FINAL EXAM QUESTIONS HEALTH AND LIFE INSURANCE

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FINAL EXAM QUESTIONS HEALTH AND LIFE INSURANCE

EXAM EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -99 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: An agent may share commissions with which of the following individuals?

Answer:

A licensed agent with the same license type Question 2: Each agent shall complete all continuing education requirements by no later than November 30, and shall be given a final opportunity to complete such requirements by

Answer:

December 31 every even year

Question 3: The insuring clause

Answer:

States the scope and limits of the coverage Question 4: Which Accident and Health policy provision addresses preexisting conditions?

Answer:

Time Limit on Certain Defenses

Question 5: Which of the following statements about Individual Accident and Health minimum standards is CORRECT?

Answer:

Minimum standards apply to policy definitions as well as to benefits Question 6: An Accident & Health policy must provide Essential Benefits without annual and lifetime limits when purchased

Answer:

individually or with group coverage through the Federal Marketplace Question 7: If an individual has an Accidental Death and Dismemberment policy and dies, an

autopsy can be performed in all these situations, EXCEPT:

Answer:

When the state prohibits this by law Question 8: The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers (and

their families) whose employment has been terminated the right to:

Answer:

continue group health benefits Question 9: According to the Mandatory Uniform Policy Provisions, what is the maximum amount of time after the premium due date during which the policy remains in force even though the premium has not been paid?

Answer:

31 days Question 10: An insurer receives proof of loss for an acceptable medical expense claim under an Individual Health Insurance Policy. Under the Time of Payment of Claims provision, the

insurer MUST pay the benefits:

Answer:

immediately Question 11: An insurance agent's license may be suspended or revoked if the agent has

Answer:

engaged in twisting

Question 12: A Qualified Long Term Care policy requires the Free Look provision to refund 100% of premiums paid within how many days of policy delivery?

Answer:

30 days Question 13: Which of the following types of organizations are prepaid group health plans, where members pay in advance for the services of participating physicians and hospitals that have agreements?

Answer:

HMO Question 14: Which of the following costs would a Basic Hospital/Surgical policy likely cover?

Answer:

Surgically removing a facial birthmark Question 15: Which health policy clause specifies the amount of benefits to be paid?

Answer:

Insuring Question 16: An insurance agent must notify the Bureau of Insurance of a change of residential address within how many calendar days?

Answer:

30 days Question 17: An advertisement stating that an agent is licensed for a line of authority, when that agent is not licensed for that line of authority, is

Answer:

false advertising Question 18: A Business Overhead Expense policy would cover which of the following if a business owner becomes disabled?

Answer:

Utilities and office rent

Question 19: When does a Probationary Period provision become effective in a health insurance contract?

Answer:

30 days after the policy's inception Question 20: Health insurance benefits NOT covered due to an act of war are:

Answer:

excluded by the insurer in the contract provisions Question 21: All of the following statements about Major Medical benefits are true, EXCEPT:

Answer:

beneFITS HAVE NO MAXIMUM LIMIT Question 22: The Health Insurance Portability and Accountability Act (HIPAA) gives privacy

protection for:

Answer:

health information Question 23: Which of the following statements describes what an Accident and Health policyowner may NOT do?

Answer:

Adjust the premium payments Question 24: J's Major Medical policy has a $2,000 deductible and an 80/20 Coinsurance clause.

If J is hospitalized and receives a bill for $10,000, J would pay:

Answer:

$3,600

Question 25: K failed to pay a renewal premium within the time granted by the insurer. K then sends in a payment which the insurer subsequently accepts. Which policy provision specifies that coverage may be restored in this situation?

Answer:

Reinstatement