RI Health Insurance Rhode Island Exam 2026 Practice, Exams of Insurance Economics

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RI Health Insurance Rhode Island Exam 2026 Practice

“1 I I I I I I I I I I I I I I I I I I I I I I I I al RI Health Insurance Rhode Island Exam 2026 Practice In long-term care insurance, what type of care is provided with intermediate care? - CORRECT ANSWER - Occasional nursing or rehabilitative care (less frequent basis than skilled care.) The gatekeeper of an HMO helps - GORRECTENSWER Control specialist costs. The premium charged for exercising the Guaranteed Insurability Rider is based upon the insured’s - What are the 2 types of Flexible Spending Accounts? - GORRECTANSWER Health Care Accounts and Dependent Care Accounts Which provision states that the insurance company must pay Medical Expense claims immediately? - GORRESTANS WER Time of Payment Claims An agent is in the process of replacing the insureds current health insurance policy with a new one. Which of the following would be a proper action? - CORRECT ANSWER-The old policy should stay in force until the new policy is issued. Which of the following disability income policies would have the highest premium? - CORRECT ANSWER -15-day waiting period / 10-year benefit period For how many days of skilled nursing facility care will Medicare pay benefits? - CORRECT ANSWER -100 days r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al Todd has been informed that he has a hernia which requires repair. When Todd researches the cost, he learns that his insurance plan will cover 200 points worth of surgical expenses. Each point represents $10, which means that $2000 of his surgery will be covered by his insurance plan. What system is Todd's insurance company using? - SORRIEGIVANSWER)-rclative value system Under the Accidental Death and Dismemberment (AD&D) coverage, what type of benefit will be paid to the beneficiary in the event of the insured's accidental death? - CORRECT ANSWER -the principle sum Under what conditions may a small employer insurer deny coverage to certain individuals in the group? - CORREGHANSIVERL Lc crcl An insured is hospitalized with a back injury. Upon checking his disability income policy, he learns that he will not be eligible for benefits for at least 30 days. This indicates that his policy is written with a 30-day - CORREGHANSIMERE ination period Most policies will pay the accidental death benefits as long as the death is caused by the accident and occurs An applicant for a health insurance policy returns a completed application to her agent, along with a check for the first premium. She receives a conditional receipt two weeks later. Which of the following has the insurer done by this poine - GORREGIMANSWERI-Neither approved the application nor issued the policy Which of the following statements about occupational ys. nonoccupational coverage is TRUE? CORRECT ANSWER Disability insurance can be written as occupational or nonoccupational, In terms of deductibles, what is the relation between mental health coverage and "standard" illness coverage? CORRECT ANSWER ~The deductibles are required to be the same. r I I I I I I I I I I I I I I I I I I I I I I I I L a | Under the Physical Exam and Autopsy provision, how many times can an insurer have the insured examined, at its own expense, while a claim is pending? - GORRECTANSWER)-Unlimited According to OBRA, what is the minimum number of employees required to constitute a large group? - Which of the following factors about the insured determines the amount of disability benefit that the insured A policy form is deemed to be approved by che Commissioner if it has been on file for at least how many days? Benefit periods for individual short-term disability policies will usually continue from - CORRECT ANSWER -6 months to 2 years. S is a sole business proprietor who owns a medical expense plan. What percentage of the cost of the plan may he deduce’ - CORREGHANSWER1 00% An underwriter may reject an application for health insurance if the rejection is based upon which of the following? - GORRTCTANSWER prescription usage In disability income insurance, the own occupation definition of disability applies - CORRECT ANSWER - for the first 2 years, or 24 months Which of the following is considered a presumptive disability under a disability income policy: ANSWER Loss of two limbs bua ee ee ee ee eee ee ee ee ee eee eee eee he es eee ee ee ee ee a | Regarding cost containment in medical plans, what type of review process do employers and insurers use to evaluate the utilization review process and the effectiveness of the professionals involved in large insurance claims? A carrier must maintain records of each grievance process for how many year: years The Patient Protection and Affordable Care Act includes all of the following provisions EXCEPT - GORRECTANGWER Individual tax deduction for premiums paid. Which of the following are responsible for making premium payments in an HMO plan? - CORRECT ANSWER su bscribers Which of the following is true regarding a risk retention group? - CORRECT ANSWER -It isa liability insurance company owned by its members. Producers who have allowed their license to lapse may reinstate the license without retaking the examination within what maximum time period? - SORREGIANSWER)-12 months The minimum number of credits required for partially insured status for Social Security disability benefits is - CORRECTANSWER