Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023), Exams of Nursing

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Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023) Which of the following laws requires an insurer to notify an applicant in writing that an investigative consumer report may be made on the applicant? -Uniform Provisions Law. -Freedom of Information Act. -Medical Information Bureau Disclosure Act -Fair Credit Reporting Act (Insurance Information and Privacy Protection Act) - Correct Answer ✅Fair Credit Reporting Act (Insurance Information and Privacy Protection Act) Group health insurance specifies that what percentage of eligible individuals MUST be offered coverage under a noncontributory plan? -25 -50 -75 -100 - Correct Answer ✅100 Under an Accidental Death and Dismemberment (AD&D) policy, insurable interest must exist at which of the following times? -When a change of beneficiary is requested -At the inception of the policy -When a beneficiary other than a relative is named -At the time a claim is submitted - Correct Answer ✅At the inception of the policy When periodic claim payments are required under a long-term disability income policy, an insurer MUST make payments to an insured at least once every: -month -three months -six months -year - Correct Answer ✅month Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023) M and N own a small interior design studio that employs six people. The owners are concerned about the financial continuation of the business if either of them should become permanently disabled. In this situation, a producer would MOST likely recommend which of the following types of contracts? -Basic Hospital -Disability Buy-Out -Comprehensive Major Medical -Short-Term Disability Income - Correct Answer ✅Disability Buy-Out Which of the following health policies requires a beneficiary designation? -Travel Accident -Medicare Supplement -Blanket -Long Term Care - Correct Answer ✅Travel Accident Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of the following policy features? -Extensions of coverage -Benefits clause -Riders -Exclusions - Correct Answer ✅Exclusions An insured whose Disability Income policy contains a Change of Occupation clause takes a new job in a more hazardous occupation and fails to notify the insurer of the change. One year later, the insured becomes disabled. The insurer will most likely take which of the following actions? -Cancel the policy and refund one year's premiums -Settle the claim according to what the premiums would have purchased under the more hazardous occupation -Pay the claim in full and then cancel the policy -Pay the claim after deducting an extra one-year premium payment - Correct Answer ✅Settle the claim according to what the premiums would have purchased under the more hazardous occupation Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023) All of the following elements are required of a contract EXCEPT: -assignment -acceptance -legal capacity -legal purpose - Correct Answer ✅assignment Which of the following types of provisions guarantees renewability to a specified date or age unless certain specified events occur? -Noncancellable -Optionally Renewable -Guaranteed Renewable -Conditionally Renewable - Correct Answer ✅Conditionally Renewable In an Accidental Death and Dismemberment (AD&D) policy, the term "capital sum" refers to: -the benefit paid for death caused by a dread disease -the monthly disability income paid if an insured loses a limb or the sight in one or both eyes -a lump sum payment made when disease causes the amputation of an arm or a leg -a lump sum payment made for an accidental dismemberment - Correct Answer ✅a lump sum payment made for an accidental dismemberment The PRIMARY purpose of Medicaid is to: -pay for expenses not covered by Medicare -provide Disability Income benefits to people on Medicare -provide Medical Expense coverage to persons meeting certain minimum income requirements -provide funds for people injured in natural disasters - Correct Answer ✅provide Medical Expense coverage to persons meeting certain minimum income requirements A health care plan that reimburses a flat fee for medical care it provides at a clinic it owns and operates is referred to as: Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023) -Health Maintenance Organization -Medicaid -Medicare -a Multiple Employer Trust (MET) - Correct Answer ✅Health Maintenance Organization A health care plan designed to combine small employers together into a group to purchase medical expense insurance for their employees is called a: -risk retention group -Multiple Employer Trust (MET) -Preferred Provider Organization (PPO) -Third Party Administrator (TPA) - Correct Answer ✅Multiple Employer Trust (MET) Medicare Supplement policies are primarily designed to: -offset the high cost of Medicare -provide additional retirement income to supplement Social Security retirement benefits -provide