Florida Health Insurance Exam UPDATED ACTUAL Questions and CORRECT
Answers
1. Accident: An unplanned, unforeseen event which occurs suddenly and at an unspecified place
2. Accident Insurance: A type of insurance that protects the insured against loss due to accidental bodily
injury
3. Accidental Bodily Injury: Unplanned, unforeseen traumatic injury to the body
4. 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
5. 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
6. Activities of Daily Living: Activities individuals must do every day such as moving about, getting dressed,
eating, bathing, etc.
7. Actual Charge: The amount a physician or supplier actually bills for a particular service or supply
8. 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
9. Admitted (Authorized) Insurer: An insurance company authorized and licensed to transact insurance
in a particular state
10. 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
11. 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
12. Agent: An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of the insurer
13. 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
14. Alien Insurer: An insurance company that is incorporated outside the USA
15. 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
16. Approved Amount: The amount Medicare determines to be reasonable for a service that is covered under
Part B of Medicare
17. Assignment: A claim to a provider or medical supplier to receive payments directly from Medicare
18. Attained Age: The age of the insured at a determined date
19. Attending Physician's Statement (APS): A statement usually obtained from the applicant's doctor
, 20. Avoidance: 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)
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Answers
1. Accident: An unplanned, unforeseen event which occurs suddenly and at an unspecified place
2. Accident Insurance: A type of insurance that protects the insured against loss due to accidental bodily
injury
3. Accidental Bodily Injury: Unplanned, unforeseen traumatic injury to the body
4. 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
5. 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
6. Activities of Daily Living: Activities individuals must do every day such as moving about, getting dressed,
eating, bathing, etc.
7. Actual Charge: The amount a physician or supplier actually bills for a particular service or supply
8. 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
9. Admitted (Authorized) Insurer: An insurance company authorized and licensed to transact insurance
in a particular state
10. 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
11. 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
12. Agent: An individual who is licensed to sell, negotiate, or effect insurance contracts on behalf of the insurer
13. 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
14. Alien Insurer: An insurance company that is incorporated outside the USA
15. 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
16. Approved Amount: The amount Medicare determines to be reasonable for a service that is covered under
Part B of Medicare
17. Assignment: A claim to a provider or medical supplier to receive payments directly from Medicare
18. Attained Age: The age of the insured at a determined date
19. Attending Physician's Statement (APS): A statement usually obtained from the applicant's doctor
, 20. Avoidance: 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)
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