North Carolina Health Insurance State Exam Prep || Questions and 100% Verified Answers.

Insured Contingent Beneficiary correct answers If the insured and primary beneficiary are both killed in the same accident and it cannot be determined who died first, where are the death proceeds to be directed under the uniform Simultaneous Death Act? Reimbursement correct answers Which type of policy pays benefits to a policyholder covered under a Hospital Expense policy? $25,000 correct answers J has an Accidental Death and Dismemberment policy with a principal sum of $50,000. While trimming the hedges, J cuts off one of his fingers. What is the MAXIMUM J will receive from his policy? payable to the company or another shareholder correct answers The benefits under a Disability Buy-Out policy are: off-the -job accident correct answers An accident policy will most likely pay a benefit for a(n) indemnity correct answers a payment for damage or loss continue group health benefits correct answers The COBRA gives workers whose employment has been terminated the right to Social Security Disability Income correct answers The percentage of as individual's Primary Insurance Amount determines the benefits paid in which of the following programs. 100% of the insured's Primary Insurance Amount (PIA) correct answers What is the maximum Social Security Disability benefit amount an insured can receive? PPO's are NOT a type of managed care system correct answers Which of these statements is INCORRECT regarding a PPO? Part A covers hospitalization; Part B covers doctor's services correct answers What does Medicare Parts A and B cover? PPO correct answers Under what system do a group of doctors and hospitals in a designated area contract with an insurer to provide services at a prearranged cost to the insured? closed panel correct answers The situation in which a group of physicians are salaried employees and conduct business in an HMO facility is called a(n) Her group health plan (if the employer has more than 20 employees, the group health plan generally pays first) correct answers 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?