Accident and Health Insurance Final
Your license will be considered to be inactive when you: - ANS No longer have any
appointments
On a "participating" health insurance policy issued by a mutual insurance company, dividends
paid to policy holders are: - ANS Not taxable since the IRS treats them as a refund of a portion
of the premium paid
All of the following are true regarding a non-contributory employer group medical expense
insurance policy EXCEPT: - ANS Premiums must be paid entirely by the employees
Which two of the following are considered to be activities of daily living in most long-term care
policies: - ANS Eating and dressing
The Employee Retirement Income Security Act (ERISA) requires that employee benefit plans be
managed for the benefit of: - ANS Participants and beneficiaries
Which of the following must be printed on every licensee's business cards, written price
quotations and printed advertisements: - ANS Their insurance license number
At age 65, an individual would be eligible for which of the following at no charge - ANS Part A of
Medicare
Under the California Insurance Code (CIC), neither party to a contract of insurance is bound to
communicate any of the following EXCEPT: - ANS Information known to be material
The enrollee pays what percentage of the premium for Medicare Part B? - ANS 100%
When an insurer voids an insurance contract due to an intentionally fraudulent omission by the
insured of a material fact, it is known as: - ANS Rescission
When can a representation be altered or withdrawn? - ANS Before the insurance is effected,
but not afterwards
Under the Patient Protection and Affordable Care Act (PPACA), health plans cannot limit or
deny benefits or deny coverage for a child younger than age ____ because the child has a
pre-existing condition that developed before the child applied to join the plan: - ANS 19
Which of the following is not covered in a long-term care policy? - ANS Acute care in the
hospital
The uncertainty about loss that exists whenever more than one outcome is possible is called: -
ANS Risk
, The hospice benefit under a long-term care policy will cover all of the following EXCEPT: - ANS
Rehabilitation expenses
On disability income insurance, another name for the "waiting" period is the _______ period: -
ANS Elimination
Which of the following parts of Medicare is known as the "managed care" option - ANS Part C -
Medicare Advantage
The Patient Protection and Affordable Care Act (PPACA) requires health plans to provide
rebates to consumers for the amount of the premiums spent on clinical services and quality that
is less than ____% for plans in the individual market place: - ANS 80
Medical expense insurance policies often contain a provision which states that during the first
12 months after the policy's effective date, there is no coverage for a pre-existing sickness that
recurs. This provision is known as: - ANS A probationary period
An applicant for health insurance completes an application, indicating that they have been
treated for various medical conditions in the past. If the underwriter needs more information
regarding these past treatments, they will most likely order a(n): - ANS Attending physicians
statement
Which of the following is true regarding the taxation of individual disability income policies? -
ANS The premiums are not deductible and the benefits are tax free.
HMOs try to contain costs by stressing: - ANS Preventive care
Although a "fully insured" worker is entitled to retirement benefits under social security as early
as age 62, they must be at least age ____ to automatically become eligible for Medicare: - ANS
65
An example of a fiduciary duty is: - ANS The trust that your client places in you in regard to
handling premiums
All of the following are parts of Medicare EXCEPT; - ANS Part D - Medi-Cal
To attain "fully insured" status under social security, an individual must have worked and
contributed to social security for at least ____ calendar quarters - ANS 40
Regarding surviving spouse benefits under social security, the time interval between the date
survivor benefits end and the date benefits resume is known as the _________ period: - ANS
Blackout
Your license will be considered to be inactive when you: - ANS No longer have any
appointments
On a "participating" health insurance policy issued by a mutual insurance company, dividends
paid to policy holders are: - ANS Not taxable since the IRS treats them as a refund of a portion
of the premium paid
All of the following are true regarding a non-contributory employer group medical expense
insurance policy EXCEPT: - ANS Premiums must be paid entirely by the employees
Which two of the following are considered to be activities of daily living in most long-term care
policies: - ANS Eating and dressing
The Employee Retirement Income Security Act (ERISA) requires that employee benefit plans be
managed for the benefit of: - ANS Participants and beneficiaries
Which of the following must be printed on every licensee's business cards, written price
quotations and printed advertisements: - ANS Their insurance license number
At age 65, an individual would be eligible for which of the following at no charge - ANS Part A of
Medicare
Under the California Insurance Code (CIC), neither party to a contract of insurance is bound to
communicate any of the following EXCEPT: - ANS Information known to be material
The enrollee pays what percentage of the premium for Medicare Part B? - ANS 100%
When an insurer voids an insurance contract due to an intentionally fraudulent omission by the
insured of a material fact, it is known as: - ANS Rescission
When can a representation be altered or withdrawn? - ANS Before the insurance is effected,
but not afterwards
Under the Patient Protection and Affordable Care Act (PPACA), health plans cannot limit or
deny benefits or deny coverage for a child younger than age ____ because the child has a
pre-existing condition that developed before the child applied to join the plan: - ANS 19
Which of the following is not covered in a long-term care policy? - ANS Acute care in the
hospital
The uncertainty about loss that exists whenever more than one outcome is possible is called: -
ANS Risk
, The hospice benefit under a long-term care policy will cover all of the following EXCEPT: - ANS
Rehabilitation expenses
On disability income insurance, another name for the "waiting" period is the _______ period: -
ANS Elimination
Which of the following parts of Medicare is known as the "managed care" option - ANS Part C -
Medicare Advantage
The Patient Protection and Affordable Care Act (PPACA) requires health plans to provide
rebates to consumers for the amount of the premiums spent on clinical services and quality that
is less than ____% for plans in the individual market place: - ANS 80
Medical expense insurance policies often contain a provision which states that during the first
12 months after the policy's effective date, there is no coverage for a pre-existing sickness that
recurs. This provision is known as: - ANS A probationary period
An applicant for health insurance completes an application, indicating that they have been
treated for various medical conditions in the past. If the underwriter needs more information
regarding these past treatments, they will most likely order a(n): - ANS Attending physicians
statement
Which of the following is true regarding the taxation of individual disability income policies? -
ANS The premiums are not deductible and the benefits are tax free.
HMOs try to contain costs by stressing: - ANS Preventive care
Although a "fully insured" worker is entitled to retirement benefits under social security as early
as age 62, they must be at least age ____ to automatically become eligible for Medicare: - ANS
65
An example of a fiduciary duty is: - ANS The trust that your client places in you in regard to
handling premiums
All of the following are parts of Medicare EXCEPT; - ANS Part D - Medi-Cal
To attain "fully insured" status under social security, an individual must have worked and
contributed to social security for at least ____ calendar quarters - ANS 40
Regarding surviving spouse benefits under social security, the time interval between the date
survivor benefits end and the date benefits resume is known as the _________ period: - ANS
Blackout
