Florida 2-40 Health Insurance EXAM COVERAGE
ACUAL Exam
Florida 2-40 Health Insurance - Actual Exam
(Short Point Form)
Florida insurance laws & agent regulations
Licensing, appointments, CE requirements
Unfair trade practices & disciplinary actions
Types of health policies (individual, group,
blanket)
Policy components (premium, deductible, copay,
coinsurance)
HMOs, PPOs, EPOs, POS plans
Major medical & managed care concepts
ACA requirements & essential health benefits
HIPAA, COBRA, ERISA basics
Disability income insurance basics
Medicare (Parts A, B, C, D) & Medigap
Medicaid basics
Long-term care insurance fundamentals
Claims procedures & policy provisions
Ethics, suitability & consumer protection
,All of the following are state or Medigap (Explanation:A Medigap policy is a
federal government programs that Medicare supplement insurance policy sold by
provide health insurance, EXCEPT? private insurance companies to fill "gaps" in
-Medicare Medicare Parts A and B.)
-OASDI disability
-Medicaid
-Medigap
What type of health insurance is Medicaid
available to assist low-income
individuals?
Which of the following is NOT a Business overhead expense
form of medical insurance? (Explanation:Business Overhead Expense
-Business overhead expense insurance is designed to reimburse a business for
-Surgical expense overhead expenses in the event a business
-Hospital expense owner becomes disabled. Expenses such as
-Long term care rent, utilities, telephone, equipment, employees'
salaries, etc.)
What types of reserves are set Premium and Claims reserves
aside and held by health insurance (Explanation:Reserves are set aside for the
companies? payment of future claims.)
,Group health insurance is generally Participating (Explanation:Group plans written
written on a basis that provides for by mutual companies provide for dividends
dividends or experience rating. while stock companies frequently issue
What is the basis called? experience-rated plans.)
Which of the following is NOT Can be eligible for Medicaid
TRUE regarding eligibility for
subsidies for families under the
new health care act?
-For those who make between 100-
400% of the Federal Poverty -Level
-Cannot be covered by an
employer
-Cannot be eligible for Medicare
-Can be eligible for Medicaid
, Which of the following operates as B) Fraternal associations
a corporation, society, or
association to provide life
insurance primarily for the mutual
benefit of its members, has a lodge
or social system with rituals and
representative form of
government?
A) Mutual companies
B) Fraternal associations
C) Stock companies
-Fraternal benefit society
What does each member pay in a Fixed premium whether or not plan is used
typical HMO plan?
-Fixed premium based on a
deductible and copay
-Fixed premium whether or not
plan is used
-Premium based on how often plan
is used
ACUAL Exam
Florida 2-40 Health Insurance - Actual Exam
(Short Point Form)
Florida insurance laws & agent regulations
Licensing, appointments, CE requirements
Unfair trade practices & disciplinary actions
Types of health policies (individual, group,
blanket)
Policy components (premium, deductible, copay,
coinsurance)
HMOs, PPOs, EPOs, POS plans
Major medical & managed care concepts
ACA requirements & essential health benefits
HIPAA, COBRA, ERISA basics
Disability income insurance basics
Medicare (Parts A, B, C, D) & Medigap
Medicaid basics
Long-term care insurance fundamentals
Claims procedures & policy provisions
Ethics, suitability & consumer protection
,All of the following are state or Medigap (Explanation:A Medigap policy is a
federal government programs that Medicare supplement insurance policy sold by
provide health insurance, EXCEPT? private insurance companies to fill "gaps" in
-Medicare Medicare Parts A and B.)
-OASDI disability
-Medicaid
-Medigap
What type of health insurance is Medicaid
available to assist low-income
individuals?
Which of the following is NOT a Business overhead expense
form of medical insurance? (Explanation:Business Overhead Expense
-Business overhead expense insurance is designed to reimburse a business for
-Surgical expense overhead expenses in the event a business
-Hospital expense owner becomes disabled. Expenses such as
-Long term care rent, utilities, telephone, equipment, employees'
salaries, etc.)
What types of reserves are set Premium and Claims reserves
aside and held by health insurance (Explanation:Reserves are set aside for the
companies? payment of future claims.)
,Group health insurance is generally Participating (Explanation:Group plans written
written on a basis that provides for by mutual companies provide for dividends
dividends or experience rating. while stock companies frequently issue
What is the basis called? experience-rated plans.)
Which of the following is NOT Can be eligible for Medicaid
TRUE regarding eligibility for
subsidies for families under the
new health care act?
-For those who make between 100-
400% of the Federal Poverty -Level
-Cannot be covered by an
employer
-Cannot be eligible for Medicare
-Can be eligible for Medicaid
, Which of the following operates as B) Fraternal associations
a corporation, society, or
association to provide life
insurance primarily for the mutual
benefit of its members, has a lodge
or social system with rituals and
representative form of
government?
A) Mutual companies
B) Fraternal associations
C) Stock companies
-Fraternal benefit society
What does each member pay in a Fixed premium whether or not plan is used
typical HMO plan?
-Fixed premium based on a
deductible and copay
-Fixed premium whether or not
plan is used
-Premium based on how often plan
is used
