PDF Download
FREE AND STUDY GAMES ABOUT INSURANCE EXAM
QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -25 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation
Question 1: Group health plans may deny participation based upon of the
Answer:
Members part time employment status Question 2: And your group health insurance, a certificate of coverage is issued to
Answer:
Employee a certificate of coverage is this you to the employee that outlines their benefits the employer is issued the master contract and consider the policy owner
Question 3: Credit accident and health plans are designed to
Answer:
Help pay off existing loans during period of disability
Question 4: What is issued to each employee of an employer health plan?
Answer:
Certificate
Question 5: HIP AAA considers which of the following as individually identifiable health information
Answer:
A persons health claim information Question 6: Which of the following would evidence ownership in a participating health insurance contract
Answer:
Policy ownership Dash - policy ownership what evidence ownership in a participating health insurance contract Question 7: Under the subrogation clause, legal action can be taken by the insurer against the
Answer:
Responsible third-party Question 8: Ron has a new employer and wishes to enroll in the companies group policy plan which is pre-existing condition applies. Ron cannot have more than - - - previous health insurance
Answer:
63
Question 9: Which of the following does coordination of benefits allow?
Answer:
Allows the secondary payer to reduce their benefit payments so no more than 100% of clean is paid Question 10: Without a section 125 plan in place, what would happen to an employee payroll contribution to an HS a?
Answer:
It would be considered taxable income to the employee contributions to an HSA may be made pretax under a section 125 cafeteria plan HIP AAA considers which of the following as individual I don't know viable health information
Question 11: Key person disability insurance pays benefits to the
Answer:
Employer - - provides a crucial benefit to protect the company employee can no longer work during to a disability
Question 12: Which of the following would evidence ownership in a participating health insurance contract
Answer:
Policy ownership would evidence ownership in a participating healthcare insurance contract Question 13: According to the health insurance portability and accountability act - Hyppa when can a group health policy renewal will be denied
Answer:
Participation or contribution roles have been violated policy renewal can be denied when participation or contribution roles have been violated Question 14: A group disability income plan that pays tax free benefits to cover employees is considered
Answer:
Non_contributory Question 15: In an employer sponsored group acting and health plan a master contractors issue to the
Answer:
Employer - - the employer is considered the policy owner in is issued the master contract Question 16: And her group health insurance is certificate of coverage is issued to the
Answer:
Employee Question 17: Which of the following would be considered a possible application and contract policyholder for a group health benefits
Answer:
Employer, would be a possible applicant and contract policyholder of a single master contract or master policy for group health benefits.Question 18: Which of the following is typically not eligible for coverage in a group health policy
Answer:
Temporary employee
Question 19: Continued coverage under COBRA would provide to all of the following except for
Answer:
a covered employee is terminated for gross misconduct Question 20: Under the HIPPA, the employees new group health plan would verify credible coverage so that the
Answer:
Employees waiting period for coverage of a pre-existing condition it can be reduced under the new employees health plan Question 21: The purpose of the coordination of benefits provides group accident health plans to
Answer:
Avoid over payment of claims Question 22: And insured has the right to recover payment made to the insured from the negligent to party is called
Answer:
Subrogation Question 23: What is the contract called that is issued to an employer for a group medical insurance plan
Answer:
Master policy - a single contract for a group medical insurance issue to the employer is known as a master policy.Question 24: If an employee sponsored contributory group disability income plan. The employer pay 60% off of our premium and each employee pays 40% . Any income benefits paid our taxes to the employee at?
Answer:
60% of the benefit Question 25: Coordination of benefits regulation applies to all of the following plans except
Answer:
Preferred provider organization plan, coordination of benefits regulation on group health policies does not apply to individual health insurance policies.