1 | Page
NC HEALTH INSURANCE QUESTIONS WITH
100% CORRECT SOLUTIONS | GUARANTEED
SUCCESS.
Which of the following provides coverage on a first-dollar
basis? - correct answer- Basic expense.
Which of the following answers does NOT describe the
principal goal of a Preferred Provider Organization? - correct
answer- Provide medical services only from physicians in the
network.
A small business owner is the insured under a disability policy
that funds a buy-sell agreement. If the owner dies or becomes
disabled, the policy would provide which of the following? -
correct answer- Cash to the owner's business partner to
accomplish a buyout.
What is the maximum age for qualifying for a catastrophic plan?
- correct answer- 30.
In a relative value system of determining coverage for a given
procedure, what term describes the total amount payable per
point? - correct answer- Conversion factor.
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According to the PPACA rules, what percentage of the health
care costs will be covered under the bronze plan? - correct
answer- 60%.
An insured is hospitalized for a back injury. Upon checking his
income disability, he learns that he will not be eligible for
benefits for at least 30 days. This would incdicate that his policy
was probably written with a 30 day - correct answer-
Elimination period.
Which type of medical policy pays a fixed amount each day that
the insured is in the hospital? - correct answer- Indemnity.
Social Security Supplement (SIS) or Social Security Riders
would provide for the payment of income benefits in each of the
situations below EXCEPT - correct answer- When the amount
payable under Social Security is more than the amount payable
under the rider.
A brain surgeon has an accident and develops tremors in her
right arm. Which disability income policy definition of total
disability will cover her of all losses? - correct answer- "Own
occupation" - less restrictive than other definitions.
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Under the Affordable Care Act, which classification applies to
health plans based on the amount of covered costs? - correct
answer- Medal level classification.
Which rider, when added to a disability income policy, provides
for changes in benefits payable based on changes in the
consumer price index? - correct answer- Cost of living
adjustment rider.
Which of the following terms describes a specific dollar amount
of the cost of care that must be paid by the member? - correct
answer- Copayment.
What is the typical deductible for basic surgical expense
insurance? - correct answer- $0.
Which of the following are the main factors taken into account
when calculating residual disability benefits? - correct answer-
Present earnings and earnings prior to disability.
NC HEALTH INSURANCE QUESTIONS WITH
100% CORRECT SOLUTIONS | GUARANTEED
SUCCESS.
Which of the following provides coverage on a first-dollar
basis? - correct answer- Basic expense.
Which of the following answers does NOT describe the
principal goal of a Preferred Provider Organization? - correct
answer- Provide medical services only from physicians in the
network.
A small business owner is the insured under a disability policy
that funds a buy-sell agreement. If the owner dies or becomes
disabled, the policy would provide which of the following? -
correct answer- Cash to the owner's business partner to
accomplish a buyout.
What is the maximum age for qualifying for a catastrophic plan?
- correct answer- 30.
In a relative value system of determining coverage for a given
procedure, what term describes the total amount payable per
point? - correct answer- Conversion factor.
,2 | Page
According to the PPACA rules, what percentage of the health
care costs will be covered under the bronze plan? - correct
answer- 60%.
An insured is hospitalized for a back injury. Upon checking his
income disability, he learns that he will not be eligible for
benefits for at least 30 days. This would incdicate that his policy
was probably written with a 30 day - correct answer-
Elimination period.
Which type of medical policy pays a fixed amount each day that
the insured is in the hospital? - correct answer- Indemnity.
Social Security Supplement (SIS) or Social Security Riders
would provide for the payment of income benefits in each of the
situations below EXCEPT - correct answer- When the amount
payable under Social Security is more than the amount payable
under the rider.
A brain surgeon has an accident and develops tremors in her
right arm. Which disability income policy definition of total
disability will cover her of all losses? - correct answer- "Own
occupation" - less restrictive than other definitions.
, 3 | Page
Under the Affordable Care Act, which classification applies to
health plans based on the amount of covered costs? - correct
answer- Medal level classification.
Which rider, when added to a disability income policy, provides
for changes in benefits payable based on changes in the
consumer price index? - correct answer- Cost of living
adjustment rider.
Which of the following terms describes a specific dollar amount
of the cost of care that must be paid by the member? - correct
answer- Copayment.
What is the typical deductible for basic surgical expense
insurance? - correct answer- $0.
Which of the following are the main factors taken into account
when calculating residual disability benefits? - correct answer-
Present earnings and earnings prior to disability.
