ILLINOIS ACCIDENT AND HEALTH
PRODUCER GENERAL SIMULATOR
PRACTICE SCRIPT 2026 TESTED SOLUTIONS
GRADED A+
⩥ Supplemental Plans (Medigap).
Answer: will pick up the gap between what A+B will pay and
deductibles. run by private companies. Supplemental plans must include
coverage for hospice care, and they cannot duplicate Medicare coverage.
Additionally, Medigap (supplemental) plans sold today do not include
prescription drug coverage, which is available through Medicare Part D.
⩥ Employee Retirement Income Security Act (ERISA).
Answer: U.S. act that established uniform minimum standards to ensure
that employee benefit and pension plans are set up and maintained in a
fair and financially sound manner.
⩥ Supplemental Plan A.
Answer: Core benefits include Part A coinsurance, additional hospital
benefits, Part B coinsurance, and first three pints of blood per year.
This is the most basic plan that all insurers must offer.
⩥ Supplemental Plan B.
,Answer: Includes all Plan A benefits plus coverage for the Part A
deductible.
⩥ Supplemental Plan C.
Answer: Includes all Plan B benefits plus coverage for the Part B
deductible and foreign travel emergency care. available only to those
who were 65 before January 1, 2020
⩥ Supplemental Plan D.
Answer: Includes all Plan B benefits plus coverage for the Part A
deductible and foreign travel emergency care
⩥ Plan F.
Answer: Available in both standard and high-deductible versions, it is
only available to those who were 65 or older before January 1, 2020.
Offers comprehensive coverage, including all benefits from Plans A, B,
C, and D, as well as coverage for excess charges and foreign travel
emergency care.
The high-deductible version requires the policyholder to pay a higher
deductible before benefits kick in.
⩥ Plan G.
Answer: Core benefits, medicare part A deductible, skilled nursing
facility coinsurance, 100% of medicare part B excess charges, and
,foreign travel benefit. This plan must pay for services of activities of
daily living ADL that medicare doesn't cover.
⩥ Plans K and L.
Answer: lower premium plans with higher out-of-pocket cost. Offer a
percentage of coverage
⩥ Plan M.
Answer: Covers most of the same benefits as Plan D but only covers
50% of the Part A deductible.
⩥ Plan N.
Answer: Covers most of the same benefits as Plan D but requires
copayments for some office visits and emergency room visits
⩥ Medicare SELECT policy.
Answer: is a Medicare supplement policy that contains restricted
network provisions-provisions that condition the payment of benefits, in
whole or in part, on the use of network providers
⩥ How long is a producer's license valid for?.
Answer: Two years
⩥ The Financial Industry Regulatory Authority (FINRA).
, Answer: regulates agents who sell variable life products. It does not
apply to most life insurance products.
⩥ First-dollar coverage.
Answer: A healthcare insurance policy that has no deductible and covers
the first dollar of an insured's expenses. Basic hospital, surgical, and
physician policies give insureds three valuable benefits: first-dollar
coverage with no deductibles, 100 percent reimbursement with no co-
payments (up to specified maximums per charge, per treatment, or per
policy term), and the right to choose a health-care provider.
⩥ What is a pre-existing condition in insurance terms?.
Answer: A pre-existing condition is:
Any disease, illness, or condition for which medical advice or treatment
was received or recommended within 24 months before the coverage
start date, or
A condition diagnosed before coverage where a physician determines it
likely continued within the 24 months prior to coverage, even without
treatment or consultation.
⩥ Individuals enrolled in an HMO must receive what?.
Answer: Evidence of coverage, which describes the plan's eligibility
requirements and the method for resolving complaints. It must also
disclose any limitations on benefits and exclusions, as well as the
conditions under which coverage may be canceled.
PRODUCER GENERAL SIMULATOR
PRACTICE SCRIPT 2026 TESTED SOLUTIONS
GRADED A+
⩥ Supplemental Plans (Medigap).
Answer: will pick up the gap between what A+B will pay and
deductibles. run by private companies. Supplemental plans must include
coverage for hospice care, and they cannot duplicate Medicare coverage.
Additionally, Medigap (supplemental) plans sold today do not include
prescription drug coverage, which is available through Medicare Part D.
⩥ Employee Retirement Income Security Act (ERISA).
Answer: U.S. act that established uniform minimum standards to ensure
that employee benefit and pension plans are set up and maintained in a
fair and financially sound manner.
⩥ Supplemental Plan A.
Answer: Core benefits include Part A coinsurance, additional hospital
benefits, Part B coinsurance, and first three pints of blood per year.
This is the most basic plan that all insurers must offer.
⩥ Supplemental Plan B.
,Answer: Includes all Plan A benefits plus coverage for the Part A
deductible.
⩥ Supplemental Plan C.
Answer: Includes all Plan B benefits plus coverage for the Part B
deductible and foreign travel emergency care. available only to those
who were 65 before January 1, 2020
⩥ Supplemental Plan D.
Answer: Includes all Plan B benefits plus coverage for the Part A
deductible and foreign travel emergency care
⩥ Plan F.
Answer: Available in both standard and high-deductible versions, it is
only available to those who were 65 or older before January 1, 2020.
Offers comprehensive coverage, including all benefits from Plans A, B,
C, and D, as well as coverage for excess charges and foreign travel
emergency care.
The high-deductible version requires the policyholder to pay a higher
deductible before benefits kick in.
⩥ Plan G.
Answer: Core benefits, medicare part A deductible, skilled nursing
facility coinsurance, 100% of medicare part B excess charges, and
,foreign travel benefit. This plan must pay for services of activities of
daily living ADL that medicare doesn't cover.
⩥ Plans K and L.
Answer: lower premium plans with higher out-of-pocket cost. Offer a
percentage of coverage
⩥ Plan M.
Answer: Covers most of the same benefits as Plan D but only covers
50% of the Part A deductible.
⩥ Plan N.
Answer: Covers most of the same benefits as Plan D but requires
copayments for some office visits and emergency room visits
⩥ Medicare SELECT policy.
Answer: is a Medicare supplement policy that contains restricted
network provisions-provisions that condition the payment of benefits, in
whole or in part, on the use of network providers
⩥ How long is a producer's license valid for?.
Answer: Two years
⩥ The Financial Industry Regulatory Authority (FINRA).
, Answer: regulates agents who sell variable life products. It does not
apply to most life insurance products.
⩥ First-dollar coverage.
Answer: A healthcare insurance policy that has no deductible and covers
the first dollar of an insured's expenses. Basic hospital, surgical, and
physician policies give insureds three valuable benefits: first-dollar
coverage with no deductibles, 100 percent reimbursement with no co-
payments (up to specified maximums per charge, per treatment, or per
policy term), and the right to choose a health-care provider.
⩥ What is a pre-existing condition in insurance terms?.
Answer: A pre-existing condition is:
Any disease, illness, or condition for which medical advice or treatment
was received or recommended within 24 months before the coverage
start date, or
A condition diagnosed before coverage where a physician determines it
likely continued within the 24 months prior to coverage, even without
treatment or consultation.
⩥ Individuals enrolled in an HMO must receive what?.
Answer: Evidence of coverage, which describes the plan's eligibility
requirements and the method for resolving complaints. It must also
disclose any limitations on benefits and exclusions, as well as the
conditions under which coverage may be canceled.
