g ytrewqg
g
Florida Health g g
Insurance 2-40 g g
Practice Test bank g g g
Actual Exam g g
Questions and Answer g g g
g
Rated A+
g
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Florida Health Insurance 2-40 Practice
g g g g g
Test bank Actual Exam Questions and A
g g g g g g
nswer Rated A+
g g g
WhichgofgthegfollowinggisgNOTgagformgofgmedicalginsurance?g
-Businessgoverheadgexpenseg
-Surgicalgexpenseg
-Hospitalgexpenseg
-Longgtermgcareg-gANSWER-
Businessgoverheadgexpenseg(Explanation:BusinessgOverheadgExpensegin
surancegisgdesignedgtogreimbursegagbusinessgforgoverheadgexpensesgingtheg
Nursedocs@2024gytreg
,g ytrewqg
eventgagbusinessgownergbecomesgdisabled.gExpensesgsuchgasgrent,gutilities
,gtelephone,gequipment,gemployees'gsalaries,getc.)g
g
Allgofgthegfollowinggaregstategorgfederalggovernmentgprogramsgthatgprovid
eghealthginsurance,gEXCEPT?g
-Medicareg
-OASDIgdisabilityg
-Medicaidg
-Medigapg-gANSWER-
Medigapg(Explanation:AgMedigapgpolicygisgagMedicaregsupplementg
insurancegpolicygsoldgbygprivateginsurancegcompaniesgtogfillg"gaps"gi
ngMedicaregPartsgAgandgB.)g
Whatgtypegofghealthginsurancegisgavailablegtogassistglow-
incomegindividuals?g
-SocialgSecuritygdisabilityg
-Medicaregsupplementg
-Medicareg
-Medicaidg-gANSWER-Medicaidg
Whatgtypesgofgreservesgaregsetgasidegandgheldgbyghealthginsurancegcompan
ies?g
-Premiumgreservesg
-PremiumgandgClaimsgreservesg
-Claimsgreservesg
-DeductiblegandgPremiumgreservesg-gANSWER-
PremiumgandgClaimsgreservesg(Explanation:Reservesgaregsetgasidegforg
thegpaymentgofgfuturegclaims.)g
Groupghealthginsurancegisggenerallygwrittengongagbasisgthatgprovidesgforgdi
videndsgorgexperiencegrating.gWhatgisgthegbasisgcalled?g
-Contributoryg
-Noncontributoryg
-Nonparticipatingg
Nursedocs@2024gytreg
,g ytrewqg
-Participatingg-gANSWER-
Participatingg(Explanation:Groupgplansgwrittengbygmutualgcompan
iesgprovidegforgdividendsgwhilegstockgcompaniesgfrequentlygissuege
xperience-ratedgplans.)g
WhichgofgthegfollowinggisgNOTgTRUEgregardinggeligibilitygforgsubsidiesg
forgfamiliesgundergthegnewghealthgcaregact?g
-Forgthosegwhogmakegbetweeng100-400%gofgthegFederalgPovertyg-Levelg
-Cannotgbegcoveredgbygangemployerg
-CannotgbegeligiblegforgMedicareg
-CangbegeligiblegforgMedicaidg-gANSWER-CangbegeligiblegforgMedicaidg
Whichgofgthegfollowinggoperatesgasgagcorporation,gsociety,gorgassociationg
togprovideglifeginsurancegprimarilygforgthegmutualgbenefitgofgitsgmembers,g
hasgaglodgegorgsocialgsystemgwithgritualsgandgrepresentativegformgofggover
nment?gA)gMutualgcompaniesg
B) Fraternalgassociationsg
C) Stockgcompaniesg
-Fraternalgbenefitgsocietyg-gANSWER-B)gFraternalgassociationsg
WhatgdoesgeachgmembergpaygingagtypicalgHMOgplan?g
-Fixedgpremiumgbasedgongagdeductiblegandgcopayg
-Fixedgpremiumgwhethergorgnotgplangisgusedg
-Premiumgbasedgonghowgoftengplangisgusedg-gANSWER-
Fixedgpremiumgwhethergorgnotgplangisgusedg
g
WhichgofgthegfollowinggisgcorrectgaboutgthosegwhogaregeligiblegforgMedic
aregandgwishgtogjoingangHMO?g
-TheygmustghavegagcurrentgMedicaregsupplementgpolicyg
