ACCIDENT AND HEALTH INSURANCE AGENT
FINAL PAPER 2026 COMPLETE QUESTIONS
WITH CORRECT ANSWERS
◉ Under Medicare Part A, a spell of illness begins again and is
subject to a new deductible for another admission when:
1.The patient has been discharged from a prior stay and 45 days
have elapsed
2.The patient has been discharged from a prior stay and 30 days
have elapsed
3.The patient has been discharged from a prior stay and 60 days
have elapsed
4.The patient has been discharged from a prior stay and 90 days
have elapsed Answer: The patient has been discharged from a prior
stay and 60 days have elapsed
◉ What type of insurer retains risk?
1.Government insurance.
2.Reinsurers.
3.Self insurers.
4.Assessment insurers. Answer: Self insurers.
,◉ A variety of types of care are provided under a long-term care
policy. All of the following are types of care generally provided
EXCEPT:
1.Home health care
2.Intensive care
3.Custodial care
4.Skilled care Answer: Intensive care
◉ Melvin has a long-term care policy with a 30-day elimination
period. The policy has a daily benefit of $100/day. The policy has a
3-year benefit period. If Melvin is confined to a nursing home for 9
months, how much in benefits will his policy pay?
1.$27,000
2.$18,000
3.$24,000
4.$17,000 Answer: $24,000
◉ Martin and his friends were at a local tavern celebrating his
birthday. Martin left the bar to drive home, but unfortunately, he was
involved in a fatal accident, killing himself and two other individuals.
An autopsy reveals that Martin was well above the legal limit on his
,blood alcohol test. Martin's family will receive the following from his
Accidental Death and Dismemberment policy:
1.His family will receive reduced benefits since other deaths were
involved.
2.His family will receive the principal sum since this was death
3.His family will receive no benefits, since he was in the act of
committing a felony
4.His family will receive no benefits since there was no
dismemberment involved. Answer: His family will receive no
benefits, since he was in the act of committing a felony
◉ An exclusion that always appears in a health policy is:
1.No coverage for drug or alcohol related illness
2.Hernia from an accident
3.Travel outside of the USA
4.Injury in the act of committing a felony Answer: Injury in the act of
committing a felony
◉ Bruce owns a plan that pays $100 daily benefit for a hospital stay
with no deductible. This kind of policy is known as a (an):
1.Major medical plan
, 2.Basic plan
3.Indemnity plan
4.Reimbursement plan Answer: Indemnity plan
◉ Under what conditions is the death benefit (principal sum)
payable under an Accidental Death and Dismemberment (AD&D)
policy?
1.The insured dies from a grave illness
2.The insured dies from natural causes
3.The insured dies from an accident
4.All of the above Answer: The insured dies from an accident
◉ An insurance agent told a member of his church who had recently
experienced several personal and financial losses that he could see
that she got a more favorable rate on her insurance policies than her
health and general circumstances would warrant. The woman had
been his kindergarten teacher and was a pillar in the community's
life. He wanted to help her. Which of the following is FALSE?
1.The agent was breaking the law.
2.The agent is compassionate.
3.The agent was engaging in unfair discrimination.
FINAL PAPER 2026 COMPLETE QUESTIONS
WITH CORRECT ANSWERS
◉ Under Medicare Part A, a spell of illness begins again and is
subject to a new deductible for another admission when:
1.The patient has been discharged from a prior stay and 45 days
have elapsed
2.The patient has been discharged from a prior stay and 30 days
have elapsed
3.The patient has been discharged from a prior stay and 60 days
have elapsed
4.The patient has been discharged from a prior stay and 90 days
have elapsed Answer: The patient has been discharged from a prior
stay and 60 days have elapsed
◉ What type of insurer retains risk?
1.Government insurance.
2.Reinsurers.
3.Self insurers.
4.Assessment insurers. Answer: Self insurers.
,◉ A variety of types of care are provided under a long-term care
policy. All of the following are types of care generally provided
EXCEPT:
1.Home health care
2.Intensive care
3.Custodial care
4.Skilled care Answer: Intensive care
◉ Melvin has a long-term care policy with a 30-day elimination
period. The policy has a daily benefit of $100/day. The policy has a
3-year benefit period. If Melvin is confined to a nursing home for 9
months, how much in benefits will his policy pay?
1.$27,000
2.$18,000
3.$24,000
4.$17,000 Answer: $24,000
◉ Martin and his friends were at a local tavern celebrating his
birthday. Martin left the bar to drive home, but unfortunately, he was
involved in a fatal accident, killing himself and two other individuals.
An autopsy reveals that Martin was well above the legal limit on his
,blood alcohol test. Martin's family will receive the following from his
Accidental Death and Dismemberment policy:
1.His family will receive reduced benefits since other deaths were
involved.
2.His family will receive the principal sum since this was death
3.His family will receive no benefits, since he was in the act of
committing a felony
4.His family will receive no benefits since there was no
dismemberment involved. Answer: His family will receive no
benefits, since he was in the act of committing a felony
◉ An exclusion that always appears in a health policy is:
1.No coverage for drug or alcohol related illness
2.Hernia from an accident
3.Travel outside of the USA
4.Injury in the act of committing a felony Answer: Injury in the act of
committing a felony
◉ Bruce owns a plan that pays $100 daily benefit for a hospital stay
with no deductible. This kind of policy is known as a (an):
1.Major medical plan
, 2.Basic plan
3.Indemnity plan
4.Reimbursement plan Answer: Indemnity plan
◉ Under what conditions is the death benefit (principal sum)
payable under an Accidental Death and Dismemberment (AD&D)
policy?
1.The insured dies from a grave illness
2.The insured dies from natural causes
3.The insured dies from an accident
4.All of the above Answer: The insured dies from an accident
◉ An insurance agent told a member of his church who had recently
experienced several personal and financial losses that he could see
that she got a more favorable rate on her insurance policies than her
health and general circumstances would warrant. The woman had
been his kindergarten teacher and was a pillar in the community's
life. He wanted to help her. Which of the following is FALSE?
1.The agent was breaking the law.
2.The agent is compassionate.
3.The agent was engaging in unfair discrimination.
