Florida Health #z
Insurance 2-40
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Practice Test bank
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Actual Exam
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Questions and Answer
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Rated A+
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Nursedocs@2024
,Florida Health Insurance 2-40 Practice
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Test bank Actual Exam Questions and
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Answer Rated A+
#z #z #z
Which of the following is NOT a form of medical insurance?
-Business overhead expense
-Surgical expense
-Hospital expense
-Long term care - ANSWER-Business overhead expense
(Explanation:Business Overhead Expense insurance is designed to
reimburse a business for overhead expenses in the event a business
owner becomes disabled. Expenses such as rent, utilities, telephone,
equipment, employees' salaries, etc.)
All of the following are state or federal government programs that
provide health insurance, EXCEPT?
-Medicare
-OASDI disability
-Medicaid
-Medigap - ANSWER-Medigap (Explanation:A Medigap policy is a
Medicare supplement insurance policy sold by private insurance
companies to fill "gaps" in Medicare Parts A and B.)
What type of health insurance is available to assist low-income
individuals?
-Social Security disability
-Medicare supplement
-Medicare
-Medicaid - ANSWER-Medicaid
What types of reserves are set aside and held by health insurance
companies?
Nursedocs@2024
,-Premium reserves #z
-Premium and Claims reserves #z #z #z
-Claims reserves #z
-Deductible and Premium reserves - ANSWER-Premium and #z #z #z #z #z #z
Claims reserves (Explanation:Reserves are set aside for the
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payment of future claims.)
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Group health insurance is generally written on a basis that provides for
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dividends or experience rating. What is the basis called?
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-Contributory
-Noncontributory
-Nonparticipating
-Participating - ANSWER-Participating (Explanation:Group plans
#z #z #z #z
written by mutual companies provide for dividends while stock
#z #z #z #z #z #z #z #z #z
companies frequently issue experience-rated plans.)
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Which of the following is NOT TRUE regarding eligibility for
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subsidies for families under the new health care act?
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-For those who make between 100-400% of the Federal Poverty -Level
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-Cannot be covered by an employer
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-Cannot be eligible for Medicare
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-Can be eligible for Medicaid - ANSWER-Can be eligible for Medicaid
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Which of the following operates as a corporation, society, or
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association to provide life insurance primarily for the mutual benefit
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of its members, has a lodge or social system with rituals and
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representative form of government?
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A) Mutual companies #z
B) Fraternal associations #z
C) Stock companies #z
-Fraternal benefit society - ANSWER-B) Fraternal associations
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What does each member pay in a typical HMO plan?
#z #z #z #z #z #z #z #z #z
-Fixed premium based on a deductible and copay
#z #z #z #z #z #z #z
-Fixed premium whether or not plan is used
#z #z #z #z #z #z #z
Nursedocs@2024
, -Premium based on how often plan is used - ANSWER-Fixed premium
#z #z #z #z #z #z #z #z #z #z
whether or not plan is used
#z #z #z #z #z #z
Which of the following is correct about those who are eligible for
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Medicare and wish to join an HMO?
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-They must have a current Medicare supplement policy
#z #z #z #z #z #z #z
-They must be told that they are disenrolled from Medicare
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-They must be age 70 and above
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-They must have been enrolled previously in an HMO - ANSWER-
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They must be told that they are disenrolled from Medicare
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Joyce is totally disabled. Her HMO policy just terminated. All of the
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following are correct regarding "extension of benefits" for Joyce,
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EXCEPT?
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-Coverage ends once maximum benefits have been exhausted
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-Coverage ends once another carrier assumes coverage
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-Coverage ends if no longer totally disabled
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-Coverage ends after 18 months - ANSWER-Coverage ends after 18
#z #z #z #z #z #z #z #z #z
months
#z
All of the following are correct regarding Florida regulation of HMOs,
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EXCEPT?
#z
-Must obtain a Certificate of Authority
#z #z #z #z #z
-Must file a report of its activities within 3 months of the end of each
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fiscal year
#z #z
-Must deposit $100,000 with the Rehabilitation Administration Expense
#z #z #z #z #z #z #z
Fund
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-Must be sold by agents licensed and appointed as health
#z #z #z #z #z #z #z #z #z
insurance agents - ANSWER-Must deposit $100,000 with the
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Rehabilitation Administration Expense Fund (Explanation:
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They must deposit $10,000 with the Rehabilitation
#z #z #z #z #z #z
Administration Expense Fund.)
#z #z #z
What is "capitation" as it relates to an HMO?
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Nursedocs@2024
Insurance 2-40
#z #z
Practice Test bank
#z #z #z
Actual Exam
#z #z
Questions and Answer
#z #z #z
Rated A+
#z #z
Nursedocs@2024
,Florida Health Insurance 2-40 Practice
#z #z #z #z
Test bank Actual Exam Questions and
#z #z #z #z #z #z
Answer Rated A+
#z #z #z
Which of the following is NOT a form of medical insurance?
-Business overhead expense
-Surgical expense
-Hospital expense
-Long term care - ANSWER-Business overhead expense
(Explanation:Business Overhead Expense insurance is designed to
reimburse a business for overhead expenses in the event a business
owner becomes disabled. Expenses such as rent, utilities, telephone,
equipment, employees' salaries, etc.)
