NORTH CAROLINA HEALTH
INSURANCE STATE EXAM PREP
QUESTIONS AND DETAILED ANSWERS.
EXPERT VERIFIED FOR GUARANTEED
PASS.
Insured Contingent Beneficiary - ANS 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 - ANS Which type of policy pays benefits to a policyholder covered under a
Hospital Expense policy?
$25,000 - ANS 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 - ANS The benefits under a Disability Buy-
Out policy are:
off-the -job accident - ANS An accident policy will most likely pay a benefit for a(n)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, indemnity - ANS a payment for damage or loss
continue group health benefits - ANS The COBRA gives workers whose employment has been
terminated the right to
Social Security Disability Income - ANS 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) - ANS What is the maximum Social
Security Disability benefit amount an insured can receive?
PPO's are NOT a type of managed care system - ANS Which of these statements is
INCORRECT regarding a PPO?
Part A covers hospitalization; Part B covers doctor's services - ANS What does Medicare Parts
A and B cover?
PPO - ANS 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 - ANS 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) - ANS 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?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
INSURANCE STATE EXAM PREP
QUESTIONS AND DETAILED ANSWERS.
EXPERT VERIFIED FOR GUARANTEED
PASS.
Insured Contingent Beneficiary - ANS 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 - ANS Which type of policy pays benefits to a policyholder covered under a
Hospital Expense policy?
$25,000 - ANS 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 - ANS The benefits under a Disability Buy-
Out policy are:
off-the -job accident - ANS An accident policy will most likely pay a benefit for a(n)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, indemnity - ANS a payment for damage or loss
continue group health benefits - ANS The COBRA gives workers whose employment has been
terminated the right to
Social Security Disability Income - ANS 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) - ANS What is the maximum Social
Security Disability benefit amount an insured can receive?
PPO's are NOT a type of managed care system - ANS Which of these statements is
INCORRECT regarding a PPO?
Part A covers hospitalization; Part B covers doctor's services - ANS What does Medicare Parts
A and B cover?
PPO - ANS 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 - ANS 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) - ANS 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?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
