WISCONSIN ACCIDENT AND HEALTH INSURANCE 2024
EXAM | ACTUAL EXAM QUESTIONS WITH DETAILED
ANSWERS| EXPERT VERIFIED FOR GUARANTEED PASS|
LATEST UPDATE
Darrell has a group long-term disability income policy paid by his employer. Which of these
statements is true?
Any benefits received will be tax-free
The premiums paid by the employer are not-tax deductible
The specified benefit amount is a percentage of his wages
Long-term policy benefits are not coordinated with Social Security benefits
The specified benefit amount is a percentage of his wages
Which of the following does NOT help determine group health insurance premiums?
Average age of group
Claims experience of the group
Income level of group members
The group\s size
Income level of group members
Which of the following incidents would NOT be covered by an Accidental Death and
Dismemberment policy?
Deafness in one ear as a result of an accident
Loss of vision as a result of a hunting incident
Suicide
Killed from an accident while being a passenger in taxicab
Suicide
According to HIPAA regulations, which of the following may reduce a medical plan's pre-
existing conditions exclusion?
An improvement in health over the previous three months
Any period of prior coverage
Any period of treatment in the twelve months prior to enrollment
Passing a physical examination
Any period of prior coverage
,Which of the following statements BEST describes employer contributions for employer
provided health insurance?
Employer is given tax credits for contributions paid
Employee can deduct contributions by the employer
Employer contributions are deductible
Employer contributions are taxable to the employee
Employer contributions are deductible
which of the following outlines the authority given to the producer on behalf of the insurer?
Rebating arrangement
Commingling contract
Controlled business clause
Producer contract
Producer contract
Which of the following is a syndicate established by a group of insurers to share underwriting
duties?
Reinsurer
Lloyd's organization
NAIC
Multi-line insurers
Lloyd's organization
An agent's authority to bind an insurer to an insurance contract may be granted in the
Agent's contract and the insurance company's appointment
Agent's license and insurance company's certificate of authority
Buyer's guide and policy summary
State guaranty association
Agent's contract and the insurance company's appointment
What is the accounting measurement of an insurance company's future obligations to its
policyowners?
Credits
Reserves
Surplus account
Retention fund
Reserves
,which of the following types of insurers limits the exposures it writes to those of its owners?
Restricted insurer
Limited insurer
Confined insurer
Captive insurer
Captive insurer
Medical expense insurance typically EXCLUDES coverage for:
Prosthetic devices such as artificial limbs
Cosmetic surgery
Injuries resulting from auto accidents
Treatment for terminal illnesses
Cosmetic surgery
Employer-sponsored group long-term care insurance generally has all of the following
characteristics EXCEPT:
Noncancelable
Renewable
Convertible upon leaving employment
More economical than individual plans
Noncancelable
When a group health insurance contract covers employees in more than one state, the criteria for
determining in which state the contract may be delivered includes any of the following EXCEPT:
Where the policyholder is incorporated
Where the policyholder's principal office is located
Where the majority of insured individuals are employed
Where the insurance company is incorporated
Where the insurance company is incorporated
When a disability caused by an accident or illness is related to a person's employment, the
employee is usually eligible for benefit payments from:
Blue Cross/Blue Shield
Group major medical expense coverage
Short-term disability income coverage only
Workers compensation coverage through the employer
Workers compensation coverage through the employer
, What does Medicare Supplement insurance cover?
Part of the cost of certain hospital and medical services
Losses from accidental death and dismemberment
Loss of income at disability
Some costs of dental care services
Part of the cost of certain hospital and medical services
Concurrent review is a form of utilization review that is performed:
After the patient has recovered
After hospital bills have been paid
Before pre-certification of hospital admission
During the course of the patient's treatment
During the course of the patient's treatment
In long-term care insurance, a person who is unable to independently perform the activities
essential to daily living because of physical or cognitive impairment is said to be:
Medically dependent
Conditionally impaired
Functionally impaired
Health dependent
Functionally impaired
When taking an individual health insurance application, it is the producer or agent's obligation to
disclose all of the following EXCEPT:
The effect of submitting the premium with the application
All aspects of the coverage applied for by the applicant
The Federal Fair Credit Reporting Act
The establishment of insurance company reserves
The establishment of insurance company reserves
All of the following are typical benefit periods for long-term disability income insurance
EXCEPT:
One year
Five years
Ten years
To age 65
One year
EXAM | ACTUAL EXAM QUESTIONS WITH DETAILED
ANSWERS| EXPERT VERIFIED FOR GUARANTEED PASS|
LATEST UPDATE
Darrell has a group long-term disability income policy paid by his employer. Which of these
statements is true?
