FLORIDA HEALTH INSURANCE EXAM
Questions and Answers
1. Accident: An unplanned, unforeseen event which occurs suddenly and at an unspecified place
2. Accident Insurance: A type of insurance that protects the insured against loss due to
accidental bodily injury
3. Accidental Bodily Injury: Unplanned, unforeseen traumatic injury to the body
4. Accidental Death and Dismemberment: An insurance policy which pays a specified
amount or a specified multiple of the insured's benefit if the insured dies, loses his/her sight, or loses
two limbs due to an accident
5. Accidental Death Benefits: A policy rider that states that the cause of death will be analyzed
to determine if it complies with the policy description of accidental death
6. Activities of Daily Living: Activities individuals must do every day such as moving about,
getting dressed, eating, bathing, etc.
7. Actual Charge: The amount a physician or supplier actually bills for a particular service or
supply
8. Adhesion: A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's
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, only option is to accept or reject the contract. Any ambiguities in the contract will be settled in favor
of the insured
9. Admitted (Authorized) Insurer: An insurance company authorized and licensed to
transact insurance in a particular state
10. Adult Day Care: A program for impaired adults that attempts to meet their health,
social, and functional needs in a setting away from their homes
11. Adverse Selection: The tendency of risks with higher probability of loss to purchase
and maintain insurance more often than the risks who present lower probability
12. Agent: An individual who is licensed to sell, negotiate, or effect insurance contracts on
behalf of the insurer
13. Aleatory: A contract in which participating parties exchange unequal amounts. Insurance
contracts are this in that the amount the insured will pay in premiums is unequal to the amount the
insurer will pay in the event of a loss
14. Alien Insurer: An insurance company that is incorporated outside the USA
15. Apparent Authority: The appearance or the assumption of authority based on the
actions, words, or deeds of the principal or because of circumstances the principal created
16. Approved Amount: The amount Medicare determines to be reasonable for a service
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Questions and Answers
1. Accident: An unplanned, unforeseen event which occurs suddenly and at an unspecified place
2. Accident Insurance: A type of insurance that protects the insured against loss due to
accidental bodily injury
3. Accidental Bodily Injury: Unplanned, unforeseen traumatic injury to the body
4. Accidental Death and Dismemberment: An insurance policy which pays a specified
amount or a specified multiple of the insured's benefit if the insured dies, loses his/her sight, or loses
two limbs due to an accident
5. Accidental Death Benefits: A policy rider that states that the cause of death will be analyzed
to determine if it complies with the policy description of accidental death
6. Activities of Daily Living: Activities individuals must do every day such as moving about,
getting dressed, eating, bathing, etc.
7. Actual Charge: The amount a physician or supplier actually bills for a particular service or
supply
8. Adhesion: A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the insured's
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, only option is to accept or reject the contract. Any ambiguities in the contract will be settled in favor
of the insured
9. Admitted (Authorized) Insurer: An insurance company authorized and licensed to
transact insurance in a particular state
10. Adult Day Care: A program for impaired adults that attempts to meet their health,
social, and functional needs in a setting away from their homes
11. Adverse Selection: The tendency of risks with higher probability of loss to purchase
and maintain insurance more often than the risks who present lower probability
12. Agent: An individual who is licensed to sell, negotiate, or effect insurance contracts on
behalf of the insurer
13. Aleatory: A contract in which participating parties exchange unequal amounts. Insurance
contracts are this in that the amount the insured will pay in premiums is unequal to the amount the
insurer will pay in the event of a loss
14. Alien Insurer: An insurance company that is incorporated outside the USA
15. Apparent Authority: The appearance or the assumption of authority based on the
actions, words, or deeds of the principal or because of circumstances the principal created
16. Approved Amount: The amount Medicare determines to be reasonable for a service
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