TEXAS LIFE HEALTH INSURANCE ACTUAL

TEXAS LIFE HEALTH INSURANCE ACTUAL

EXAM -

QUESTIONS AND CORRECT ANSWERS/ TEXAS

LIFE AND HEALTH INSURANCE REAL EX AM

QUESTIONS AND ANSWERS (BRAND NEW!!)

Which of the following statements about Medicare supplement plans is NOT true?

• Losses resulting from sickness may not be treated differently than losses

resulting from accidents.

• Benefits must automatically change to coincide with changes in Medicare

deductibles and co-payments.

• Policies must be at least guaranteed renewable.

• The definition of accident may employ an accidental means test. - ANSWER-

The definition of accident may employ an accidental means test.

Which federal law is intended to prevent group term life plans from discriminating in favor of key employees?

A) ERISA

B) OBRA

C) TEFRA 1 / 4

D) COBRA - ANSWER-TEFRA

Which federal law extends the minimum continuation of coverage period from 18 to 29 months for qualified beneficiaries disabled at the time of termination or reduction in hours?

A) TEFRA

B) OBRA

C) ERISA

D) COBRA - ANSWER-OBRA

Individual disability insurance premiums are

• not deductible to the insured, and the benefits are taxed

• not deductible to the insured, but the benefits are received tax free

• deductible to the insured, and the benefits are received tax free

• deductible to the insured, but the benefits are taxed - ANSWER-not deductible

to the insured, but the benefits are received tax free

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Which of the following is NOT a common exclusion or limitation of dental policies?

A)Oral hygiene instructions and plaque control programs are often limited or excluded.

B)Prosthetic appliances generally may not be replaced for 5 years after a benefit is paid.

C)Teeth that are knocked out in an accident will generally not be replaced under a dental policy.

D)Benefits are generally not payable for dental work that is not necessary for sound dental health. - ANSWER-Teeth that are knocked out in an accident will generally not be replaced under a dental policy

Juanita is employed in California. She takes a business trip to Colorado to demonstrate some techniques to workers in another facility and is injured in the process. Her workers' compensation benefits will be paid according to the laws of

• whichever state would provide the greater benefit

• Colorado

• California

• Whichever state would provide the lesser benefit - ANSWER-California

Scheduled benefits are generally 3 / 4

A)lower than reasonable and customary allowances

B)higher than reasonable and customary allowances

C)paid in addition to reasonable and customary allowances

D)the same as reasonable and customary allowances - ANSWER-A

The ability of an individual to wait until covered by dental insurance before seeking treatment for dental issues is an example of

A)adverse insurance

B)improper selection

C)improper insurance

D)adverse selection - ANSWER-D

Prepaid dental plans offer services based on

A)captive member selection

B)capitulation

C)concentration

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