Georgial Lifel andl Healthl Insurancel Examl
(Latestl 2026/l 2027l Update)l Guide|l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Thel appearancel orl thel assumptionl ofl authorityl basedl onl thel actions,l words,l orl
deedsl ofl thel principall orl becausel ofl circumstancesl thel principall created.
Answer:
Apparentl Authority
Q:l Thel amountl Medicarel determinesl tol bel reasonablel forl al servicel thatl isl coveredl
underl partl Bl ofl Medicare.
Answer:
Approvedl Amount
Q:l Al claiml tol al providerl orl medicall supplierl tol receivel paymentsl directlyl froml
Medicare.
Answer:
Assignment
Q:l Thel agel ofl thel insuredl atl al determinedl date.
Answer:
Attainedl Age
Q:l Al statementl usuallyl obtainedl froml thel applicant'sl doctor.
,Answer:
Attendingl Physicianl Statementl (APS)
Q:l Al methodl ofl dealingl withl riskl (e.g.l ifl al personl wantedl tol avoidl thel riskl ofl
beingl killedl inl anl airplanel crash,l he/shel mightl choosel neverl tol flyl inl al plane).
Answer:
Avoidance
Q:l Coveragel thatl providesl benefitsl forl room,l boardl andl miscellaneousl hospitall
expensesl forl al certainl numberl ofl daysl duringl al hospitall stay.
Answer:
Basicl Hospitall Expensel Insurance
Q:l Coveragel forl doctorl visits,l x-rays,l labl tests,l andl emergencyl rooml visits;l benefits,l
however,l arel limitedl tol specifiedl dollarl amounts.
Answer:
Basicl Medicall Expensel Insurance
Q:l Thel personl whol receivesl thel proceedsl froml thel policyl whenl thel insuredl dies.
Answer:
Beneficiary
Q:l Thel lengthl ofl timel overl whichl thel insurancel benefitsl willl bel paidl forl eachl
illness,l disability,l orl hospitall stay
Answer:
Benefitl Period
,Q:l Thel methodl ofl determiningl primaryl coveragel forl al dependentl child,l underl whichl
thel planl ofl thel parentl whosel birthdayl occursl firstl inl thel calendarl yearl isl designatedl asl
primary.
Answer:
Birthdayl Rule
Q:l Anl unfairl tradel practicel inl whichl onel personl refusesl tol dol businessl withl anotherl
untill hel orl shel agreesl tol certainl comditioms.
Answer:
Boycott
Q:l Al policyl thatl providesl benefitsl forl alll medicall costs,l includingl doctorl visits,l
hospitalization,l andl drugs.
Answer:
Blanketl Medicall Insurance
Q:l Al bookletl thatl describesl insurancel policiesl andl concepts,l andl providesl generall
informationl tol helpl anl applicantl makel anl informedl decision.
Answer:
Buyersl Guide
Q:l Al selectionl ofl healthl carel benefitsl froml whichl anl employeel mayl choosel thel onesl
thatl he/shel needs.
Answer:
Cafeterial Plan
, Q:l Al percentagel ofl thel principall amountl ofl al policyl paidl tol thel insuredl ifl he/shel
sufferedl thel lossl ofl anl appendage.
Answer:
Capitall Amount
Q:l Organizationsl thatl processl claimsl andl payl benefitsl inl anl insurancel policy
Answer:
Carriers
Q:l Al demandl ofl al personl tol stopl committingl anl actionl thatl isl inl violationl ofl al
provision.
Answer:
Ceasel andl Desistl Order
Q:l Al documentl thatl authorizesl al companyl tol startl conductingl businessl andl specifiesl
thel kind(s)l ofl insurancel al companyl canl transact.l Itl isl illegall forl anl insurancel companyl
tol transactl insurancel withoutl thisl certificate.
Answer:
Certificatel Authority
Q:l Al writtenl documentl thatl indicatesl thatl anl insurancel policyl hasl beenl issued,l andl
thatl statesl bothl thel amountsl andl typesl ofl insurancel provided.
Answer:
Certificatel ofl Insurance
Q:l Al requestl forl paymentl ofl thel benefitsl providedl byl anl insurancel contract.
