FLORIDA HEALTH AND LIFE INSURANCE STATE EXAM PRACTICE PART 1
QUESTIONS AND ANSWERS 2025
Which Accident and Health policy provision addresses preexisting conditions? -
CORRECT ANSWER -Time Limit on Certain Defenses
Which of the following individual health insurance policies will provide the
broadest protection? - CORRECT ANSWER -Major Medical
Which of the following situations does NOT apply to the Florida Replacement
Rule? - CORRECT ANSWER -An existing policyholder purchases an
additional policy from the same insurer
Agent J takes an application and initial premium from an applicant and sends
the application and premium check to the insurance company. The insurance
company returns the check back to J because the check is made out to J instead
of the insurance company. What action should J take? - CORRECT
ANSWER -Return to the customer, collect a new check made out to the
insurance company, and send the new check out to the insurance company
Under which of the following circumstances will the benefits under COBRA
continuation coverage end? - CORRECT ANSWER -All group health plans
are terminated by the employer
Which type of renewability best describes a Disability Income policy that covers
an individual until the age of 65, but the insurer has the right to change the
premium rate for the overall risk class? - CORRECT ANSWER Garunteed
Renewable
1.
,An incomplete life insurance application submitted to an insurer will result in
which of these actions? - CORRECT ANSWER -Application will be returned
to the writting agent
The waiting period for a pre-existing condition under a Medicare Supplement
policy may NOT go beyond - CORRECT ANSWER -6 Months
Which of these statements is INCORRECT regarding the federal income tax
treatment of life insurance? - CORRECT ANSWER -Entire cash surrender
value is taxable
Which of these is considered a mandatory provision? - CORRECT
ANSWER -Payment of Claims
Which of the following actions will an insurance company most likely NOT take if
an applicant, who has diabetes, applies for a Disability Income policy? -
CORRECT ANSWER -Issue the policy with an altered Time of
Payment of Claims provision
Which of the following phrases refers to the fees charged by a healthcare
professional? - CORRECT ANSWER -Usual, customary, and reasonable
expenses
D was actively serving in the Marines when he was killed in an automobile
accident while on leave. His $100,000 Whole life policy contains a War Exclusion
, clause. How much will D's beneficiary's receive? - CORRECT ANSWER -The
full face amount
N is covered under an individual Disability policy with a 30-day Elimination
period and a monthly benefit of $500. N is totally disabled for 3 1/2 months.
N's total benefit received on this claim is: - CORRECT ANSWER $1,250
No benefits are available during the elimination period.
Who does an agent represent during the solicitation or insurance? -
CORRECT ANSWER -The insurance company
Which of the following costs would a Basic Hospital/Surgical policy likely cover?
- CORRECT ANSWER -Sugically removing a facial birthmark The federal
income tax treatment of employer-provided group Medical Expense insurance
can be accurately described as: - CORRECT
ANSWER -Employee's premiums paid by the employer is tax-deductible to the
employer as a business expenditure
Premiums paid by an employer for an employee's coverage are deductible by the
employer as a buisness expense
What must the policyowner provide to the insurer for validation that a loss has
occurred? - CORRECT ANSWER -proof of loss
1.
QUESTIONS AND ANSWERS 2025
Which Accident and Health policy provision addresses preexisting conditions? -
CORRECT ANSWER -Time Limit on Certain Defenses
Which of the following individual health insurance policies will provide the
broadest protection? - CORRECT ANSWER -Major Medical
Which of the following situations does NOT apply to the Florida Replacement
Rule? - CORRECT ANSWER -An existing policyholder purchases an
additional policy from the same insurer
Agent J takes an application and initial premium from an applicant and sends
the application and premium check to the insurance company. The insurance
company returns the check back to J because the check is made out to J instead
of the insurance company. What action should J take? - CORRECT
ANSWER -Return to the customer, collect a new check made out to the
insurance company, and send the new check out to the insurance company
Under which of the following circumstances will the benefits under COBRA
continuation coverage end? - CORRECT ANSWER -All group health plans
are terminated by the employer
Which type of renewability best describes a Disability Income policy that covers
an individual until the age of 65, but the insurer has the right to change the
premium rate for the overall risk class? - CORRECT ANSWER Garunteed
Renewable
1.
,An incomplete life insurance application submitted to an insurer will result in
which of these actions? - CORRECT ANSWER -Application will be returned
to the writting agent
The waiting period for a pre-existing condition under a Medicare Supplement
policy may NOT go beyond - CORRECT ANSWER -6 Months
Which of these statements is INCORRECT regarding the federal income tax
treatment of life insurance? - CORRECT ANSWER -Entire cash surrender
value is taxable
Which of these is considered a mandatory provision? - CORRECT
ANSWER -Payment of Claims
Which of the following actions will an insurance company most likely NOT take if
an applicant, who has diabetes, applies for a Disability Income policy? -
CORRECT ANSWER -Issue the policy with an altered Time of
Payment of Claims provision
Which of the following phrases refers to the fees charged by a healthcare
professional? - CORRECT ANSWER -Usual, customary, and reasonable
expenses
D was actively serving in the Marines when he was killed in an automobile
accident while on leave. His $100,000 Whole life policy contains a War Exclusion
, clause. How much will D's beneficiary's receive? - CORRECT ANSWER -The
full face amount
N is covered under an individual Disability policy with a 30-day Elimination
period and a monthly benefit of $500. N is totally disabled for 3 1/2 months.
N's total benefit received on this claim is: - CORRECT ANSWER $1,250
No benefits are available during the elimination period.
Who does an agent represent during the solicitation or insurance? -
CORRECT ANSWER -The insurance company
Which of the following costs would a Basic Hospital/Surgical policy likely cover?
- CORRECT ANSWER -Sugically removing a facial birthmark The federal
income tax treatment of employer-provided group Medical Expense insurance
can be accurately described as: - CORRECT
ANSWER -Employee's premiums paid by the employer is tax-deductible to the
employer as a business expenditure
Premiums paid by an employer for an employee's coverage are deductible by the
employer as a buisness expense
What must the policyowner provide to the insurer for validation that a loss has
occurred? - CORRECT ANSWER -proof of loss
1.
