Correct answers
Accident - An unplanned, unforeseen event which occurs suddenly and at an
unspecified place
Accident Insurance - A type of insurance that protects the insured against loss due
to accidental bodily injury
Accidental Bodily Injury - Unplanned, unforeseen traumatic injury to the body
Accidental Death and Dismemberment - An insurance policy which pays a
specified amount or a specified multiple of the insured's benefit if the insured
dies, loses his/her sight, or loses two limbs due to an accident
Accidental Death Benefits - A policy rider that states that the cause of death will
be analyzed to determine if it complies with the policy description of accidental
death
Activities of Daily Living - Activities individuals must do every day such as moving
about, getting dressed, eating, bathing, etc.
,Florida Health Insurance Exam rated A
Correct answers
Actual Charge - The amount a physician or supplier actually bills for a particular
service or supply
Adhesion - A contract offered on a "take-it-or-leave-it" basis by an insurer, in
which the insured's only option is to accept or reject the contract. Any ambiguities
in the contract will be settled in favor of the insured
Admitted (Authorized) Insurer - An insurance company authorized and licensed to
transact insurance in a particular state
Adult Day Care - A program for impaired adults that attempts to meet their health,
social, and functional needs in a setting away from their homes
Adverse Selection - The tendency of risks with higher probability of loss to
purchase and maintain insurance more often than the risks who present lower
probability
Agent - An individual who is licensed to sell, negotiate, or effect insurance
contracts on behalf of the insurer
, Florida Health Insurance Exam rated A
Correct answers
Aleatory - A contract in which participating parties exchange unequal amounts.
Insurance contracts are this in that the amount the insured will pay in premiums is
unequal to the amount the insurer will pay in the event of a loss
Alien Insurer - An insurance company that is incorporated outside the USA
Apparent Authority - The appearance or the assumption of authority based on the
actions, words, or deeds of the principal or because of circumstances the principal
created
Approved Amount - The amount Medicare determines to be reasonable for a
service that is covered under Part B of Medicare
Assignment - A claim to a provider or medical supplier to receive payments
directly from Medicare
Attained Age - The age of the insured at a determined date
Attending Physician's Statement (APS) - A statement usually obtained from the
applicant's doctor