Florida Health Insurance Exam
Questions with Verified Answers
An insurance company receives E's application for an individual health policy. E did not
complete all of the medical history questions because she could not remember the exact dates.
E signed the policy and submitted it to the insurance company anyway. A few weeks later, E
suffers a heart attack and is hospitalized without completing the medical history questions and
paying the initial premium. E is not insured. Which of the following clauses details the
conditions that E did not meet? - ✔✔Consideration clause
An insured pays premiums on an annual basis for an individual health insurance policy. What is
the MINIMUM number of days for the Grace Period provision? - ✔✔31
Which of these circumstances is a Business Disability Buy-Sell policy designed to help in the sale
of a business? - ✔✔Business owner becoming disabled
The Notice of Claims provision requires a policyowner to - ✔✔notify an insurer of a claim within
a specified time
Under which of the following circumstances do the benefits under COBRA continuation
coverage expire? - ✔✔All group health plans are eliminated by the employer
Which of the following statements describes what an Accident and Health policyowner may
NOT do? - ✔✔Adjust the premium payments
According to the Time Payment of Claims provision, the insurer must pay Disability Income
benefits no less frequently than which of the following options? - ✔✔Monthly
Which statement is TRUE regarding a group accident & health policy issued to an employer? -
✔✔The employer is the policyowner and each employee receives a certificate of coverage
, What should an insured do if the insurer does not send claims forms within the time period set
forth in a health policy's Claims Forms provision? - ✔✔Submit the claim in any form
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
Many small business owners worry how their business would survive financially if the owner
becomes disabled. The policy which BEST addresses this concern is - ✔✔Business Overhead
Expense
T is covered by two health insurance plans: a group plan through his employer and his spouse's
plan as a dependent. When T submits a claim, his employer's plan is considered what type of
carrier under the Model Group Coordination of Benefits provision? - ✔✔Primary carrier
When an employee is required to pay a portion of the premium for an employer/employee
group health plan, the employee is covered under which of the following plans? -
✔✔Contributory
Which of the following statements is correct regarding an employer/employee group health
plan? - ✔✔the employer receives a master policy and the employees receive certificates
What is considered to be a characteristic of a Conditionally Renewable Health Insurance policy?
- ✔✔Premiums may increase at time of renewal
J, an Accidental Death and Dismemberment (AD&D) policy holder, dies after injuries sustained
in an accident. J's ages as stated on the application five years ago was found to be understated
by ten years. Which of the following actions will the insurance company take? - ✔✔The insurer
will adjust the benefit to what the premiums paid would have purchased at the time the
insured's actual age
Questions with Verified Answers
An insurance company receives E's application for an individual health policy. E did not
complete all of the medical history questions because she could not remember the exact dates.
E signed the policy and submitted it to the insurance company anyway. A few weeks later, E
suffers a heart attack and is hospitalized without completing the medical history questions and
paying the initial premium. E is not insured. Which of the following clauses details the
conditions that E did not meet? - ✔✔Consideration clause
An insured pays premiums on an annual basis for an individual health insurance policy. What is
the MINIMUM number of days for the Grace Period provision? - ✔✔31
Which of these circumstances is a Business Disability Buy-Sell policy designed to help in the sale
of a business? - ✔✔Business owner becoming disabled
The Notice of Claims provision requires a policyowner to - ✔✔notify an insurer of a claim within
a specified time
Under which of the following circumstances do the benefits under COBRA continuation
coverage expire? - ✔✔All group health plans are eliminated by the employer
Which of the following statements describes what an Accident and Health policyowner may
NOT do? - ✔✔Adjust the premium payments
According to the Time Payment of Claims provision, the insurer must pay Disability Income
benefits no less frequently than which of the following options? - ✔✔Monthly
Which statement is TRUE regarding a group accident & health policy issued to an employer? -
✔✔The employer is the policyowner and each employee receives a certificate of coverage
, What should an insured do if the insurer does not send claims forms within the time period set
forth in a health policy's Claims Forms provision? - ✔✔Submit the claim in any form
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
Many small business owners worry how their business would survive financially if the owner
becomes disabled. The policy which BEST addresses this concern is - ✔✔Business Overhead
Expense
T is covered by two health insurance plans: a group plan through his employer and his spouse's
plan as a dependent. When T submits a claim, his employer's plan is considered what type of
carrier under the Model Group Coordination of Benefits provision? - ✔✔Primary carrier
When an employee is required to pay a portion of the premium for an employer/employee
group health plan, the employee is covered under which of the following plans? -
✔✔Contributory
Which of the following statements is correct regarding an employer/employee group health
plan? - ✔✔the employer receives a master policy and the employees receive certificates
What is considered to be a characteristic of a Conditionally Renewable Health Insurance policy?
- ✔✔Premiums may increase at time of renewal
J, an Accidental Death and Dismemberment (AD&D) policy holder, dies after injuries sustained
in an accident. J's ages as stated on the application five years ago was found to be understated
by ten years. Which of the following actions will the insurance company take? - ✔✔The insurer
will adjust the benefit to what the premiums paid would have purchased at the time the
insured's actual age
