FLORIDA 2-40 HEALTH LICENSE

FLORIDA 2-40 HEALTH LICENSE

EXAM QUESTIONS WITH

VERIFIED CORRECT ANSWERS

Multiple Employer Welfare Arrangement (MEWA) provides what type of benefits?Insurance

XYZ Company pays the entire premium for its group health plan. The MINIMUM percentage of eligible employees that must be covered is 100%

In Major Medical Expense policies, what is the intent of Stop Loss provision?Limits an insured's out-of-pocket medical expenses

Q is hospitalized for 3 days and receives a bill for $10,100. Q has a Major Medical policy with a $100 deductible and 80/20 coinsurance. How much will Q be responsible for paying on this claim?

$2,100

Omitting information that affects the issuance or the rate of an insurance contract is called concealment

Florida requires that coverage for newborns begins "from the moment of birth" and continues for 18 months

In order to establish a Health Reimbursement Arrangement (HRA), it MUST be established by the employer

Which provision allows a portion of any used medical benefits to be restored following a particular amount of benefits has been used, or after the policy has been in effect for a particular period of time?Restoration of used benefit

Disability policies do NOT normally pay for disabilities arising from which of the following?War

According to Florida law, when must an agent deliver the Outline of Coverage to a Medicare Supplement applicant?At the time of application

An agent selling Medicare Supplement policies must provide every applicant with a(n) Suitability form

One definition of replacement is "the act of replacing an existing insurance policy with another".Replacement is closely regulated and requires full disclosure

Who makes the legally enforceable promises in a unilateral insurance policy?insurance company

Which of the following acts is an agent NOT authorized to do on behalf of an insurer?Authorize claim payments

Which of the following BEST describes a Hospital Indemnity policy?Coverage that pays a stated amount PER DAY of a covered hospitalization

What is required in the Florida Employee Health Care Access Act?Small group benefit plan are to be issued on a "guarantee-issue" basis

The waiting period for a pre-existing condition under a Medicare Supplement policy may NOT go beyond

• months

J purchased a Disability Income Policy that ONLY J can terminate and on which the rates will never increase above those illustrated in the policy. Which of the following types of policies did J purchase?Noncancelable

What is the elimination period of an individual disability policy?Time period a disabled person must wait before benefits are paid

This type of deductible provision waives the deductible for all family members after some of them have satisfied individual deductibles within the same year Family maximum deductible

Under an Individual Disability policy in Florida, what is the minimum schedule of time in which claims must be made to an insured?Monthly

Under a Long Term Care policy, which benefit would be typically excluded or limited?Alcohol rehabilitation

P is a Major Medical policyowner who is hospitalized as a result of injuries sustained from participating in a carjacking. How will the insurer most likely handle this claim?Claim will be denied

A mutual insurance company and a stock insurance company have one main difference between them.What is the Major contrast?Stock company is owned by its shareholders.Mutual company is owned by its policyholders.

Upon reaching the limiting age, a handicapped child can extend their health insurance coverage as a dependent only if the child is incapable of employment and chiefly dependent on the policyowner