LIFE, ACCIDENT AND HEALTH OR SICKNESS
EXAMINATION WITH ACCURATELY
EXPLAINED ANSWERS
Which funded government program is jointly administered by the federal and
state governments? - CORRECT_ANSWER_Medi-Cal.
What rights do individuals have if they disagree with a decision on the amount
medicare will pay? - CORRECT_ANSWER_they can ask the medicare carrier to
review the decision.
which long term care policy provision allows for a periodic increase in policy
benefits - CORRECT_ANSWER_inflation protection
All of the following statements about Medicare Part B are correct EXCEPT it -
CORRECT_ANSWER_pays for virtually all drugs prescribed by a physician.
,Under PPACA, what is a health benefit exchange? - CORRECT_ANSWER_PPACA
creates new entities called American Health Benefit Exchanges through which
individuals, small businesses, and those who do not have access to affordable
employer coverage, can purchase coverage.
the initial enrollment period for Medicare Part B ends how many months after the
65th birthday month? - CORRECT_ANSWER_Three months
what is the first step in submitting Medicare claims - CORRECT_ANSWER_the
medical provider submits expenses to medicare
Unless certified by another governmental agency, which entity has jurisdiction
over providers of coverage designed to pay for health care services? -
CORRECT_ANSWER_the department of Insurance
Long-term care insurance may be purchased in all of the following forms Except -
CORRECT_ANSWER_federal government sponsored policies
,Under the Consolidated Omnibus Budget Reconsolidation Act (COBRA), a
qualifying event ensures that an employee who loses coverage can -
CORRECT_ANSWER_elect to continue coverage.
which statement is TRUE regarding Worker's compensation? -
CORRECT_ANSWER_the employer pays the entire premium for Worker's
Compensation coverage.
which program is designed to provide medical assistance to people with low
incomes - CORRECT_ANSWER_Medi-Cal.
the social security normal retirement age depends upon the -
CORRECT_ANSWER_Worker's years of birth.
Who submits Medicare Part A claims? - CORRECT_ANSWER_hospitals
How long do Worker's Compensation medical expenses continue for disabled
workers? - CORRECT_ANSWER_there is no limit.
, which of the following statements concerning the usual coordination of benefits
provisions are CORRECT? - CORRECT_ANSWER_When two plans both have the
provision, coverage as an employee is primary to coverage as a dependent.
the Americans with Disabilities Act (ADA) defines a disabled person as one who is
unable to perform any of the following life activities EXCEPT -
CORRECT_ANSWER_driving
Probationary periods reduce costs to employers in all of the following ways
EXCEPT - CORRECT_ANSWER_employees must pay the entire premium during this
time.
Members of the Medical Information Bureau are required to report: -
CORRECT_ANSWER_medical impairments found during the underwriting process.
A worker dies who is credited with 6 quarters of coverage during the last 13-
quarter period. What status does the worker have under Social Security? -
CORRECT_ANSWER_currently insured.
EXAMINATION WITH ACCURATELY
EXPLAINED ANSWERS
Which funded government program is jointly administered by the federal and
state governments? - CORRECT_ANSWER_Medi-Cal.
What rights do individuals have if they disagree with a decision on the amount
medicare will pay? - CORRECT_ANSWER_they can ask the medicare carrier to
review the decision.
which long term care policy provision allows for a periodic increase in policy
benefits - CORRECT_ANSWER_inflation protection
All of the following statements about Medicare Part B are correct EXCEPT it -
CORRECT_ANSWER_pays for virtually all drugs prescribed by a physician.
,Under PPACA, what is a health benefit exchange? - CORRECT_ANSWER_PPACA
creates new entities called American Health Benefit Exchanges through which
individuals, small businesses, and those who do not have access to affordable
employer coverage, can purchase coverage.
the initial enrollment period for Medicare Part B ends how many months after the
65th birthday month? - CORRECT_ANSWER_Three months
what is the first step in submitting Medicare claims - CORRECT_ANSWER_the
medical provider submits expenses to medicare
Unless certified by another governmental agency, which entity has jurisdiction
over providers of coverage designed to pay for health care services? -
CORRECT_ANSWER_the department of Insurance
Long-term care insurance may be purchased in all of the following forms Except -
CORRECT_ANSWER_federal government sponsored policies
,Under the Consolidated Omnibus Budget Reconsolidation Act (COBRA), a
qualifying event ensures that an employee who loses coverage can -
CORRECT_ANSWER_elect to continue coverage.
which statement is TRUE regarding Worker's compensation? -
CORRECT_ANSWER_the employer pays the entire premium for Worker's
Compensation coverage.
which program is designed to provide medical assistance to people with low
incomes - CORRECT_ANSWER_Medi-Cal.
the social security normal retirement age depends upon the -
CORRECT_ANSWER_Worker's years of birth.
Who submits Medicare Part A claims? - CORRECT_ANSWER_hospitals
How long do Worker's Compensation medical expenses continue for disabled
workers? - CORRECT_ANSWER_there is no limit.
, which of the following statements concerning the usual coordination of benefits
provisions are CORRECT? - CORRECT_ANSWER_When two plans both have the
provision, coverage as an employee is primary to coverage as a dependent.
the Americans with Disabilities Act (ADA) defines a disabled person as one who is
unable to perform any of the following life activities EXCEPT -
CORRECT_ANSWER_driving
Probationary periods reduce costs to employers in all of the following ways
EXCEPT - CORRECT_ANSWER_employees must pay the entire premium during this
time.
Members of the Medical Information Bureau are required to report: -
CORRECT_ANSWER_medical impairments found during the underwriting process.
A worker dies who is credited with 6 quarters of coverage during the last 13-
quarter period. What status does the worker have under Social Security? -
CORRECT_ANSWER_currently insured.
