WI Health Insurance Exam Prep Questions and Answers Already Passed

WI Health Insurance Exam Prep Questions and Answers Already Passed Which of the following is true regarding the notice of the insured's right to file a complaint? A) the notice must be prominently displayed in the agent's office during the time of application B) Every insurer must provide such notice to its policyholders when the policy is issued C) The department of insurance is responsible for providing the notice to the insurance applicants D) the notice may be provided to the policyholders upon request B To be eligible under HIPAA regulations, for how long should an individual converting to an individual health plan have been covered under the previous group plan? 18 months A policyowner is reading a statement on the first page of his health insurance policy, which says "this is a limited policy." What is the name of this statement Limited Policy Notice Which of the following is true regarding benefits paid to disabled employees A) they are exempt from taxation if any portion of the premium was paid by the employee B) tax withholding is required if the employee paid the premium c) disability benefits are not taxed d) they may be subject to taxation is the premium was paid by the employer They may be subject to taxation if the premium was paid by the employer All of the following statements about Medicare supplement insurance policies are correct EXCEPT A) They cover the cost of extended nursing home care B) They cover Medicare deductibles and copayments C) They supplement Medicare benefits D) They are issued by private insurers. the cover the cost of extended nursing home care After the original hearing and a final order is issued, an aggrieved person may request a re- hearing within 20 days When must the "Wisconsin Guide for Health Insurance for People with Medicare" pamphlet be issued? With every policy solicitation In cases where a covered employee is eligible for Medicare benefits to treat end stage renal disease with dialysis for kidney transplant, which of the following is correct? a) Medicare is primary for the first 12 months of treatment and then employer group insurance is secondary b) Medicare is the secondary payer during the first 30 months of treatment c) Medicare in the employer group insurance plan will share the cost equally d) Because Medicare does not cover treatment of ESRD the group plan will pay 100% Medicare is the secondary payer during the first 30 months of treatment In a replacement situation, all of the following must be considered except A) limitations B) exclusions C) assets D) benefits Assets in which of the following locations would skilled care most likely be provided? A) in an institutional setting B) at the patient's home C) in an outpatient setting D) at the physician's office in an institutional setting. Skilled nursing care is performed under the direction of a physician usually in an institutional setting. Which of the following is NOT a characteristic of a group long-term disability plan? A) the benefit period may be to age 65 B) the benefit can be up to 66 and 2/3% of one's monthly income C) the benefit can be up to 50% of one's yearly income D) the elimination period is the same as in the short-term plan's benefit period the benefit can be up to 50% of one's yearly income--the max benefit is based upon monthly income How long is an open enrollment period for Medicare supplement policies? 6 months Long-term care policies MUST cover Alzheimer's disease Most policies will pay the accident death benefits as long as the death is caused by the accident and occurs within 90 days What is an important feature of a dental expense insurance plan that is NOT typically found in a medical expense insurance plan diagnostic and