100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached 4.2 TrustPilot
logo-home
Exam (elaborations)

Final Exam - Florida Life and Health

Rating
-
Sold
-
Pages
20
Grade
A+
Uploaded on
24-03-2025
Written in
2024/2025

A 66 year-old is covered under a group health plan while employed with a business that has 40 employees. If she injures herself while walking in the park, what coverage would be considered primary? -- correct ans--Her group health plan. If the employer has more than 20 employees, the group health plan generally pays first.

Show more Read less
Institution
Florida Life And Health Insurance State
Course
Florida Life and Health Insurance State










Whoops! We can’t load your doc right now. Try again or contact support.

Written for

Institution
Florida Life and Health Insurance State
Course
Florida Life and Health Insurance State

Document information

Uploaded on
March 24, 2025
Number of pages
20
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

Final Exam - Florida Life and Health

A 66 year-old is covered under a group health plan while employed with a business that
has 40 employees. If she injures herself while walking in the park, what coverage would
be considered primary? -- correct ans--Her group health plan.

If the employer has more than 20 employees, the group health plan generally pays first.

AryDisabilityryIncomerypolicyownerryrecentlyrysubmittedryaryclaimryforryarychronicryneckryproblemr
ythatryhasrynowryresultedryinrytotalrydisability.ryTheryoriginalryneckryinjuryryoccurredrybeforerytherya

pplicationrywasrytakenry5ryyearsryprior.ryTheryneckryinjuryrywasryneverrydisclosedrytorytheryinsurerry
atrytherytimeryofryapplication.ryHowrywillrytheryinsurerryhandlerythisryclaim?ry--rycorrectryans--
Claimrywillryberypaidryandrycoveragerywillryremainryinryforce.

Afterryarypolicyryhasrybeenryinryforceryforry2ry(sometimesry3)ryyears,ryitryentersrytheryincontestablery
period,ryinrywhichrytheryinsurerrymayrynotrydenyryaryclaimrybasedryonryinformationrynotrydisclosedry
atrytherytimeryofryapplication.

AryHospital/SurgicalryExpenserypolicyrywasrypurchasedryforryaryfamilyryofryfourryinryMarchryofry201
3.ryTherypolicyrywasryissuedrywithryary$500rydeductibleryandryarylimitryofryfourrydeductiblesryperrycal
endarryyear.ryTworyclaimsrywererypaidryinrySeptemberry2013,ryeachryincurringrymedicalryexpens
esryinryexcessryofrytherydeductible.ryTworyadditionalryclaimsrywereryfiledryinry2014,ryeachryinryexce
ssryofrytherydeductibleryamountryasrywell.ryWhatrywouldryberythisryfamily'sryout-of-
pocketrymedicalryexpensesryforry2013?ry--rycorrectryans--1,000.

Inrythisrysituation,rytheryinsured'srymaximumryout-of-
pocketryexpensesryforry2013rywouldrybery$1,000.

Aryliferyinsurancerypolicyrythatryprovidesryarypolicyownerrywithrycashryvalueryalongrywithryarylevelryf
aceryamountryisrycalledry--rycorrectryans--Wholerylife-
Wholeryliferyprovidesrytheryinsuredrywithryarycashryvalueryasrywellryasryarylevelryfaceryamount.

Aryliferyinsurancerypolicyownerrymayrysellrytheirrypolicyrytorya(n)ry_____ryinryorderrytoryreceiveryaryp
ercentageryofrytherypolicy'sryfaceryvalue.ry--rycorrectryans--viaticalrysettlementryprovider.

Toryreceiveryarypercentageryofrytherypolicyryfaceryvalue,ryanryownerryofryaryliferypolicyrymayrysellryth
erypolicyrytoryaryviaticalrysettlementryprovider.

AryliferypolicyryloanryinryFloridarycannotrychargeryaryfixedryrateryofryinterestryhigherrythanry--
rycorrectryans--Therymaximumryfixedryinterestryraterypermittedryonryaryliferypolicyryloanryisry10%.

