NC Accident and Health Final Exam Prep / Revised Questions and Answers / 2024

NC Accident and Health Final Exam Prep / Revised Questions and Answers / 2024 Which of these statements concerning an individual Disability Income policy is TRUE? - ✔✔Normally includes an Elimination period Which health policy clause stipulates that an insurance company must attach a copy of the application to the policy to ensure that it is part of the contract? - ✔✔Entire contract M is insured under a basic Hospital/Surgical Expense policy. A physician performs surgery on M. What determines the claim M is eligible for? - ✔✔Determined by the terms of the policy An insurance broker in North Carolina is a representative of the - ✔✔Insured A vacancy that occurs during the North Carolina Commissioner of Insurance's term of office MUST be filled by the - ✔✔Governor A person is required to be AT LEAST how old before he or she is licensed as an agent in North Carolina? - ✔✔18 Which of the following claims are typically excluded from Medical expense policies? - ✔✔Intentionally self -inflicted injuries The provision in a health insurance policy that suspends premiums being paid to the insurer while the insured is disabled is called the: - ✔✔Waiver of Premium Which of the following reimburses its insureds for covered medical expenses? - ✔✔Commercial insurers When an insured changes to a more hazardous occupation, which disability policy provision allows an insurer to adjust policy benefits and rates? - ✔✔Change of occupation provision For which of the following expenses does a Basic Hospital policy pay? - ✔✔Hospital room and board Which of these terms accurately defines an underwriter's assessment of information on a health insurance application? - ✔✔Risk classification Which of the following are NOT managed care organizations? - ✔✔Medical Information Bureau (MIB) Which of the following statements about a Guaranteed Renewable Health Insurance policy is CORRECT? - ✔✔Premiums normally increase at time of renewal The policyholder has how many days to return an Accident/Health Insurance Policy and receive a full refund on premiums? - ✔✔10 After an insured gives notice of loss, what must he/she do if the insurer does not furnish forms? - ✔✔File written proof of loss All of the following statements regarding group health insurance is true, EXCEPT: - ✔✔An individual policy is given to each member Which parts of a health insurance policy are guaranteed to be true? - ✔✔Warranty The fund that assures policyholders payment of death benefits on Life Policies, if the company is insolvent at the time of the claim, is called the - ✔✔Life and Health Insurance Guaranty Association M completes an application for health insurance but does not pay the initial premium. All of these actions must occur before M's policy goes into effect, EXCEPT: - ✔✔free-look period has expired An example of rebating would be - ✔✔offering a client something of value not stated in the contract in exchange for their business A medical care provider which typically delivers health services at its own local medical facility is known as a: - ✔✔Health Maintenance Organization