Any benefits received will be tax-free
The premiums paid by the employer are not-tax deductible
The specified benefit amount is a percentage of his wages
Long-term policy benefits are not coordinated with Social Security benefits
The specified benefit amount is a percentage of his wages
Which of the following does NOT help determine group health insurance premiums?
Average age of group
Claims experience of the group
Income level of group members
The group\s size
Income level of group members
Which of the following incidents would NOT be covered by an Accidental Death and
Dismemberment policy?
Deafness in one ear as a result of an accident
Loss of vision as a result of a hunting incident
Suicide
Killed from an accident while being a passenger in taxicab
Suicide
According to HIPAA regulations, which of the following may reduce a medical plan's pre-
existing conditions exclusion?
An improvement in health over the previous three months
Any period of prior coverage
Any period of treatment in the twelve months prior to enrollment
Passing a physical examination
Any period of prior coverage
,Which of the following statements BEST describes employer contributions for employer
provided health insurance?
Employer is given tax credits for contributions paid
Employee can deduct contributions by the employer
Employer contributions are deductible
Employer contributions are taxable to the employee
Employer contributions are deductible
which of the following outlines the authority given to the producer on behalf of the insurer?
Rebating arrangement
Commingling contract
Controlled business clause
Producer contract
Producer contract
Which of the following is a syndicate established by a group of insurers to share underwriting
duties?
Reinsurer
Lloyd's organization
NAIC
Multi-line insurers
Lloyd's organization
An agent's authority to bind an insurer to an insurance contract may be granted in the
Agent's contract and the insurance company's appointment
Agent's license and insurance company's certificate of authority
Buyer's guide and policy summary
State guaranty association
Agent's contract and the insurance company's appointment
What is the accounting measurement of an insurance company's future obligations to its
policyowners?
Credits
Reserves
Surplus account
Retention fund
Reserves
,which of the following types of insurers limits the exposures it writes to those of its owners?
Restricted insurer
Limited insurer
Confined insurer
Captive insurer
Captive insurer
Medical expense insurance typically EXCLUDES coverage for:
Prosthetic devices such as artificial limbs
Cosmetic surgery
Injuries resulting from auto accidents
Treatment for terminal illnesses
Cosmetic surgery
Employer-sponsored group long-term care insurance generally has all of the following
characteristics EXCEPT:
Noncancelable
Renewable
Convertible upon leaving employment
More economical than individual plans
Noncancelable
When a group health insurance contract covers employees in more than one state, the criteria for
determining in which state the contract may be delivered includes any of the following EXCEPT:
Where the policyholder is incorporated
Where the policyholder's principal office is located
Where the majority of insured individuals are employed
Where the insurance company is incorporated
Where the insurance company is incorporated
When a disability caused by an accident or illness is related to a person's employment, the
employee is usually eligible for benefit payments from:
Blue Cross/Blue Shield
Group major medical expense coverage
Short-term disability income coverage only
Workers compensation coverage through the employer
Workers compensation coverage through the employer
, What does Medicare Supplement insurance cover?
Part of the cost of certain hospital and medical services
Losses from accidental death and dismemberment
Loss of income at disability
Some costs of dental care services
Part of the cost of certain hospital and medical services
Concurrent review is a form of utilization review that is performed:
After the patient has recovered
After hospital bills have been paid
Before pre-certification of hospital admission
During the course of the patient's treatment
During the course of the patient's treatment
In long-term care insurance, a person who is unable to independently perform the activities
essential to daily living because of physical or cognitive impairment is said to be:
Medically dependent
Conditionally impaired
Functionally impaired
Health dependent
Functionally impaired
When taking an individual health insurance application, it is the producer or agent's obligation to
disclose all of the following EXCEPT:
The effect of submitting the premium with the application
All aspects of the coverage applied for by the applicant
The Federal Fair Credit Reporting Act
The establishment of insurance company reserves
The establishment of insurance company reserves
All of the following are typical benefit periods for long-term disability income insurance
EXCEPT:
One year
Five years
Ten years
To age 65
One year
