HEALTH OR SICKNESS
PRACTICE EXAM WITH
CORRECT SOLUTIONS ALREADY
GRADED A+
In a home healthcare benefit, all of the following are eligible expenses EXCEPT -
ANSWER --blood transfusions
in noncontributory plans, which percentage of eligible members must participate? -
ANSWER --1
How are issues of ambiguity usually resolved because insurance contracts are contracts of
adhesion? - ANSWER --In favor of the insured because the insurance company drafts the
language in the contract.
Which of the following is TRUE of a point of service plan - ANSWER --A patient's care is
coordinated by an in-network primary care physician.
In a Level term life policy, which always remains constant ? - ANSWER --death benefit
, which part of an insurance contract contains the promise to pay losses covered by the policy in
exchange for the insureds premium and compliance with policy terms ? - ANSWER --
insuring clause
Why is the accidental death benefit referred to as double indemnity? - ANSWER --It
provides twice the face value in the policy for death due to accident.
which types of rider reimburses health and social service expenses incurred in a convalescent or
nursing home facility - ANSWER --long term care rider
All life insurance and health insurance contracts contain all of the following EXCEPT -
ANSWER --representations
all of the following are requirements to qualify for social security disability benefits except when
- ANSWER --unable to work in occupation in which the worker was trained or educated.
what is the order in which beneficiaries receive proceeds from a life insurance policy ? -
ANSWER --succession of beneficiaries
When would dependent children's benefits for social security disability payments be scaled back
? - ANSWER --when they cause the family benefit to exceed the maximum benefit amount
In a case where an individual's health is insured by both their own policy and their spouse's
policy, which policy pays in the event of an illness? - ANSWER --The individual's policy
pays first, the spouse's policy pays the remaining up to coverage amount.
What is the waiver of premium provision? - ANSWER --In a long term care contract, the
premium is waived after the insured has been confined for a specific period of time.