additional benefits beyond those provided by Medicare -provide a reinsurance network that spreads the Medicare risk among private insurance companies - Correct Answer ✅provide additional benefits beyond those provided by Medicare An applicant for insurance submits an application to an insurer for underwriting but does not forward any premium payment with the application. Legally, the applicant is making -an inquiry for an offer -an offer -a counteroffer -an acceptance - Correct Answer ✅an inquiry for an offer Which of the following statements is CORRECT about a Waiver of Premium provision in a Disability Income policy? -It allows the insurer to deduct premiums due from the disabled insured's benefit payments. -It allows the insurer to increase the amount of premium during the insured's time of disability. Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023) -It allows the insured to extend the length of the Grace Period while disabled. -It allows the insured to maintain a policy in force while disabled and unable to pay premiums. - Correct Answer ✅It allows the insured to maintain a policy in force while disabled and unable to pay premiums. Which of the following provisions explains that a producer does not have the authority to waive the provisions of an insurance contract? -Legal actions -Reinstatement -Time limit on certain defenses -Entire Contract - Correct Answer ✅Entire Contract Which of the following statements is CORRECT about a Disability Income policy with a Guaranteed Insurability rider? -The insured may periodically increase the amount of benefits payable under the policy. -The insured may assign the policy to a member of the insured's family. -The insurer is not permitted to cancel the policy. -The insurer will issue the policy without a medical examination. - Correct Answer ✅The insured may periodically increase the amount of benefits payable under the policy. An insurer must provide claim forms to an insured within a MAXIMUM of how many days after receiving notice of an Accident & Health claim? -Five -Fifteen -Twenty -Thirty - Correct Answer ✅Fifteen J has a physical impairment, attends school, and is incapable of self-sustaining employment and/ or self care. Which of the following statements is CORRECT about J's medical coverage under J's father's group plan? -J's coverage ceases, but J may apply for group student coverage. -J's coverage automatically discontinues at age twenty-six. Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023) An individual who has had a heart murmur since birth is likely to be issued an individual health policy that includes: A Guaranteed Insurability rider An Exclusionary/ Impairment rider A Waiver of Premium rider A Double Indemnity rider - Correct Answer ✅An Exclusionary/ Impairment rider In which of the following health policies are both the renewability and the premiums guaranteed? Non-cancellable Optionally Renewable Guaranteed Renewable Conditionally Renewable - Correct Answer ✅Non-cancellable Medicare Part A covers which of the following expenses? Hospital room and board Surgical expenses Medications Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023) Physicians' services - Correct Answer ✅Hospital room and board The Notice of Claim provision in an Accident and Health policy requires that an insured give written notice to the insurer within a MAXIMUM of how many days after a loss? 7 10 15 20 - Correct Answer ✅20 Under the Claims Forms provision of a health policy, if the insurance company fails to send out the claim forms within the time period required by the provision, the insured should: Demand a full refund of all premiums paid plus interest Submit the claim in any form, which must be accepted by the company as adequate proof of loss Request the state Department of Insurance to act as umpire in settling the claim Do nothing until the claim form arrives - Correct Answer ✅Submit the claim in any form, which must be accepted by the company as adequate proof of loss Which of the following provisions designates the person to whom claim payments are to be made? Time of Payment of Claims Health Insurance Florida 2-40 Practice Exam Questions 1 with Answers (Latest Update 2023) Entire Contract Notice of Claim Payment of Claims - Correct Answer ✅Payment of Claims The Consideration clause in an accident and health policy states that: The applicant pays the initial premium Insurable interest must exist between the parties involved Any attachments to the policy constitute the entire contract of insurance Certain claims will be excluded under the policy - Correct Answer ✅The applicant pays the initial premium The Elimination Period in most Disability Income policies applies: To each separate disability To claims for accidents only Only the first time the insured is disabled during the first 30 days of the contract - Correct Answer ✅To each separate disability Which of the following statements is CORRECT about coinsurance?