North Carolina Health Insurance State Exam Prep Question well Answered_
UPDATED
Insured Contingent Beneficiary (Correct Answer) - ✅✅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 (Correct Answer) - ✅✅Which type of policy pays benefits to a policyholder
covered under a Hospital Expense policy?
$25,000 (Correct Answer) - ✅✅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 (Correct Answer) - ✅✅The benefits under a
Disability Buy-Out policy are:
off-the -job accident (Correct Answer) - ✅✅An accident policy will most likely pay a benefit for
a(n)
indemnity (Correct Answer) - ✅✅a payment for damage or loss
continue group health benefits (Correct Answer) - ✅✅The COBRA gives workers whose
employment has been terminated the right to
Social Security Disability Income (Correct Answer) - ✅✅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) (Correct Answer) - ✅✅What is the
maximum Social Security Disability benefit amount an insured can receive?
, PPO's are NOT a type of managed care system (Correct Answer) - ✅✅Which of these statements
is INCORRECT regarding a PPO?
Part A covers hospitalization; Part B covers doctor's services (Correct Answer) - ✅✅What does
Medicare Parts A and B cover?
PPO (Correct Answer) - ✅✅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 (Correct Answer) - ✅✅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) (Correct Answer) - ✅✅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?
Commercial Insurers (Correct Answer) - ✅✅Which of the following reimburses its insureds for
covered medical expenses?
If the employee paid for qualified medical expenses, the reimbursements may be tax-free (Correct
Answer) - ✅✅Which of the following statements about Health Reimbursement Arrangements
(HRA) is CORRECT?
Restoration of used benefit (Correct Answer) - ✅✅Which provision allows a portion of any used
medical benefits to be restored following a particular amount of benefit has been used, or after
the policy has been in effect for a particular period of time?
UPDATED
Insured Contingent Beneficiary (Correct Answer) - ✅✅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 (Correct Answer) - ✅✅Which type of policy pays benefits to a policyholder
covered under a Hospital Expense policy?
$25,000 (Correct Answer) - ✅✅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 (Correct Answer) - ✅✅The benefits under a
Disability Buy-Out policy are:
off-the -job accident (Correct Answer) - ✅✅An accident policy will most likely pay a benefit for
a(n)
indemnity (Correct Answer) - ✅✅a payment for damage or loss
continue group health benefits (Correct Answer) - ✅✅The COBRA gives workers whose
employment has been terminated the right to
Social Security Disability Income (Correct Answer) - ✅✅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) (Correct Answer) - ✅✅What is the
maximum Social Security Disability benefit amount an insured can receive?
, PPO's are NOT a type of managed care system (Correct Answer) - ✅✅Which of these statements
is INCORRECT regarding a PPO?
Part A covers hospitalization; Part B covers doctor's services (Correct Answer) - ✅✅What does
Medicare Parts A and B cover?
PPO (Correct Answer) - ✅✅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 (Correct Answer) - ✅✅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) (Correct Answer) - ✅✅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?
Commercial Insurers (Correct Answer) - ✅✅Which of the following reimburses its insureds for
covered medical expenses?
If the employee paid for qualified medical expenses, the reimbursements may be tax-free (Correct
Answer) - ✅✅Which of the following statements about Health Reimbursement Arrangements
(HRA) is CORRECT?
Restoration of used benefit (Correct Answer) - ✅✅Which provision allows a portion of any used
medical benefits to be restored following a particular amount of benefit has been used, or after
the policy has been in effect for a particular period of time?
