoinsurance kprovision kfiles ka k$1,000 kclaim. kHow kmuch kof kthis kclaim kis kthe kinsured
kresponsible kfor? k- kCORRECT kANSWER k-$200
because kthis kpolicy khas ka kzero kdeductible, kthe kinsures kis konly kresponsible kfor kthe k20%
kcoinsurance kon kthis kclaim, kor k$200
An kinsured khas ka kstop-loss klimit kof k$5,000 kand kan k80/20 kcoinsurance. kThe kinsured kincurs
k$25,000 kof kcovered klosses. kHow kmuch kwill kthe kinsured kpay? k- kCORRECT kANSWER k-
$5,000
Which ktype kof kplan kwould kbe kthe kmost kappropriate kfor kan kindividual kon kMedicare kand
kconcerned kthat kMedicare kwill kNOT kpay kfor kcharges kexceeding kthe kapproved kamount? k-
kCORRECT kANSWER k- kMedicare ksupplement kPlan kF
When kcan ka kgroup khealth kpolicy krenewal kbe kdenied kaccording kto kthe kHealth kInsurance
kPortability kand kAccountability kAct k(HIPAA)? k- kCORRECT kANSWER k-when kcontribution kor
,kparticipation krules khave kbeen kviolated
What kdoes kthe kword k"level: kin kLevel kTerm kdescribe? k- kCORRECT kANSWER k-the kface kamount
,A knon-contributory khealth kinsurance kplan khelps kthe kinsurer kavoid k- kCORRECT kANSWER k-
adverse kselection
because kall keligible kemployees kare kusually kcovered, knon-contributory kplans kare kdesirable
kfrom kan kunderwriting kstandpoint kbecause kadverse kselection kis kminimized.
To kqualify kfor ka kresident kproducer klicense kin kthe kstate kof kMichigan, kan kindividual k-
kCORRECT kANSWER k-must kcomplete kthe krequired kpre-licensing keducation kwithin k12
kmonths kof klicense kapplication
Under kan kexpense-incurred kindividual khealth kpolicy, kwhat kis kthe kMAXIMUM klength kof
ktime kafter kissuance kof kthe kpolicy kthat kan kinsurer kcan kexclude kcoverage kfor ka kpre-
existing kcondition? k-
CORRECT kANSWER k-12 kmonths
pre-existing kconditions kmay kbe kexcluded kfor ka kmaximum kof k12 kmonths kfrom kthe kdate kof
kenrollment.
An kinsured khas ka khealth kplan kthat kpays kestablished kamounts kin kaccordance kwith ka klist
kof kinjuries, ksurgical kprocedures, kor kother klosses. kThis klist kis kcalled ka k- kCORRECT
kANSWER k-benefit kschedule
benefits kschedule kset kpredetermined klimits kor kmaximums kon khow kmuch kmoney kand
kinsured kcan kbe kreimbursed kfor ka kcovered kloss.
Who kis kthe kindividual kpaid kon ka kfee-for-service kbasis? k- kCORRECT kANSWER k-Provider
Which kof kthe kfollowing kis kNOT kan killegal kinducement? k- kCORRECT kANSWER k-Giving kthe
kinsured kan karticle kof kmerchandise kprinted kwith kthe kproducer's kname kcosting k$5
$5 kor kless kof ktokens kor kmerchandise kto kapplicants kis kallowed.
, Making ka kstatement kthat kis kfalse kor kmaliciously kcritical kof kthe kfinancial kcondition kof kan
kinsurer kis kknown kas k- kCORRECT kANSWER k-defamation
Which kof kthe kfollowing kis kNOT ka krequired kprovision kin kan kaccident kand khealth kinsurance
kpolicy? k-
CORRECT kANSWER k-change kof koccupation
the kchange kof koccupation kprovision kis kconsidered kan kOPTIONAL kprovision
Which kof kthese kstatements kabout kMedicaid kis kCORRECT? k- kCORRECT kANSWER k-Funded
kby kfederal, ksate, kand klocal ktaxes
Medicaid kis kfunded kby kfederal, kstate, kand klocal ktaxes kbut kis kadministered kby keach kstate.
All kof kthese kare kconsidered kkey kfactors kin kunderwriting klife kinsurance kEXCEPT k- kCORRECT
kANSWER k-Marital kStatus
Correct: ktobacco kuse, khealth khistory, kage
The ktime klimit kfor kfiling kclaim kdisputes kis kaddressed kin kwhich kprovision kof kan kaccident
kand khealth kpolicy? k- kCORRECT kANSWER k-legal kactions
All kof kthe kfollowing kplans kallow kfor kemployee kcontributions kto kbe ktaken kon ka kpre-tax
kbasis kEXCEPT k- kCORRECT kANSWER k-Health kreimbursement kArrangement kplan
employers kcontribute kto khealth kreimbursement kArrangement kplanz k(HRA's), knot kemployees.