All of the following are state or federal government programs that
provide health insurance, EXCEPT?
-Medicare
-OASDI disability
-Medicaid
-Medigap - ANSWER-Medigap (Explanation:A Medigap policy is a
Medicare supplement insurance policy sold by private insurance
companies to fill "gaps" in Medicare Parts A and B.)
What type of health insurance is available to assist low-income
individuals?
-Social Security disability
-Medicare supplement
-Medicare
-Medicaid - ANSWER-Medicaid
What types of reserves are set aside and held by health insurance
companies?
Nursedocs@2024
,-Premium reserves #z
-Premium and Claims reserves #z #z #z
-Claims reserves #z
-Deductible and Premium reserves - ANSWER-Premium and #z #z #z #z #z #z
Claims reserves (Explanation:Reserves are set aside for the
#z #z #z #z #z #z #z #z
payment of future claims.)
#z #z #z #z
Group health insurance is generally written on a basis that provides for
#z #z #z #z #z #z #z #z #z #z #z
dividends or experience rating. What is the basis called?
#z #z #z #z #z #z #z #z #z
-Contributory
-Noncontributory
-Nonparticipating
-Participating - ANSWER-Participating (Explanation:Group plans
#z #z #z #z
written by mutual companies provide for dividends while stock
#z #z #z #z #z #z #z #z #z
companies frequently issue experience-rated plans.)
#z #z #z #z #z
Which of the following is NOT TRUE regarding eligibility for
#z #z #z #z #z #z #z #z #z
subsidies for families under the new health care act?
#z #z #z #z #z #z #z #z #z
-For those who make between 100-400% of the Federal Poverty -Level
#z #z #z #z #z #z #z #z #z #z
-Cannot be covered by an employer
#z #z #z #z #z
-Cannot be eligible for Medicare
#z #z #z #z
-Can be eligible for Medicaid - ANSWER-Can be eligible for Medicaid
#z #z #z #z #z #z #z #z #z #z
Which of the following operates as a corporation, society, or
#z #z #z #z #z #z #z #z #z
association to provide life insurance primarily for the mutual benefit
#z #z #z #z #z #z #z #z #z #z
of its members, has a lodge or social system with rituals and
#z #z #z #z #z #z #z #z #z #z #z #z
representative form of government?
#z #z #z #z
A) Mutual companies #z
B) Fraternal associations #z
C) Stock companies #z
-Fraternal benefit society - ANSWER-B) Fraternal associations
#z #z #z #z #z #z
What does each member pay in a typical HMO plan?
#z #z #z #z #z #z #z #z #z
-Fixed premium based on a deductible and copay
#z #z #z #z #z #z #z
-Fixed premium whether or not plan is used
#z #z #z #z #z #z #z
Nursedocs@2024
, -Premium based on how often plan is used - ANSWER-Fixed premium
#z #z #z #z #z #z #z #z #z #z
whether or not plan is used
#z #z #z #z #z #z
Which of the following is correct about those who are eligible for
#z #z #z #z #z #z #z #z #z #z #z
Medicare and wish to join an HMO?
#z #z #z #z #z #z #z
-They must have a current Medicare supplement policy
#z #z #z #z #z #z #z
-They must be told that they are disenrolled from Medicare
#z #z #z #z #z #z #z #z #z
-They must be age 70 and above
#z #z #z #z #z #z
-They must have been enrolled previously in an HMO - ANSWER-
#z #z #z #z #z #z #z #z #z #z
They must be told that they are disenrolled from Medicare
#z #z #z #z #z #z #z #z #z
Joyce is totally disabled. Her HMO policy just terminated. All of the
#z #z #z #z #z #z #z #z #z #z #z
following are correct regarding "extension of benefits" for Joyce,
#z #z #z #z #z #z #z #z #z
EXCEPT?
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-Coverage ends once maximum benefits have been exhausted
#z #z #z #z #z #z #z
-Coverage ends once another carrier assumes coverage
#z #z #z #z #z #z
-Coverage ends if no longer totally disabled
#z #z #z #z #z #z
-Coverage ends after 18 months - ANSWER-Coverage ends after 18
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months
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All of the following are correct regarding Florida regulation of HMOs,
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EXCEPT?
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-Must obtain a Certificate of Authority
#z #z #z #z #z
-Must file a report of its activities within 3 months of the end of each
#z #z #z #z #z #z #z #z #z #z #z #z #z #z
fiscal year
#z #z
-Must deposit $100,000 with the Rehabilitation Administration Expense
#z #z #z #z #z #z #z
Fund
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-Must be sold by agents licensed and appointed as health
#z #z #z #z #z #z #z #z #z
insurance agents - ANSWER-Must deposit $100,000 with the
#z #z #z #z #z #z #z #z
Rehabilitation Administration Expense Fund (Explanation:
#z #z #z #z #z
They must deposit $10,000 with the Rehabilitation
#z #z #z #z #z #z
Administration Expense Fund.)
#z #z #z
What is "capitation" as it relates to an HMO?
#z #z #z #z #z #z #z #z
Nursedocs@2024
