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PDF Download H&L EXAM (PROMETRIC) Qs and Ans - Expert- Explanation - ing score -55 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: Death benefits under a survivorship life insurance policy covering two
insureds are paid:
Answer:
In full at the second insured's death Question 2: All of the following factors influence the benefit payment amount under a life
income annuity EXCEPT:
Answer:
the annuitant's age on each contract anniversary.Question 3: When a group health insurance contract covers employees in more than one state, the criteria for determining in which state the contract may be delivered includes any of the
following EXCEPT:
Answer:
Where the insurance company is incorpo .Question 4: A health maintenance organization (HMO) usually provides all of the following inpatient hospital services
Answer:
- Pre-admission certification
- Concurrent utilization review
- Discharge planning
Question 5: An insured currently has group coverage issued by different health insurance companies. How will payment for medical expenses typically be handled when both group policies provide coverage?
Answer:
Payment will be made in accordance with the policies' coordination of benefits provisions.Question 6: The insured died two years after discontinuing annual premium payments of $200 on a $20,000 whole life insurance policy with a $2,000 cash value and an automatic premium loan provision. How much will the insurer pay to the insured's beneficiary?
Answer:
The $20,000 face amount less any policy loans Question 7: A mandatory second surgical opinion provision typically would encourage all of the
following EXCEPT:
Answer:
Higher total health plan costs for an employer Question 8: Which is required for Medicare coverage of skilled nursing facility care?
Answer:
The facility must be approved by Medicare.Question 9: In health insurance, initial notice about a potential claim:
Answer:
May be required within a short time period Question 10: Compared to a joint life insurance policy, separate whole life insurance policies on
each of the insureds typically result in:
Answer:
Higher combined premiums Question 11: If a life insurance policy is transferred to another person in exchange for valuable
consideration, then the death proceeds may:
Answer:
Lose their income tax exempt status
Question 12: All of the following statements about a life insurance policy loan are true EXCEPT:
Answer:
- The policyowner is charged interest on the loan.
**2. Failure to repay the loan when due terminates the policy.
- The amount of the loan cannot exceed the policy cash value.
- The death benefit is reduced as a result of any outstanding loan.
Question 13: In health insurance, an insuring clause might include any of the following EXCEPT:
Answer:
A change of beneficiary provision Question 14: Employer-sponsored group long-term care insurance generally has all of the
following characteristics EXCEPT:
Answer:
Noncancelable
Question 15: Which statement about group health insurance is true?
Answer:
**1. The insurer's contract is with the organization sponsoring the group plan.
- The insurer issues a policy to each insured member in the group
- A medical questionnaire is required of each individual to be covered by the contract.
- Group policies are more expensive than individual policies because they provide broader benefits.
Question 16: A surviving spouse without dependent children is eligible for Social Security
survivor benefits at age:
Answer:
60
Question 17: All of the following are true about dental Insurance EXCEPT.
Answer:
Preventive services are seldom covered.
Question 18: Group life insurance plans generally require participation by:
Answer:
75% of eligible employees, under a contributory plan Question 19: Periodontics includes all of the following EXCEPT:
Answer:
Dentures Question 20: Which one of the following statements about the application for life insurance is true?
Answer:
It becomes a permanent part of the insurance contract.Question 21: Long-term care policies may require all of the following before paying benefits
EXCEPT:
Answer:
A prior hospitalization.Question 22: Education funds created by life insurance death benefits are designed to cover the
cost of:
Answer:
- Tuition and books
- Transportation to classes
- Room and board
Question 23: One type of disability coverage, which can help reduce certain business expenses,
is called:
Answer:
Key employee coverage Question 24: All of the following statements about an accidental death benefit in a life insurance policy are true
Answer:
- It is an optional provision or rider.
- It is payable in addition to the face amount of the base policy.
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