CA LIFE AND HEALTH INSURANCE EXAM 2 LATEST
VERSIONS (VERSION A AND B) ACTUAL EXAM 250
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A
Supplemental insurance used to pay for hospital confinement to treat cancer is also
known as:
A. Specified medical
B. Urgent stay
C. Dread disease
D. Temporary major medical – \u2026.ANSWER\u2026C
A health maintenance organization (HMO) plan contains costs by promoting:
A. After-hours care
B. Generic care
C. Preventative care
D. Fee for service care – \u2026.ANSWER\u2026C
In HMOs, the use of a primary care physician is common as part of the:
A. Group model
B. Captivation arranegment
C. Open enrollment
D. Gatekeeper system – \u2026.ANSWER\u2026D
Under an HMO, when physicians receive a flat monthly payment from the HMO for
every member without regard to actual services provided by the physician, known as:
A. Capitiation fee
B. Excess insurance payments
C. Over insurance
D. A good deal – \u2026.ANSWER\u2026A
HMOs are required to provide for all of the following except:
A. Preventive care
B. Physician services
C. Emergency services
D. Prescription drugs – \u2026.ANSWER\u2026D
Who would be considered a claimant on a disability income policy?
A. Beneficiary<\/p>\n\n\n\n
B. Insured
C. Insurer
D. None of above – \u2026.ANSWER\u2026B
An insured’s disability income policy defines total disability as the insured’s inability to
perform the duties of any occupation for which he is reasonably qualified by education,
training, or experience. This definition is known as the – \u2026.ANSWER\u2026”Any occupation”
definition and is more restrictive than other definitions
A disability income policy would do which of the following?
A. Replace a partial portion of income if you were disabled
B. Replace your full income if you were disabled
C. Would Replace all income if you were disabled
D. Is never used in conjunction with social security – \u2026.ANSWER\u2026A
During the disability income elimination period:
A. Residual benefits are payable
B. Occupational claims are payable
C. No benefits are payable
D. All claims are payable – \u2026.ANSWER\u2026C
The commonly used 30,60,90 and 180 days in disability terminology refers to the: –
\u2026.ANSWER\u2026Number of days for which no benefits are payable
An elimination period is also known as:
A. Benefit period
B. waiting period
C. Incontestability period
D. Any of above – \u2026.ANSWER\u2026B
In a disability income policy, if the insured chooses a 90-day elimination period, when
would the first check be issued by the insurance company?
A. 90th day
B. 91st day
C. 121st day
D. Immediately – \u2026.ANSWER\u2026C
To be classified as accidental under a disability income insurance policy, the following
criteria must be used: – \u2026.ANSWER\u2026The cause may be intentional, but the result must
be accidental
What is the tax treatment for individual disability income policies? – \u2026.ANSWER\u2026Nondeductuble premiums and tax-free benefits<\/p>\n\n\n\n
A disability policy described as “guaranteed renewable” is one where the insurance CA LIFE AND HEALTH INSURANCE EXAM 2 LATESTVERSIONS (VERSION A AND B) ACTUAL EXAM 250QUESTIONS AND CORRECT DETAILED ANSWERSWITH RATIONALES (VERIFIED ANSWERS)|ALREADY GRADED ASupplemental insurance used to pay for hospital confinement to treat cancer is alsoknown as:A. Specified medicalB. Urgent stayC. Dread diseaseD. Temporary major medical – \u2026.ANSWER\u2026CA health maintenance organization (HMO) plan contains costs […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-121365","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/121365","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=121365"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/121365\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=121365"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=121365"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=121365"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
company: – \u2026.ANSWER\u2026Surrenders the right to change any of its terms but may
change the premiums
Under an individual guaranteed renewable health contract, the insurer has the right to: –
\u2026.ANSWER\u2026Change premiums for a class of insureds
In a disability income insurance policy, an insured is eligible for a waiver of premium
benefit: – \u2026.ANSWER\u2026After the first three to 6 months of disability
Which or the following is true about the PPACA?
A. It provides affordable life insurance to individuals
B. It allows individuals to purchase health insurance through the exchange if insurance
is not affordable
C. It allows the insurance company to deny coverage for any pre-existing conditions
D. All of above – \u2026.ANSWER\u2026B
Under PPACA, coverage for young adults was extended until what age?
A.27
B. 25
C. 26
D. 24 – \u2026.ANSWER\u2026C
Under the ACA, the maximum out of pocket expense limit for any individual marketplace
plan in 2020 can be no more than how much?
A. $6150
B. $7k
C. $8k
D. $8150 – \u2026.ANSWER\u2026D
Which metal tier health plan has an actuarial value of 70%?
A. Bronze
B. Gold
C. Silver
D. Platinum – \u2026.ANSWER\u2026C
Which metal tier health plan has an actuarial value of 80%?
A. Bronze
B. Gold
C. Silver
D. Platinum – \u2026.ANSWER\u2026B
Which of the following would qualify for the AIM (access for infants and mothers)
program?
A. Must have a private insurance company
B. Must make over $100k in annual income
download pdf at https:\/\/learnexams.com\/search\/study?query=aqa<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"