Chapter 19/6: FLORIDA REVIEW HEALTH questions with completed answers

ERISA states that no employee benefit plan or trust shall be deemed to be what kind of company? ERISA states that no employee benefit plan or trust shall be deemed to be an insurance company or other insurer or be engaged in the business of insurance. The correct answer is: Insurance company What was created in Florida to protect subscribers of HMOs from insolvent HMOs? The Consumer Assistance Plan (CAP) was created in Florida to protect subscribers of HMOs from insolvent HMOs. The correct answer is: Consumer Assistance Plan 00:44 01:40 An advertisement for a health insurance policy must give an appropriate definition or description for which of the following terms? An advertisement for a health insurance policy must give an appropriate definition or description of the term "pre-existing." The correct answer is: Pre-existing In Florida, what is the minimum number of employees for a small employer health plan to be guaranteed issuer? In Florida, all small employer health plans must be guaranteed issue to every small employer with 2 to 50 employees. The correct answer is: 2 HMO contracts must provide coverage for newborn children of a family member from the moment of birth for at least: HMO contracts that provide coverage for a family member of the insured must also provide coverage for the insured's newborn children from the moment of birth. Coverage must be also be provided for the newborn child of a covered family member (such as the newborn of a daughter) for 18 months after the birth. The correct answer is: 18 months A Medicare supplement policy cannot exclude benefits for a pre-existing condition for a person who had how many months of continuous creditable coverage prior to their application? A Medicare supplement policy cannot exclude benefits for a pre-existing condition for a person who had 6 months of continuous creditable coverage prior to their application. The correct answer is: 6 months In Florida, comprehensive health care services includes all the following types of care, EXCEPT: In Florida, comprehensive health care services includes services, equipment and supplies for medical care, surgical care, dental care, psychological care, optometric, optical, chiropractic, podiatric, nursing, physical therapy, pharmaceutical services, health education preventive medical, rehabilitative services, home health services, inpatient and outpatient hospital services, extended care, nursing home care, convalescent institutional care, pathology lab services, laboratory and ambulance services, services, and any other care, service or treatment of disease or correction of defects in human beings. The correct answer is: Homeopathic What organization did Florida create to improve access to health insurance for uninsured children in Florida? Florida created the Florida Healthy Kids Corporation to improve access to health insurance for uninsured children in Florida. The correct answer is: Florida Healthy Kids Corporation What act is meant to promote the availability of health insurance coverage to small employers in Florida? The Florida Employee Health Care Access Act is meant to promote the availability of health insurance coverage to small employers. The correct answer is: Florida Employee Health Care Access Act Florida Healthy Kids is mainly for school age children who are ineligible for Medicaid and whose family income is below: Florida Healthy Kids is mainly for school age children whose family income is below 200% of the federal poverty level and are ineligible for Medicaid. The correct answer is: 200% of the federal poverty level What is the rule on mentioning the Consumer Assistance Plan during the sale of an HMO contract? Florida prohibits mentioning the Consumer Assistance Plan (CAP) in any way during the sale of HMO contracts. The correct answer is: CAP must never be mentioned. The definition of "Medicare eligible expense" for a Medicare supplement policy cannot be: A Medicare supplement policy cannot have a definition of "Medicare eligible expense" that is more restrictive than Medicare's. The correct answer is: More restrictive than Medicare's