,Arymutualryinsurancerycompanyryandryarystockryinsurancerycompanyryhaveryonerymainrydifferen
cerybetweenrythem.ryWhatryisrythisrymajorrycontrast?ry--rycorrectryans--
Stockrycompanyryisryownedrybyryitsryshareholders.ryMutualrycompanyryisryownedrybyryitsrypolicyh
olders.

Arypolicyowner'sryrightsryarerylimitedryunderrywhichrybeneficiaryrydesignation?ry--rycorrectryans--
Irrevocable.

Anryirrevocablerybeneficiaryrydesignationryrequiresrytheryconsentryandrysignatureryofrythatrynam
ry

edrybeneficiaryrybeforeryarychangeryofrybeneficiaryryoccurs.

AryprepaidryapplicationryforryindividualryDisabilityryIncomeryinsurancerywasryrecentlyrysubmittedr
ytoryanryinsurer.ryWhenrytheryinsurerryreceivedrytheryMedicalryInformationryBureaury(MIB)ryreport,

rytheryreportryshowedrythatrytheryapplicantryhadrysufferedryarystrokery18rymonthsryago,rysomething

rythatrywasrynotrydisclosedryonrytheryapplication.ryWhichryofrytheryfollowingryactionsrywouldrytheryin

surancerycompanyryNOTrytake?ry--rycorrectryans--
SendryarynoticerytorytheryMIBrythatrytheryapplicantrywasrydeclined.

TheryMIBrydoesrynotryneedrytoryberynotifiedrythatrycoveragerywasrydenied.
Submit

Aryprospectiveryinsuredrycompletesryandrysignsryanryapplicationryforryhealthryinsurancerybutryinte
ntionallyryconcealsryinformationryaboutryarypre-
existingryheartrycondition.ryTherycompanyryissuesrytherypolicy.ryTworymonthsrylater,rytheryinsure
drysuffersryaryheartryattackryandrysubmitsryaryclaim.ryWhileryprocessingrytheryclaim,rytherycompany
rydiscoversrytherypre-existingrycondition.ryInrythisrysituation,rytherycompanyrywillry--rycorrectryans--

continuerycoveragerybutryexcluderytheryheartrycondition.

Ifrytheryinsuredrydidrynotryciterytheryconditionryonrytheryapplicationryandrytheryinsurerrydidrynotryexcl
ry

uderytheryconditon,rytherypre-
existingryconditionryprovisionrystillryapplies.ryExclusionsryarerysubjectrytorythery"timerylimitryonrycer
tainrydefenses"ryprovision,ryhowever.

AryReturnryofryPremiumryliferyinsurancerypolicyryisry--rycorrectryans--
WholeryliferyandryIncreasingryterm.
ry

AryReturnryofryPremiumryliferyinsurancerypolicyryisrywholeryliferyinsurancerywithryarydeathrybenefitry
riderryofryincreasingrytermryinsuranceryequalrytorytheryamountryofrypremiumsrypaid.ryIfrytheryinsure
drydiesrywithinrytheryperiodryofryterm,rytherybeneficiaryrywillryreceiveryfaceryamountryplusrytheryvalu
eryofryallrypaidrypremiums.

Arystatementrymaderybyryanryinsuredryinryanryinsuranceryapplicationrythatrymustryberytruerytorythery
bestryofryone'sryknowledgeryandrywhichrybecomesryarypartryofrytherycontractryisryknownryasry--
rycorrectryans--

Aryrepresentationryisryarystatementrymaderybyryanryinsuredryinryanryinsuranceryapplicationrythatry
mustryberytruerytorytherybestryofryone'sryknowledgeryandrywhichrybecomesryarypartryofrytherycontract
.

, Arystockryliferyinsurancerycompanyrythatryissuesrybothryparticipatingryandrynonparticipatingrypoli
ciesryisrydoingrybusinessryonry--rycorrectryans--arymixedryplan.

