Accident and Health
Insurance Final Exam
- Your license will be considered to be inactive when you:
No longer have any appointments - On a “participating” health insurance policy issued by a mutual insurance company,
dividends paid to policy holders are:
Not taxable since the IRS treats them as a refund of a portion of the premium paid - All of the following are true regarding a non-contributory employer group medical
expense insurance policy EXCEPT:
Premiums must be paid entirely by the employees - Which two of the following are considered to be activities of daily living in most longterm care policies:
Eating and dressing - The Employee Retirement Income Security Act (ERISA) requires that employee
benefit plans be managed for the benefit of:
Participants and beneficiaries - Which of the following must be printed on every licensee’s business cards, written
price quotations and printed advertisements:
Their insurance license number - At age 65, an individual would be eligible for which of the following at no charge
Part A of Medicare - Under the California Insurance Code (CIC), neither party to a contract of insurance is
bound to communicate any of the following EXCEPT:
Information known to be material - The enrollee pays what percentage of the premium for Medicare Part B?
100% - When an insurer voids an insurance contract due to an intentionally fraudulent
omission by the insured of a material fact, it is known as:
Rescission - When can a representation be altered or withdrawn?
Before the insurance is effected, but not afterwards - Under the Patient Protection and Affordable Care Act (PPACA), health plans cannot
limit or deny benefits or deny coverage for a child younger than age __ because the
child has a pre-existing condition that developed before the child applied to join the
plan:
19 - Which of the following is not covered in a long-term care policy?
Acute care in the hospital