WFG HEALTH INSURANCE FINAL EXAM B PRACTICE
TEST
On a Medcare Supplement, the statutory Free Look must me at least ______days: -
Answers -30
Nursing home care for those who are sick, but cannot take care of themselves is
provided by: - Answers -Medicaid
On a Medical Expense policy, coverage for newborn children must begin: - Answers -At
the time of birth
The premium paid by your employer for qualified long-term care insurance is: -
Answers -Excluded from the employee's gross income
The premium you pay for qualified long-term care insurance is tax-deductible, the same
as: - Answers -Medical Expense insurance
Medical Savings Accounts (MSAs) are available to small business employees and self-
employed individuals who have: - Answers -High deductible health insurance
Under HIPAA, The maximum probationary period for pregnancy on Group insurance is:
- Answers -Zero months
On an A&H policy with an "accidental bodily injury" clause, coverage will exist if the: -
Answers -Injury was accidental, even if the cause was not.
All of the following are true about Medi-Gap policies sold in this state: - Answers -Only
10 standardized "plans" are available.
All 10 plans must include the Plan A Core or basic benefits.
Coverage may not duplicate Medicare.
What is NOT true: insurers must offer all 10 plans.
Clients of an HMO are known as: - Answers -Subscribers
Medical expense premiums paid by sole proprietors or partners: - Answers -Are fully
deductible
Which of the following is the most likely candidate for a Medicare Supplement policy? -
Answers -A 66-year-old retiree who is enrolled in Part A and B of Medicare
Under Dental insurance, crowns are considered to be: - Answers -Restorative
, Persons covered by Medicare are called: - Answers -Beneficiaries
A client covered by Group Health insurance needs kidney dialysis. Which coverage is
primary? - Answers -The Group Plan
The purpose of a 75% participation requirement on a contributory Group Health plan is
to: - Answers -Prevent adverse selection
All is true about Group Health insurance: - Answers -The proof of coverage and
employee receives is called a Certificate of Insurance.
Participation requirements are designed to prevent adverse selection.
Group coverage may be continued for terminated employees under COBRA.
What is NOT true: The group contract is between the employer and the employee.
All are true about Preferred Provider Organizations (PPOs): - Answers -Coverage may
be reduced for out-of-network services.
They may be started by insurance companies in order to compete with HMOs.
Clients are known as subscribers.
What is NOT true: They may only be started by hospitals.
All of the following provisions in a Health policy are designed to prevent over insurance:
- Answers -Relation of earnings to insurance.
Other insurance clause.
Coordination of benefits clause.
What is NOT a provision: Assignment of benefits clause.
If a client buys to disability income policy is from two different insurers and has a claim: -
Answers -Both insurers will pay a pro rata amount and refund the premiums related to
the benefits the insured is not entitled to.
A Medical Expense policy covers: - Answers -Hospital and doctor bills.
When Medical Expense and Dental coverage are combined, an "integrated" deductible
applies to : - Answers -Both medical and dental bills.
All are true about Dental insurance: - Answers -It usually covers preventative care.
Orthodontics are sometimes covered.
Endodontics (root canals) maybe covered.
What is NOT true: it must be written as individual coverage.
TEST
On a Medcare Supplement, the statutory Free Look must me at least ______days: -
Answers -30
Nursing home care for those who are sick, but cannot take care of themselves is
provided by: - Answers -Medicaid
On a Medical Expense policy, coverage for newborn children must begin: - Answers -At
the time of birth
The premium paid by your employer for qualified long-term care insurance is: -
Answers -Excluded from the employee's gross income
The premium you pay for qualified long-term care insurance is tax-deductible, the same
as: - Answers -Medical Expense insurance
Medical Savings Accounts (MSAs) are available to small business employees and self-
employed individuals who have: - Answers -High deductible health insurance
Under HIPAA, The maximum probationary period for pregnancy on Group insurance is:
- Answers -Zero months
On an A&H policy with an "accidental bodily injury" clause, coverage will exist if the: -
Answers -Injury was accidental, even if the cause was not.
All of the following are true about Medi-Gap policies sold in this state: - Answers -Only
10 standardized "plans" are available.
All 10 plans must include the Plan A Core or basic benefits.
Coverage may not duplicate Medicare.
What is NOT true: insurers must offer all 10 plans.
Clients of an HMO are known as: - Answers -Subscribers
Medical expense premiums paid by sole proprietors or partners: - Answers -Are fully
deductible
Which of the following is the most likely candidate for a Medicare Supplement policy? -
Answers -A 66-year-old retiree who is enrolled in Part A and B of Medicare
Under Dental insurance, crowns are considered to be: - Answers -Restorative
, Persons covered by Medicare are called: - Answers -Beneficiaries
A client covered by Group Health insurance needs kidney dialysis. Which coverage is
primary? - Answers -The Group Plan
The purpose of a 75% participation requirement on a contributory Group Health plan is
to: - Answers -Prevent adverse selection
All is true about Group Health insurance: - Answers -The proof of coverage and
employee receives is called a Certificate of Insurance.
Participation requirements are designed to prevent adverse selection.
Group coverage may be continued for terminated employees under COBRA.
What is NOT true: The group contract is between the employer and the employee.
All are true about Preferred Provider Organizations (PPOs): - Answers -Coverage may
be reduced for out-of-network services.
They may be started by insurance companies in order to compete with HMOs.
Clients are known as subscribers.
What is NOT true: They may only be started by hospitals.
All of the following provisions in a Health policy are designed to prevent over insurance:
- Answers -Relation of earnings to insurance.
Other insurance clause.
Coordination of benefits clause.
What is NOT a provision: Assignment of benefits clause.
If a client buys to disability income policy is from two different insurers and has a claim: -
Answers -Both insurers will pay a pro rata amount and refund the premiums related to
the benefits the insured is not entitled to.
A Medical Expense policy covers: - Answers -Hospital and doctor bills.
When Medical Expense and Dental coverage are combined, an "integrated" deductible
applies to : - Answers -Both medical and dental bills.
All are true about Dental insurance: - Answers -It usually covers preventative care.
Orthodontics are sometimes covered.
Endodontics (root canals) maybe covered.
What is NOT true: it must be written as individual coverage.