Whenryarystockryliferyinsurancerycompanyryissuesrybothryparticipatingryandrynonparticipatingryp
olicies,rytherycompanyryisrydoingrybusinessryonryarymixedryplan.

Arytermryliferyinsurancerypolicyrymaturesry--rycorrectryans--
uponrytheryinsured'srydeathryduringrytherytermryofrytherypolicy.

Termryliferypoliciesrycanryonlyrymaturery(payryoutrytheryfaceryamount)ryifrydeathryoccursryduringryth
erytermryofrytherypolicy.

AccordingrytoryFloridarylaw,rywhenrymustryanryagentrydeliverrytheryOutlineryofryCoveragerytoryaryMe
dicarerySupplementryapplicant?ry--rycorrectryans--Atrytherytimeryofryapplication.

FloridaryinsurancerylawryrequiresrythatryifryaryMedicarerySupplementrypolicyryisrysold,rytheryagentry
mustrydeliverryanryOutlineryofryCoveragerytorytheryapplicantrynorylaterrythanrywhenrytheryapplicatio
nryisrytaken.

AccordingrytoryFloridarylaw,rywhichryofrytheryfollowingryinformationrydoesryNOTryneedrytoryberyobta
inedrybyryanryagentryrecommendingryanryannuityrypurchase?ry--rycorrectryans--Maritalrystatus.

Floridarylawryrequiresryanryagentrywhoryisryrecommendingrytherypurchaseryofryanryannuityrytoryaryp
ersonrytoryobtainryinformationryregardingryallryofrytheseryEXCEPTrytheryperson'srymaritalrystatus.

AccordingrytoryFloridarylaw,rywhichryofrytheryfollowingrystatementsryaccuratelyrydescribesryanryad
mittedrymailryorderryinsurancerycompany?ry--rycorrectryans--
Itrymayrysolicitryinsurancerybusinessrybyrymailrywithoutrytheryassistanceryofryarylicensedryagent

AccordingrytoryFlorida'sryrulesryonrydisclosure,ryaryliferyinsuranceryapplicantryisryexpectedrytorybery
providedrywithry--rycorrectryans--aryBuyer'sryGuideryandryPolicyrySummary

Agentsrythatryhaverybeenrylicensedryforrylessrythanrysixryyearsrymustrycompletery__ryhoursryofrycon
tinuingryeducationryeveryrytworyyears.ry--rycorrectryans--
Floridaryagentsrylicensedrylessrythanrysixryyearsryareryrequiredrytorycompletery24ryhoursryofryconti
nuingryeducation.

AllryofrytheseryareryconsideredrysourcesryofryunderwritingryinformationryaboutryanryapplicantryEX
CEPTry--rycorrectryans--RatingryServices.

AnryagentrysellingryMedicarerySupplementrypoliciesrymustryprovideryeveryryapplicantrywithrya(n)ry
--rycorrectryans--Suitabilityryform.

ryEveryryagentrysolicitingryMedicarerySupplementsrymustryprovideryarysuitabilityryform.

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
VANFuturenurses02 NURSING
Follow You need to be logged in order to follow users or courses
Sold
21
Member since
1 year
Number of followers
2
Documents
945
Last sold
3 weeks ago

TestsBanks !!!I have Accounting, Finance, Biology, Chemistry, Economics, Nursing and other Subjects A+ Testsbanks Hello, my documents are 100% guaranteed to help you Ace in your studies, my goal is to empower and help you in your career, I represent more professional nursing specialties and other courses. All the materials posted are A+ Graded. Please rate and write a review after using my materials. Your reviews will motivate me to add more materials. THANKYOU AND GOOD LUCK.

Read more Read less
3,3

6 reviews

5
2
4
2
3
0
2
0
1
2

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their exams and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can immediately select a different document that better matches what you need.

Pay how you prefer, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card or EFT and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions