2024 INSURANCE STATE
LICENSING EXAM WITH CORRECT
ANSWERS
HMOs usually require patients to select a ____________ as the person who will
oversee and direct their basic health care in most cases. - CORRECT
ANSWERS-primary care physician
which of the following products replaces lost income when one is unable to
work due to a condition for which therapeutic and rehabilitative care services
is often necessary? - CORRECT ANSWERS-disability insurance - covers
replaces lost income
which of the following is false with regard to coverage for newborn children?
- CORRECT ANSWERS-coverage for a newborn child begins 31 days after
birth - starts on date of birth and continues 31 days after birth
which of the following covers the greatest percentage of the benefit cost of
the plan under the affordable care act? - CORRECT ANSWERS-platinum - 90%
coverage for the following are optional in a medical expense plan, except: -
CORRECT ANSWERS-mental illness and substance abuse
what type of contract do commercial insurers traditionally market? -
CORRECT ANSWERS-reimbursement
wayne has a health insurance policy with an 80/20 coinsurance, a $1,000
deductible. in Jan, wayne goes into the hospital for an overnight stay and the
bill totals $2000. how much will the insurer pay? - CORRECT ANSWERS-$800
all of the following causes of death are covered under an AD&D policy,
except - CORRECT ANSWERS-stroke
medical expense insurance is usually written with a policy period of -
CORRECT ANSWERS-1 year
HMO prover is paid a set fee per enrollee, known as a: - CORRECT ANSWERS-
capitation fee
a policy that only covers cancer is considered a: - CORRECT ANSWERS-
limited sickness plan
,which of the following causes of death is covered by a AD&D plan? -
CORRECT ANSWERS-commercial airline crash
which is not a provider type? - CORRECT ANSWERS-blue cross blue shied
Clarice pays a $99 monthly health insurance premium, due on the first day of
each month. As of April 10, how much of her premium has been earned by
the insurance company. - CORRECT ANSWERS-$33
When a Medical Expense plan pays eligible expenses directly to the hospital,
physician, or surgeon, it is paying on a: - CORRECT ANSWERS-service basis
which is correct concerning blue cross blue shield plans - CORRECT
ANSWERS-they are service plans with benefits paid directly to the hospital or
physican
which of the following is the best definition of a limited accident policy -
CORRECT ANSWERS-provides specific benefits for specific injuries from
specific causes
Raymond owns an Accidental Death and Dismemberment Policy with a
principal sum of $50,000, and a capital sum of $25,000. After owning the
policy for several months, Raymond dies as the result of coronary artery
disease. Lynn, his beneficiary, can expect to receive what amount of benefit
from the policy? - CORRECT ANSWERS-none - he died of a natural disease
not an accident
the area of dentistry profession dealing primarily with maintaining the
functional use of natural teeth - CORRECT ANSWERS-general dentistry
blue cross blue shied are considered - CORRECT ANSWERS-prepaid plans
the ________ provision deals with expenses that did not satisfy the previous
year's deductible, were incurred in the last 3 months of that year are used
towards satisfying the current year's deductible - CORRECT ANSWERS-carry
over
a hospital indemnity plan pays for: - CORRECT ANSWERS-a daily hospital
benefit on a daily limit as stated in the policy
for which of the following is coverage not required to be provided or offered
under medical expense insurance by most insurers - CORRECT ANSWERS-
intentionally self-inflicted wounds coverage
, managed health care plans generally refer to covered persons as - CORRECT
ANSWERS-subscribers
a partial disability is defined as an individual: - CORRECT ANSWERS-Unable
to perform one or more duties of his/her occupation
all of the following groups are exempt from the affordable care act's
requirement to purchase coverage, except - CORRECT ANSWERS-those who
must pay less than 9.5% of their income for health insurance - those who
must pay more than 9.5%, even after subsidies are exempt
a basic hospital expense policy provides coverage for the insured while -
CORRECT ANSWERS-confined to the hospital - covers expenses as an
inpatient
which optional disability income insurance rider waives the elimination
period if the insured is hospitalized and pays only when the insured is being
treated as an inpatient - CORRECT ANSWERS-hospital confinement
the act of appointment represents the insurer's certification that the
appointed agent is - CORRECT ANSWERS-suitable, competent and financially
responsible
the transfer of some or all of the financial risk of loss from one insurer to
another insurer or insurers is best described as: - CORRECT ANSWERS-
reinsurance - used to reduce their direct loss exposure for certain risks
all of the following plans allow participants to roll over or retain benefit
amounts remaining at the end of the plan year, except: - CORRECT
ANSWERS-FSAs
which statement is incorrect regarding HMOs - CORRECT ANSWERS-HMOs
must provide basic health care services including hospitalization, laboratory
services, optical services, physical therapy, dental care, and preventive
services
veronica is a producer appointed as agent to ABC insurance company. when
will Veronica's appointment automatically renew? - CORRECT ANSWERS-
annual on July 1
the principal objectives of a HMO include all of the following, except: -
CORRECT ANSWERS-providing only inpatient medical care
LICENSING EXAM WITH CORRECT
ANSWERS
HMOs usually require patients to select a ____________ as the person who will
oversee and direct their basic health care in most cases. - CORRECT
ANSWERS-primary care physician
which of the following products replaces lost income when one is unable to
work due to a condition for which therapeutic and rehabilitative care services
is often necessary? - CORRECT ANSWERS-disability insurance - covers
replaces lost income
which of the following is false with regard to coverage for newborn children?