(Latestl 2026/l 2027l Update)l Guide|l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Thel appearancel orl thel assumptionl ofl authorityl basedl onl thel actions,l words,l orl
deedsl ofl thel principall orl becausel ofl circumstancesl thel principall created.
Answer:
Apparentl Authority
Q:l Thel amountl Medicarel determinesl tol bel reasonablel forl al servicel thatl isl coveredl
underl partl Bl ofl Medicare.
Answer:
Approvedl Amount
Q:l Al claiml tol al providerl orl medicall supplierl tol receivel paymentsl directlyl froml
Medicare.
Answer:
Assignment
Q:l Thel agel ofl thel insuredl atl al determinedl date.
Answer:
Attainedl Age
Q:l Al statementl usuallyl obtainedl froml thel applicant'sl doctor.
,Answer:
Attendingl Physicianl Statementl (APS)
Q:l Al methodl ofl dealingl withl riskl (e.g.l ifl al personl wantedl tol avoidl thel riskl ofl
beingl killedl inl anl airplanel crash,l he/shel mightl choosel neverl tol flyl inl al plane).
Answer:
Avoidance
Q:l Coveragel thatl providesl benefitsl forl room,l boardl andl miscellaneousl hospitall
expensesl forl al certainl numberl ofl daysl duringl al hospitall stay.
Answer:
Basicl Hospitall Expensel Insurance
Q:l Coveragel forl doctorl visits,l x-rays,l labl tests,l andl emergencyl rooml visits;l benefits,l
however,l arel limitedl tol specifiedl dollarl amounts.
Answer:
Basicl Medicall Expensel Insurance
Q:l Thel personl whol receivesl thel proceedsl froml thel policyl whenl thel insuredl dies.
Answer:
Beneficiary
Q:l Thel lengthl ofl timel overl whichl thel insurancel benefitsl willl bel paidl forl eachl
illness,l disability,l orl hospitall stay
Answer:
Benefitl Period
,Q:l Thel methodl ofl determiningl primaryl coveragel forl al dependentl child,l underl whichl
thel planl ofl thel parentl whosel birthdayl occursl firstl inl thel calendarl yearl isl designatedl asl
primary.
Answer:
Birthdayl Rule
Q:l Anl unfairl tradel practicel inl whichl onel personl refusesl tol dol businessl withl anotherl
untill hel orl shel agreesl tol certainl comditioms.
Answer:
Boycott
Q:l Al policyl thatl providesl benefitsl forl alll medicall costs,l includingl doctorl visits,l
hospitalization,l andl drugs.
Answer:
Blanketl Medicall Insurance
Q:l Al bookletl thatl describesl insurancel policiesl andl concepts,l andl providesl generall
informationl tol helpl anl applicantl makel anl informedl decision.
Answer:
Buyersl Guide
Q:l Al selectionl ofl healthl carel benefitsl froml whichl anl employeel mayl choosel thel onesl
thatl he/shel needs.
Answer:
Cafeterial Plan
, Q:l Al percentagel ofl thel principall amountl ofl al policyl paidl tol thel insuredl ifl he/shel
sufferedl thel lossl ofl anl appendage.
Answer:
Capitall Amount
Q:l Organizationsl thatl processl claimsl andl payl benefitsl inl anl insurancel policy
Answer:
Carriers
Q:l Al demandl ofl al personl tol stopl committingl anl actionl thatl isl inl violationl ofl al
provision.
Answer:
Ceasel andl Desistl Order
Q:l Al documentl thatl authorizesl al companyl tol startl conductingl businessl andl specifiesl
thel kind(s)l ofl insurancel al companyl canl transact.l Itl isl illegall forl anl insurancel companyl
tol transactl insurancel withoutl thisl certificate.
Answer:
Certificatel Authority
Q:l Al writtenl documentl thatl indicatesl thatl anl insurancel policyl hasl beenl issued,l andl
thatl statesl bothl thel amountsl andl typesl ofl insurancel provided.
Answer:
Certificatel ofl Insurance
Q:l Al requestl forl paymentl ofl thel benefitsl providedl byl anl insurancel contract.
