2026 COMPLETE STUDY GUIDE WITH VERIFIED
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ Accident insurance. Answer: A type of insurance that protects the
insured against loss due to an accidental bodily injury
◉ Accidental bodily injury. Answer: Unplanned unforseen traumatic
injury to the body
◉ Accidental Death and Dismemberment. Answer: An insurance policy
which pays a specified number or specified multiple of the insurer's
benefit if the insured dies, loses his/her sight, or loses two limbs due to
an accident.
◉ Acquired Immunodeficiency Symdrome. Answer: An infectious and
incurable disease caused by the human immunodeficiency virus (hiv)
◉ Activities of daily living. Answer: Activities individuals must do
every day such as moving about, getting dressed, eating, bathing, etc.
,◉ Actual charge. Answer: The amount a physician or supplier actually
bills for a particular service or supply.
◉ Adhesion. Answer: A contract offered on a "take it or leave it" basis
by an insured, 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
imsured.
◉ Admitted (Authorized) Insurer. Answer: An insurance company
authorized and licensed to transact business in a particular state.
◉ Adult Day Care. Answer: A program for impaired adults that attempts
to meet their health, social, and functional needs in a setting away from
their homes.
◉ Adverse Selection. Answer: The tendency of risks witha higher
probability of loss to purchase and maintain insurance more often than
the risks who present lower probability
◉ Agent. Answer: An individual who is licensed to sell, negotiate, or
effect insurance contracts on behalf of an insurer.
◉ Aleatory. Answer: A contract in which participating parties exchange
unequal amounts. Insurance contracts are aleatory 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. Answer: An insurance company that is incorporated
outside the United States.
◉ Alzheimer's Disease. Answer: A disease that causes the victim to
become dysfunctional due to degeneration of brain cells and severe
memory loss.
◉ Ancillary. Answer: Additional, miscellaneous services provided by a
hospital, such as x-rays, anesthesia, and lab work, but not hospital room
and board expenses.
◉ 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.
, ◉ Attending Physician 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.