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WEST VIRGINIA HEALTH INSURANCE EXAM NEWEST ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
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WEST VIRGINIA HEALTH INSURANCE EXAM
NEWEST 2026-2027 ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
In order to be eligible for coverage by an HSA, an individual
must also be covered by what type of health plan? - ANSWERHigh Deductible Health Plan (HDHP)
Can an insured who belongs to a POS plan use an out-ofnetwork physician? - ANSWER- Yes, but the copays and
deductibles may be higher
What will determine the length of the grace period in a health
insurance policy? - ANSWER- The mode of the premium
payment
How will changing one's occupation to be more hazardous affect
the health insurance policy in force? - ANSWER- Claim
benefits will be reduced to what the premium would have
bought for a more hazardous occupation
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Under an individual disability income policy, the benefits must
be paid on at least what schedule? - ANSWER- monthly
According to the Reinstatement provision, once a lapsed policy
is reinstated, how soon will coverage be available for accidents?
- ANSWER- immediately
What is a probationary period in group health insurance? -
ANSWER- The period of time that must lapse before an
employee is eligible for group health coverage
Which health insurance provision describes the insured's right to
cancel coverage? - ANSWER- Renewal provision
The insured on a health policy misstated his age on the
insurance application. If this misrepresentation is discovered,
what will happen to the policy? - ANSWER- The benefit
amount payable under the policy will be adjusted to the insured's
correct age.
After the elimination period, a totally disabled insured qualified
for benefits from a disability income policy that has a waiver of
premium rider. What will happen to the premium that was paid
into the policy during the elimination period? - ANSWERPremium will be refunded
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What is the purpose of the coinsurance provision and health
insurance policies? - ANSWER- To prevent overutilization of
the policy benefits
What health policy provision describes the insured right to
cancel coverage? - ANSWER- Renewability provision
What are usual/reasonable and customary charges based on? -
ANSWER- Average charge for a given procedure in the specific
geographic area
What health policy provision prevents the insured from bringing
a lawsuit against the insurance company for at least 60 days
after proof of losses provided? - ANSWER- Legal actions
If a health insurance policy has a 31 day grace, period, what
does that mean? - ANSWER- The policy remains in effect for
31 days after the premium is due and not paid
According to the time limit on certain defenses provision in
health insurance policies, when can an insurer contest fraudulent
missstatements on a health insurance application? - ANSWERAnytime while the policy is in forceÂ
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