{"id":114937,"date":"2023-08-23T10:36:51","date_gmt":"2023-08-23T10:36:51","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114937"},"modified":"2023-08-23T10:36:53","modified_gmt":"2023-08-23T10:36:53","slug":"life-health-and-accident-insurance-exam-chapter-12-questions-and-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/life-health-and-accident-insurance-exam-chapter-12-questions-and-answers\/","title":{"rendered":"LIFE HEALTH AND ACCIDENT INSURANCE EXAM. CHAPTER 12. QUESTIONS AND ANSWERS."},"content":{"rendered":"\n<p>Chapter 12: Health and<br>Accident Insurance Exam<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What is issued to each employee of an employer health plan?<br>A) Provision<br>B) Receipt<br>C) Policy<br>D) Certificate<\/li>\n\n\n\n<li>The Consolidated Omnibus Budget Reconciliation Act (COBRA) applies to employers<br>who employ at least<br>A) 10 employees<br>B) 20 employees<br>C) 30 employees<br>D) 40 employees<\/li>\n\n\n\n<li>An employer is issued a group medical insurance policy. This single contract is<br>known as a(n)<br>A) entire contract<br>B) master policy<br>C) certificate of coverage<br>D) employer contract<\/li>\n\n\n\n<li>A master contract and certificate of coverage can be found in which type of policy?<br>A) Long-term<\/li>\n<\/ol>\n\n\n\n<p>B) Medicaid<br>C) Group<br>D) Medicare<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>The election of COBRA for continuation of health coverage will<br>A) increase the coverage and lower premium<br>B) maintain the same coverage and increase premium<br>C) increase out-of-pocket costs and lower premium<br>D) decrease out-of-pocket costs and maintain same premium<\/li>\n\n\n\n<li>An insurer has the right to recover payment made to the insured from the negligent<br>party. These rights are called<br>A) contributory<br>B) indemnity<br>C)estoppel<br>D) subrogation<\/li>\n\n\n\n<li>Without a Section 125 Plan in place, what would happen to an employee&#8217;s payroll<br>contribution to an HSA?<br>A) It would be considered taxable income to the employee<br>B) The employee would not be allowed to an HSA<br>C) The employer would pay payroll tax and FICA on the contribution amount<br>D) The employer would not be allowed to deduct the contribution from the employee&#8217;s<br>pay<\/li>\n\n\n\n<li>According to the Health Insurance Portability and Accountability Act (HIPAA), when<br>can a group health policy renewal be denied?<\/li>\n<\/ol>\n\n\n\n<p>A) There have been too many claims in the previous year<br>B) The size of the group has increased by more than 10%<br>C) Participation or contribution rules have been violated<br>D) Participation or contribution rules have been changed<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"9\">\n<li>A group Disability Income plan that pays tax-free benefits to covered employees is<br>considered<br>A) non-contributory<br>B) partially contributory<br>C) group contributory<br>D) fully contributory<\/li>\n\n\n\n<li>The purpose of the Coordination of Benefits provision in group accident and health<br>plans is to<br>A) avoid overpayment of claims<br>B) reduce out-of-pocket costs<br>C) reduce adverse selection<br>D) lower the cost of premiums<\/li>\n\n\n\n<li>Continued coverage under COBRA would be provided to all of the following<br>EXCEPT:<br>A) former dependent of employee no longer of dependent status<br>B) terminated employee<br>C) divorced spouse of employee<br>D) a covered employee is terminated for gross misconduct<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 12: Health andAccident Insurance Exam B) MedicaidC) GroupD) Medicare A) There have been too many claims in the previous yearB) The size of the group has increased by more than 10%C) Participation or contribution rules have been violatedD) Participation or contribution rules have been changed<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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