Florida Health Insurance Exam/ 110 Questions
with Certified Solutions
Apparent Authority - Answer: 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 - Answer: The amount Medicare determines to be reasonable
for a service that is covered under Part B of Medicare
Assignment - Answer: A claim to a provider or medical supplier to receive
payments directly from Medicare
Attained Age - Answer: The age of the insured at a determined date
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,Attending Physician's Statement (APS) - Answer: A statement usually obtained
from the applicant's doctor
Avoidance - Answer: A method of dealing with risk (e.g. if a person wanted to
avoid the risk of being killed in an airplane crash, he/she might choose never to fly
in a plane)
Basic Hospital Expense Insurance - Answer: Coverage that provides benefits for
room, board and miscellaneous hospital expenses for a certain number of days
during a hospital stay
Basic Medical Expense Insurance - Answer: Coverage for doctor visits, x-rays, lab
tests, and emergency room visits; benefits, however, are limited to specified dollar
amounts
Beneficiary - Answer: The person who receives the proceeds from the policy when
the insured dies
Benefit Period - Answer: The length of time over which the insurance benefits will
be paid for each illness, disability or hospital stay
Birthday Rule - Answer: The method of determining primary coverage for a
dependent child, under which the plan of the parent whose birthday occurs first in
the calendar year, is designated as primary
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, Blanket Medical Insurance - Answer: A policy that provides benefits for all medical
costs, including doctor visits, hospitalization, and drugs
Boycott - Answer: An unfair trade practice in which one person refuses to do
business with another until he/she agrees to certain conditions
Buyer's Guide - Answer: A booklet that describes insurance policies and concepts,
and provides general information to help an applicant make an informed decision
Cafeteria Plan - Answer: A selection of health care benefits from which an
employee may choose the ones that he/she needs
Capital Amount - Answer: A percentage of the principal amount of a policy paid to
the insured if he/she suffered the loss of an appendage
Carriers - Answer: Organizations that process claims and pay benefits in an
insurance policy
Cease and Desist Order - Answer: A demand of a person to stop committing an
action that is in violation of a provision
Certificate of Authority - Answer: A document that authorizes a company to start
conducting business and specifies the kind(s) of insurance a company can
transact. It is illegal for an insurance company to transact insurance without this
certificate
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with Certified Solutions
Apparent Authority - Answer: 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 - Answer: The amount Medicare determines to be reasonable
for a service that is covered under Part B of Medicare
Assignment - Answer: A claim to a provider or medical supplier to receive
payments directly from Medicare
Attained Age - Answer: The age of the insured at a determined date
Page 1 of 16
,Attending Physician's Statement (APS) - Answer: A statement usually obtained
from the applicant's doctor
Avoidance - Answer: A method of dealing with risk (e.g. if a person wanted to
avoid the risk of being killed in an airplane crash, he/she might choose never to fly
in a plane)
Basic Hospital Expense Insurance - Answer: Coverage that provides benefits for
room, board and miscellaneous hospital expenses for a certain number of days
during a hospital stay
Basic Medical Expense Insurance - Answer: Coverage for doctor visits, x-rays, lab
tests, and emergency room visits; benefits, however, are limited to specified dollar
amounts
Beneficiary - Answer: The person who receives the proceeds from the policy when
the insured dies
Benefit Period - Answer: The length of time over which the insurance benefits will
be paid for each illness, disability or hospital stay
Birthday Rule - Answer: The method of determining primary coverage for a
dependent child, under which the plan of the parent whose birthday occurs first in
the calendar year, is designated as primary
Page 2 of 16
, Blanket Medical Insurance - Answer: A policy that provides benefits for all medical
costs, including doctor visits, hospitalization, and drugs
Boycott - Answer: An unfair trade practice in which one person refuses to do
business with another until he/she agrees to certain conditions
Buyer's Guide - Answer: A booklet that describes insurance policies and concepts,
and provides general information to help an applicant make an informed decision
Cafeteria Plan - Answer: A selection of health care benefits from which an
employee may choose the ones that he/she needs
Capital Amount - Answer: A percentage of the principal amount of a policy paid to
the insured if he/she suffered the loss of an appendage
Carriers - Answer: Organizations that process claims and pay benefits in an
insurance policy
Cease and Desist Order - Answer: A demand of a person to stop committing an
action that is in violation of a provision
Certificate of Authority - Answer: A document that authorizes a company to start
conducting business and specifies the kind(s) of insurance a company can
transact. It is illegal for an insurance company to transact insurance without this
certificate
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