Test Bank The Social Work Experience A Case-Based Introduction to Social Work and Social Welfare 8th Edition by Mary Ann Suppes, Carolyn Cressy Wells, and Melinda Lee Kiltz With Verified Questions, Answer Key, Chapter 1–12 Exam Prep Guide, and Complete St

PRACTICE EXAM OF TEXAS LIFE &
HEALTH INSURANCE. "TEXAS HMO
LAW''
1) For cancellation of an HMO contract due to fraud or intentional misrepresentation of a
material fact, how many days' advance written notice is required?
A- 15
B- 30
C- 20
D- 10
A- 15


Persons covered by an HMO (Health Maintenance Organization) are known as:
A- Participants
B- Beneficiaries
C- Insureds
D- Subscribers
D- Subscribers




1) Individuals enrolled in a health care plan offered by an HMO, including covered
dependents, are commonly referred to as:
A- Insureds
B- Enrollees
C- Participants
D- Insurers
B- Enrollees


1) All HMOs must include coverage for newborn children from the moment of birth. The
HMO may require that the subscriber notify the HMO within ____ days of the birth of the
child and pay any additional premium required to continue coverage for the newborn child.
A- 30
B- 31
C- 10
D-15
B- 31


1) If a material misstatement was made regarding a subscriber's health on an enrollment
application, the HMO may adjust the premium so long as the contract holder is given ____
days' prior written notice.