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2-40 Health and Accident Insurance State Exam
Prep with verified and confirmed questions and
answers 2025
Multiple Employer Welfare Arrangement (MEWA) provides what
type of benefits? - ...ANSWER✓✓✓Insurance
XYZ Company pays the entire premium for its group health plan.
The MINIMUM percentage of eligible employees that must be
covered is - ...ANSWER✓✓✓100%
In Major Medical Expense policies, what is the intent of Stop Loss
provision? - ...ANSWER✓✓✓Limits an insured's out-of-pocket
medical expenses
Q is hospitalized for 3 days and receives a bill for $10,100. Q has a
Major Medical policy with a $100 deductible and 80/20
coinsurance. How much will Q be responsible for paying on this
claim? - ...ANSWER✓✓✓$2,100
Omitting information that affects the issuance or the rate of an
insurance contract is called - ...ANSWER✓✓✓concealment
AMAZINGTIPS
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Florida requires that coverage for newborns begins "from the
moment of birth" and continues for - ...ANSWER✓✓✓18 months
In order to establish a Health Reimbursement Arrangement
(HRA), it MUST - ...ANSWER✓✓✓be established by the employer
Which provision allows a portion of any used medical benefits to
be restored following a particular amount of benefits has been
used, or after the policy has been in effect for a particular period
of time? - ...ANSWER✓✓✓Restoration of used benefit
Disability policies do NOT normally pay for disabilities arising
from which of the following? - ...ANSWER✓✓✓War
According to Florida law, when must an agent deliver the Outline
of Coverage to a Medicare Supplement applicant? -
...ANSWER✓✓✓At the time of application
An agent selling Medicare Supplement policies must provide
every applicant with a(n) - ...ANSWER✓✓✓Suitability form
One definition of replacement is "the act of replacing an existing
insurance policy with another". Replacement is -
...ANSWER✓✓✓closely regulated and requires full disclosure
AMAZINGTIPS
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Who makes the legally enforceable promises in a unilateral
insurance policy? - ...ANSWER✓✓✓insurance company
Which of the following acts is an agent NOT authorized to do on
behalf of an insurer? - ...ANSWER✓✓✓Authorize claim payments
Which of the following BEST describes a Hospital Indemnity
policy? - ...ANSWER✓✓✓Coverage that pays a stated amount
PER DAY of a covered hospitalization
What is required in the Florida Employee Health Care Access
Act? - ...ANSWER✓✓✓Small group benefit plan are to be issued
on a "guarantee-issue" basis
The waiting period for a pre-existing condition under a Medicare
Supplement policy may NOT go beyond - ...ANSWER✓✓✓6
months
J purchased a Disability Income Policy that ONLY J can terminate
and on which the rates will never increase above those
illustrated in the policy. Which of the following types of policies
did J purchase? - ...ANSWER✓✓✓Noncancelable
AMAZINGTIPS
2-40 Health and Accident Insurance State Exam
Prep with verified and confirmed questions and
answers 2025
Multiple Employer Welfare Arrangement (MEWA) provides what
type of benefits? - ...ANSWER✓✓✓Insurance
XYZ Company pays the entire premium for its group health plan.
The MINIMUM percentage of eligible employees that must be
covered is - ...ANSWER✓✓✓100%
In Major Medical Expense policies, what is the intent of Stop Loss
provision? - ...ANSWER✓✓✓Limits an insured's out-of-pocket
medical expenses
Q is hospitalized for 3 days and receives a bill for $10,100. Q has a
Major Medical policy with a $100 deductible and 80/20
coinsurance. How much will Q be responsible for paying on this
claim? - ...ANSWER✓✓✓$2,100
Omitting information that affects the issuance or the rate of an
insurance contract is called - ...ANSWER✓✓✓concealment
AMAZINGTIPS
,2|Page
Florida requires that coverage for newborns begins "from the
moment of birth" and continues for - ...ANSWER✓✓✓18 months
In order to establish a Health Reimbursement Arrangement
(HRA), it MUST - ...ANSWER✓✓✓be established by the employer
Which provision allows a portion of any used medical benefits to
be restored following a particular amount of benefits has been
used, or after the policy has been in effect for a particular period
of time? - ...ANSWER✓✓✓Restoration of used benefit
Disability policies do NOT normally pay for disabilities arising
from which of the following? - ...ANSWER✓✓✓War
According to Florida law, when must an agent deliver the Outline
of Coverage to a Medicare Supplement applicant? -
...ANSWER✓✓✓At the time of application
An agent selling Medicare Supplement policies must provide
every applicant with a(n) - ...ANSWER✓✓✓Suitability form
One definition of replacement is "the act of replacing an existing
insurance policy with another". Replacement is -
...ANSWER✓✓✓closely regulated and requires full disclosure
AMAZINGTIPS
, 3|Page
Who makes the legally enforceable promises in a unilateral
insurance policy? - ...ANSWER✓✓✓insurance company
Which of the following acts is an agent NOT authorized to do on
behalf of an insurer? - ...ANSWER✓✓✓Authorize claim payments
Which of the following BEST describes a Hospital Indemnity
policy? - ...ANSWER✓✓✓Coverage that pays a stated amount
PER DAY of a covered hospitalization
What is required in the Florida Employee Health Care Access
Act? - ...ANSWER✓✓✓Small group benefit plan are to be issued
on a "guarantee-issue" basis
The waiting period for a pre-existing condition under a Medicare
Supplement policy may NOT go beyond - ...ANSWER✓✓✓6
months
J purchased a Disability Income Policy that ONLY J can terminate
and on which the rates will never increase above those
illustrated in the policy. Which of the following types of policies
did J purchase? - ...ANSWER✓✓✓Noncancelable
AMAZINGTIPS
