HEALTH INSURANCE FLORIDA PRACTICE
TEST BANK 2026 TESTED QUESTIONS
GRADED A+
⩥ dependent children benefits. Answer: the group coverage may be
extended to cover the insureds dependents. eligible dependents include
the insureds children, spouse, dependent parents, and anyone else upon
which dependency can be proven.
every policy providing coverage for a dependent child until a specified
age will not terminate that coverage if the child is dependent upon the
insured and is incapable of self support because of physical or mental
handicaps. proof of the dependency is required within 31 days of the
child attaining the maximum age. upon request, proof of dependency is
required annually after a 2 year period following attainment of
maximum age
⩥ modes of premium payment. Answer: higher frequency of payments =
higher premium payments
⩥ nonduplication and coordination of benefits. Answer: the purpose of
the coordination of benefits (COB) provision, found only in group health
plans, is to avoid duplication of benefit payments and overinsurance
when an individual is covered under multiple group health insurance
plans. the provision limits the total amount of claims paid from all
, insurers covering the patient to no more than the total allowable medical
expenses
⩥ primary plan. Answer: the plan that is responsible for providing the
full benefit amounts as it specifies.
⩥ secondary or excess plan. Answer: once the primary plan has paid its
full promised benefit, the insured submits the claim to the secondary
provider for any additional benefits payable (including deductibles and
coinsurance). in no case will the total amount the insured receives
exceed the costs incurred or the total maximum benefits available under
all plans.
⩥ loss. Answer: amount covered by primary plan = amount covered by
secondary plan
⩥ occupational coverage. Answer: provides benefits for illness, injury or
disability resulting from accidents that occur on or off the job
⩥ nonoccupational coverage. Answer: only covers claims that result
from accidents or sickness occurring off the job
⩥ personally owned health insurance. Answer: premium payments on
personally owned disability income policies are non deductible by the
TEST BANK 2026 TESTED QUESTIONS
GRADED A+
⩥ dependent children benefits. Answer: the group coverage may be
extended to cover the insureds dependents. eligible dependents include
the insureds children, spouse, dependent parents, and anyone else upon
which dependency can be proven.
every policy providing coverage for a dependent child until a specified
age will not terminate that coverage if the child is dependent upon the
insured and is incapable of self support because of physical or mental
handicaps. proof of the dependency is required within 31 days of the
child attaining the maximum age. upon request, proof of dependency is
required annually after a 2 year period following attainment of
maximum age
⩥ modes of premium payment. Answer: higher frequency of payments =
higher premium payments
⩥ nonduplication and coordination of benefits. Answer: the purpose of
the coordination of benefits (COB) provision, found only in group health
plans, is to avoid duplication of benefit payments and overinsurance
when an individual is covered under multiple group health insurance
plans. the provision limits the total amount of claims paid from all
, insurers covering the patient to no more than the total allowable medical
expenses
⩥ primary plan. Answer: the plan that is responsible for providing the
full benefit amounts as it specifies.
⩥ secondary or excess plan. Answer: once the primary plan has paid its
full promised benefit, the insured submits the claim to the secondary
provider for any additional benefits payable (including deductibles and
coinsurance). in no case will the total amount the insured receives
exceed the costs incurred or the total maximum benefits available under
all plans.
⩥ loss. Answer: amount covered by primary plan = amount covered by
secondary plan
⩥ occupational coverage. Answer: provides benefits for illness, injury or
disability resulting from accidents that occur on or off the job
⩥ nonoccupational coverage. Answer: only covers claims that result
from accidents or sickness occurring off the job
⩥ personally owned health insurance. Answer: premium payments on
personally owned disability income policies are non deductible by the
