Health Insurance Exam
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Health Insurance Exam
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25 Questions

1. Which of the following is a requirement for payment of Social Security disability benefits?
2. In a $60 - 000 accidental death and dismemberment policy - the amount payable for the loss of one hand is equal to
3. The claimant has how many days in which to submit proof of loss to the insurance company for health insurance benefits after receiving the forms from the insurer:
4. Wild Bill Buffalo has a major medical policy that has a $500 deductible and an 80/20 co-insurance provision with a stop loss of $1 - 500. He incurs a hospital bill of $4 - 500. What will the insurer pay?
5. Which of the following information is required on the first page of an application for health insurance?
6. Major Medical expense insurance is:
7. Medicare supplement insurance is designed to:
8. Medicare supplement policies are offered by: I. private insurers. II Blue Cross and Blue Shield. III. the United States government. IV. the State.
9. Which statement in the policy says: benefits are subject to all the provisions - conditions - and exclusions of the policy.
10. All of the following statements are true about the tax treatment of premiums and benefits for individually owned health insurance - except:
11. What is the only item not covered in a business overhead expense (BOE) policy?
12. If an Agent knows the client did not put in an application certain information about an illness that the client sustained - what should the agent do?
13. Which of the following benefits can be included in a group health plan?
14. To ensure coordination and non-duplication of benefits - an insurance company may integrate long-term Disability Income benefits with all of the following except:
15. Required Provision 10 indicates that if the insurer wants to have an autopsy performed while a claim is pending - the insurer:
16. If an employer pays the premiums for an insurance plan that automatically covers all eligible employees - the plan is known as:
17. An employer who fails to comply with COBRA can be subject to: I. fines II. prison III. lose tax deduction
18. Which of the following may normally be used as a definition of total disability? I. House confined II. Inability to perform the duties of any occupation III. Inability to perform the duties of the insured's own occupation
19. How often must payments be made from a disability policy?
20. Health insurance provides protection against: I. Illness II. Accident & injury III. Disability IV. Dying too soon V. Living too long
21. Which of the following is not used when determining total disability?
22. In individual health plans - a "pre-existing condition" is typically defined as a condition which appeared prior to the issuance of a policy and which was not disclosed on the application. In a group health plan - a "pre-existing condition" is typically defined:
23. An applicant for an health insurance policy has a heart condition of which he is aware. He answered "no" to the question pertaining to heart problems. His answer is considered to be:
24. A Hospital Expense policy that pays a flat amount per day for hospital room and board pays benefits on what basis?
25. The term "first dollar" often is used to describe benefits payable by which type of policy?