CO Health Insurance Exam- Exam FX Questions and
Answers.
What document describes an insured's medical history, including diagnoses and
treatment?
A. Individual Medical Summary
B. Comprehensive Medical History
C. Attending Physician's Statement
D. Physician's Review - Correct Answer C
Which of the following best describes the Medical Information Bureau (MIB)?
A. It is a rating organization for health insurance
B. It is a nonprofit organization that maintains underwriting information on applicants for
life and health insurance
C. It is a government agency that collects medical information on the insured from the
insurance companies
D. It is a member organization that protects insured against insolvent insurers - Correct
Answer B
The Medical Information Bureau (MIB) was created to protect
A Insurance departments from lawsuits by policyowners.
B Insureds from unreasonable underwriting requirements by the insurance companies.
C Medical examiners that perform insurance physical examinations.
D Insurance companies from adverse selection by high risk persons. - Correct Answer D
Which of the following would provide an underwriter with information concerning an
applicant's health history?
A A medical examination
B The agent's report
C The inspection report
D The Medical Information Bureau - Correct Answer D
In comparison to consumer reports, which of the following describes a unique
characteristic of investigative consumer reports?
A The customer has no knowledge of this action.
B The customer's associates, friends, and neighbors provide the report's data.
C They provide additional information from an outside source about a particular risk.
D They provide information about a customer's character and reputation. - Correct
Answer B
The proposed insured makes the premium payment on a new insurance policy. If the
insured should die, the insurer will pay the death benefit to the beneficiary if the policy is
approved. This is an example of what kind of contract?
A Adhesion
B Personal
, C Unilateral
D Conditional - Correct Answer D
Before a customer's agent delivers his policy, the insurer makes a last-minute change to
the policy. The agent informs the customer of this change, and he accepts it. What must
the agent do now?
A The agent should ask the customer to sign a statement acknowledging that he is aware
of the change.
B Nothing. After the explanation, the agent is not legally bound to do anything else.
C The agent must notify the beneficiary of the change in policy.
D If the change would affect the premium, the agent must have the customer sign a
statement acknowledging the change. - Correct Answer A
5Who makes up the Medical Information Bureau?
A Former insured
B Physicians and paramedics
C Insurers
D Hospitals - Correct Answer C
Occasional visits by which of the following medical professionals will NOT be covered
under LTC's home health care?
A Community-based organization professionals
B Attending physician
C Registered nurses
D Licensed practical nurses - Correct Answer B
How does a member of an HMO see a specialist?
A The member is allowed to choose his or her own specialist.
B The primary care physician refers the member.
C The insurer chooses the specialist.
D HMOs do not cover specialists. - Correct Answer B
Which of the following is considered a qualifying event under COBRA?
A Divorce
B Marriage
C Relocation
D Promotion - Correct Answer A
All of the following long-term care coverages would allow an insured to receive care at
home EXCEPT
A Skilled care.
B Custodial care in insured's house.
C Respite care.
D Home health care. - Correct Answer A
Which of the following is true regarding inpatient hospital care for HMO members?
Answers.
What document describes an insured's medical history, including diagnoses and
treatment?
A. Individual Medical Summary
B. Comprehensive Medical History
C. Attending Physician's Statement
D. Physician's Review - Correct Answer C
Which of the following best describes the Medical Information Bureau (MIB)?
A. It is a rating organization for health insurance
B. It is a nonprofit organization that maintains underwriting information on applicants for
life and health insurance
C. It is a government agency that collects medical information on the insured from the
insurance companies
D. It is a member organization that protects insured against insolvent insurers - Correct
Answer B
The Medical Information Bureau (MIB) was created to protect
A Insurance departments from lawsuits by policyowners.
B Insureds from unreasonable underwriting requirements by the insurance companies.
C Medical examiners that perform insurance physical examinations.
D Insurance companies from adverse selection by high risk persons. - Correct Answer D
Which of the following would provide an underwriter with information concerning an
applicant's health history?
A A medical examination
B The agent's report
C The inspection report
D The Medical Information Bureau - Correct Answer D
In comparison to consumer reports, which of the following describes a unique
characteristic of investigative consumer reports?
A The customer has no knowledge of this action.
B The customer's associates, friends, and neighbors provide the report's data.
C They provide additional information from an outside source about a particular risk.
D They provide information about a customer's character and reputation. - Correct
Answer B
The proposed insured makes the premium payment on a new insurance policy. If the
insured should die, the insurer will pay the death benefit to the beneficiary if the policy is
approved. This is an example of what kind of contract?
A Adhesion
B Personal
, C Unilateral
D Conditional - Correct Answer D
Before a customer's agent delivers his policy, the insurer makes a last-minute change to
the policy. The agent informs the customer of this change, and he accepts it. What must
the agent do now?
A The agent should ask the customer to sign a statement acknowledging that he is aware
of the change.
B Nothing. After the explanation, the agent is not legally bound to do anything else.
C The agent must notify the beneficiary of the change in policy.
D If the change would affect the premium, the agent must have the customer sign a
statement acknowledging the change. - Correct Answer A
5Who makes up the Medical Information Bureau?
A Former insured
B Physicians and paramedics
C Insurers
D Hospitals - Correct Answer C
Occasional visits by which of the following medical professionals will NOT be covered
under LTC's home health care?
A Community-based organization professionals
B Attending physician
C Registered nurses
D Licensed practical nurses - Correct Answer B
How does a member of an HMO see a specialist?
A The member is allowed to choose his or her own specialist.
B The primary care physician refers the member.
C The insurer chooses the specialist.
D HMOs do not cover specialists. - Correct Answer B
Which of the following is considered a qualifying event under COBRA?
A Divorce
B Marriage
C Relocation
D Promotion - Correct Answer A
All of the following long-term care coverages would allow an insured to receive care at
home EXCEPT
A Skilled care.
B Custodial care in insured's house.
C Respite care.
D Home health care. - Correct Answer A
Which of the following is true regarding inpatient hospital care for HMO members?