- CORRECT ANSWERS-coverage for a newborn child begins 31 days after
birth - starts on date of birth and continues 31 days after birth
which of the following covers the greatest percentage of the benefit cost of
the plan under the affordable care act? - CORRECT ANSWERS-platinum - 90%
coverage for the following are optional in a medical expense plan, except: -
CORRECT ANSWERS-mental illness and substance abuse
what type of contract do commercial insurers traditionally market? -
CORRECT ANSWERS-reimbursement
wayne has a health insurance policy with an 80/20 coinsurance, a $1,000
deductible. in Jan, wayne goes into the hospital for an overnight stay and the
bill totals $2000. how much will the insurer pay? - CORRECT ANSWERS-$800
all of the following causes of death are covered under an AD&D policy,
except - CORRECT ANSWERS-stroke
medical expense insurance is usually written with a policy period of -
CORRECT ANSWERS-1 year
HMO prover is paid a set fee per enrollee, known as a: - CORRECT ANSWERS-
capitation fee
a policy that only covers cancer is considered a: - CORRECT ANSWERS-
limited sickness plan
,which of the following causes of death is covered by a AD&D plan? -
CORRECT ANSWERS-commercial airline crash
which is not a provider type? - CORRECT ANSWERS-blue cross blue shied
Clarice pays a $99 monthly health insurance premium, due on the first day of
each month. As of April 10, how much of her premium has been earned by
the insurance company. - CORRECT ANSWERS-$33
When a Medical Expense plan pays eligible expenses directly to the hospital,
physician, or surgeon, it is paying on a: - CORRECT ANSWERS-service basis
which is correct concerning blue cross blue shield plans - CORRECT
ANSWERS-they are service plans with benefits paid directly to the hospital or
physican
which of the following is the best definition of a limited accident policy -
CORRECT ANSWERS-provides specific benefits for specific injuries from
specific causes
Raymond owns an Accidental Death and Dismemberment Policy with a
principal sum of $50,000, and a capital sum of $25,000. After owning the
policy for several months, Raymond dies as the result of coronary artery
disease. Lynn, his beneficiary, can expect to receive what amount of benefit
from the policy? - CORRECT ANSWERS-none - he died of a natural disease
not an accident
the area of dentistry profession dealing primarily with maintaining the
functional use of natural teeth - CORRECT ANSWERS-general dentistry
blue cross blue shied are considered - CORRECT ANSWERS-prepaid plans
the ________ provision deals with expenses that did not satisfy the previous
year's deductible, were incurred in the last 3 months of that year are used
towards satisfying the current year's deductible - CORRECT ANSWERS-carry
over
a hospital indemnity plan pays for: - CORRECT ANSWERS-a daily hospital
benefit on a daily limit as stated in the policy
for which of the following is coverage not required to be provided or offered
under medical expense insurance by most insurers - CORRECT ANSWERS-
intentionally self-inflicted wounds coverage
, managed health care plans generally refer to covered persons as - CORRECT
ANSWERS-subscribers
a partial disability is defined as an individual: - CORRECT ANSWERS-Unable
to perform one or more duties of his/her occupation
all of the following groups are exempt from the affordable care act's
requirement to purchase coverage, except - CORRECT ANSWERS-those who
must pay less than 9.5% of their income for health insurance - those who
must pay more than 9.5%, even after subsidies are exempt
a basic hospital expense policy provides coverage for the insured while -
CORRECT ANSWERS-confined to the hospital - covers expenses as an
inpatient
which optional disability income insurance rider waives the elimination
period if the insured is hospitalized and pays only when the insured is being
treated as an inpatient - CORRECT ANSWERS-hospital confinement
the act of appointment represents the insurer's certification that the
appointed agent is - CORRECT ANSWERS-suitable, competent and financially
responsible
the transfer of some or all of the financial risk of loss from one insurer to
another insurer or insurers is best described as: - CORRECT ANSWERS-
reinsurance - used to reduce their direct loss exposure for certain risks
all of the following plans allow participants to roll over or retain benefit
amounts remaining at the end of the plan year, except: - CORRECT
ANSWERS-FSAs
which statement is incorrect regarding HMOs - CORRECT ANSWERS-HMOs
must provide basic health care services including hospitalization, laboratory
services, optical services, physical therapy, dental care, and preventive
services
veronica is a producer appointed as agent to ABC insurance company. when
will Veronica's appointment automatically renew? - CORRECT ANSWERS-
annual on July 1
the principal objectives of a HMO include all of the following, except: -
CORRECT ANSWERS-providing only inpatient medical care