-TheygmustgbegtoldgthatgtheygaregdisenrolledgfromgMedicareg
-Theygmustgbegageg70gandgaboveg
-TheygmustghavegbeengenrolledgpreviouslygingangHMOg-gANSWER-
TheygmustgbegtoldgthatgtheygaregdisenrolledgfromgMedicareg
g
Nursedocs@2024gytreg
, g ytrewqg
Joycegisgtotallygdisabled.gHergHMOgpolicygjustgterminated.gAllgofgthegfoll
owinggaregcorrectgregardingg"extensiongofgbenefits"gforgJoyce,g
EXCEPT?g
-Coveragegendsgoncegmaximumgbenefitsghavegbeengexhaustedg
-Coveragegendsgonceganothergcarriergassumesgcoverageg
-Coveragegendsgifgnoglongergtotallygdisabledg
-Coveragegendsgafterg18gmonthsg-gANSWER-
Coveragegendsgafterg18gmonthsg
g
AllgofgthegfollowinggaregcorrectgregardinggFloridagregulationgofgHMOs,g
EXCEPT?g
-MustgobtaingagCertificategofgAuthorityg
-
Mustgfilegagreportgofgitsgactivitiesgwithing3gmonthsgofgthegendgofgeachgfisca
lgyearg
-
Mustgdepositg$100,000gwithgthegRehabilitationgAdministrationgExpenseg
Fundg
-
Mustgbegsoldgbygagentsglicensedgandgappointedgasghealthginsurancega
gentsg-gANSWER-
Mustgdepositg$100,000gwithgthegRehabilitationgAdministrationgExp
ensegFundg(Explanation:g
Theygmustgdepositg$10,000gwithgthegRehabilitationgAdministrationgExpe
nsegFund.)g
Whatgisg"capitation"gasgitgrelatesgtogangHMO?g
-
AmountgtogbegcollectedgbygthegHMOgfromgparticipatingghealthgcaregprovi
dersg
-FixedgamountgpaidgbygangHMOgduringgagpolicygperiodg
-FixedgamountgpaidgbygangHMOgtogagphysiciangforgmedicalgservicesg
-AmountgrequiredgtogbegdepositedgwithgthegStategofgFloridag-gANSWER-g
Nursedocs@2024gytreg
g
Florida Health g g
Insurance 2-40 g g
Practice Test bank g g g
Actual Exam g g
Questions and Answer g g g
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Rated A+
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Florida Health Insurance 2-40 Practice
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Test bank Actual Exam Questions and A
g g g g g g
nswer Rated A+
g g g
WhichgofgthegfollowinggisgNOTgagformgofgmedicalginsurance?g
-Businessgoverheadgexpenseg
-Surgicalgexpenseg
-Hospitalgexpenseg
-Longgtermgcareg-gANSWER-
Businessgoverheadgexpenseg(Explanation:BusinessgOverheadgExpensegin
surancegisgdesignedgtogreimbursegagbusinessgforgoverheadgexpensesgingtheg
Nursedocs@2024gytreg
,g ytrewqg
eventgagbusinessgownergbecomesgdisabled.gExpensesgsuchgasgrent,gutilities
,gtelephone,gequipment,gemployees'gsalaries,getc.)g
g
Allgofgthegfollowinggaregstategorgfederalggovernmentgprogramsgthatgprovid
eghealthginsurance,gEXCEPT?g
-Medicareg
-OASDIgdisabilityg
-Medicaidg
-Medigapg-gANSWER-
Medigapg(Explanation:AgMedigapgpolicygisgagMedicaregsupplementg
insurancegpolicygsoldgbygprivateginsurancegcompaniesgtogfillg"gaps"gi
ngMedicaregPartsgAgandgB.)g
Whatgtypegofghealthginsurancegisgavailablegtogassistglow-
incomegindividuals?g
-SocialgSecuritygdisabilityg
-Medicaregsupplementg
-Medicareg
-Medicaidg-gANSWER-Medicaidg
Whatgtypesgofgreservesgaregsetgasidegandgheldgbyghealthginsurancegcompan
ies?g
-Premiumgreservesg
-PremiumgandgClaimsgreservesg
-Claimsgreservesg
-DeductiblegandgPremiumgreservesg-gANSWER-
PremiumgandgClaimsgreservesg(Explanation:Reservesgaregsetgasidegforg
thegpaymentgofgfuturegclaims.)g
Groupghealthginsurancegisggenerallygwrittengongagbasisgthatgprovidesgforgdi
videndsgorgexperiencegrating.gWhatgisgthegbasisgcalled?g
-Contributoryg
-Noncontributoryg
-Nonparticipatingg
Nursedocs@2024gytreg
,g ytrewqg
-Participatingg-gANSWER-
Participatingg(Explanation:Groupgplansgwrittengbygmutualgcompan
iesgprovidegforgdividendsgwhilegstockgcompaniesgfrequentlygissuege
xperience-ratedgplans.)g
WhichgofgthegfollowinggisgNOTgTRUEgregardinggeligibilitygforgsubsidiesg
forgfamiliesgundergthegnewghealthgcaregact?g
-Forgthosegwhogmakegbetweeng100-400%gofgthegFederalgPovertyg-Levelg
-Cannotgbegcoveredgbygangemployerg
-CannotgbegeligiblegforgMedicareg
-CangbegeligiblegforgMedicaidg-gANSWER-CangbegeligiblegforgMedicaidg
Whichgofgthegfollowinggoperatesgasgagcorporation,gsociety,gorgassociationg
togprovideglifeginsurancegprimarilygforgthegmutualgbenefitgofgitsgmembers,g
hasgaglodgegorgsocialgsystemgwithgritualsgandgrepresentativegformgofggover
nment?gA)gMutualgcompaniesg
B) Fraternalgassociationsg
C) Stockgcompaniesg
-Fraternalgbenefitgsocietyg-gANSWER-B)gFraternalgassociationsg
WhatgdoesgeachgmembergpaygingagtypicalgHMOgplan?g
-Fixedgpremiumgbasedgongagdeductiblegandgcopayg
-Fixedgpremiumgwhethergorgnotgplangisgusedg
-Premiumgbasedgonghowgoftengplangisgusedg-gANSWER-
Fixedgpremiumgwhethergorgnotgplangisgusedg
g
WhichgofgthegfollowinggisgcorrectgaboutgthosegwhogaregeligiblegforgMedic
aregandgwishgtogjoingangHMO?g
-TheygmustghavegagcurrentgMedicaregsupplementgpolicyg
-TheygmustgbegtoldgthatgtheygaregdisenrolledgfromgMedicareg
-Theygmustgbegageg70gandgaboveg
-TheygmustghavegbeengenrolledgpreviouslygingangHMOg-gANSWER-
TheygmustgbegtoldgthatgtheygaregdisenrolledgfromgMedicareg
g
Nursedocs@2024gytreg
, g ytrewqg
Joycegisgtotallygdisabled.gHergHMOgpolicygjustgterminated.gAllgofgthegfoll
owinggaregcorrectgregardingg"extensiongofgbenefits"gforgJoyce,g
EXCEPT?g
-Coveragegendsgoncegmaximumgbenefitsghavegbeengexhaustedg
-Coveragegendsgonceganothergcarriergassumesgcoverageg
-Coveragegendsgifgnoglongergtotallygdisabledg
-Coveragegendsgafterg18gmonthsg-gANSWER-
Coveragegendsgafterg18gmonthsg
g
AllgofgthegfollowinggaregcorrectgregardinggFloridagregulationgofgHMOs,g
EXCEPT?g
-MustgobtaingagCertificategofgAuthorityg
-
Mustgfilegagreportgofgitsgactivitiesgwithing3gmonthsgofgthegendgofgeachgfisca
lgyearg
-
Mustgdepositg$100,000gwithgthegRehabilitationgAdministrationgExpenseg
Fundg
-
Mustgbegsoldgbygagentsglicensedgandgappointedgasghealthginsurancega
gentsg-gANSWER-
Mustgdepositg$100,000gwithgthegRehabilitationgAdministrationgExp
ensegFundg(Explanation:g
Theygmustgdepositg$10,000gwithgthegRehabilitationgAdministrationgExpe
nsegFund.)g
Whatgisg"capitation"gasgitgrelatesgtogangHMO?g
-
AmountgtogbegcollectedgbygthegHMOgfromgparticipatingghealthgcaregprovi
dersg
-FixedgamountgpaidgbygangHMOgduringgagpolicygperiodg
-FixedgamountgpaidgbygangHMOgtogagphysiciangforgmedicalgservicesg
-AmountgrequiredgtogbegdepositedgwithgthegStategofgFloridag-gANSWER-g
Nursedocs@2024gytreg
