PENNSYLVANIA HEALTH AND ACCIDENT INSURANCE
EXAM 2024 NEWEST EXAM 350 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT)
/ALREADY GRADED A+
Your license will be considered to be inactive when you: - ANSWER: No longer have
any appointments
On a "participating" health insurance policy issued by a mutual insurance company,
dividends paid to policy holders are: - ANSWER: 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: - ANSWER: 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: - ANSWER: Eating and dressing
The Employee Retirement Income Security Act (ERISA) requires that employee
benefit plans be managed for the benefit of: - ANSWER: Participants and
beneficiaries
Which of the following must be printed on every licensee's business cards, written
price quotations and printed advertisements: - ANSWER: Their insurance license
number
At age 65, an individual would be eligible for which of the following at no charge -
ANSWER: 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: - ANSWER: Information known
to be material
The enrollee pays what percentage of the premium for Medicare Part B? - ANSWER:
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: - ANSWER: Rescission
When can a representation be altered or withdrawn? - ANSWER: 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: - ANSWER: 19
Which of the following is not covered in a long-term care policy? - ANSWER: Acute
care in the hospital
The uncertainty about loss that exists whenever more than one outcome is possible
is called: - ANSWER: Risk
The hospice benefit under a long-term care policy will cover all of the following
EXCEPT: - ANSWER: Rehabilitation expenses
On disability income insurance, another name for the "waiting" period is the
_______ period: - ANSWER: Elimination
Which of the following parts of Medicare is known as the "managed care" option -
ANSWER: 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: -
ANSWER: 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: - ANSWER: 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): -
ANSWER: Attending physicians statement
Which of the following is true regarding the taxation of individual disability income
policies? - ANSWER: The premiums are not deductible and the benefits are tax free.
HMOs try to contain costs by stressing: - ANSWER: 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: - ANSWER: 65
An example of a fiduciary duty is: - ANSWER: The trust that your client places in you
in regard to handling premiums
All of the following are parts of Medicare EXCEPT; - ANSWER: Part D - Medi-Cal
EXAM 2024 NEWEST EXAM 350 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT)
/ALREADY GRADED A+
Your license will be considered to be inactive when you: - ANSWER: No longer have
any appointments
On a "participating" health insurance policy issued by a mutual insurance company,
dividends paid to policy holders are: - ANSWER: 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: - ANSWER: 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: - ANSWER: Eating and dressing
The Employee Retirement Income Security Act (ERISA) requires that employee
benefit plans be managed for the benefit of: - ANSWER: Participants and
beneficiaries
Which of the following must be printed on every licensee's business cards, written
price quotations and printed advertisements: - ANSWER: Their insurance license
number
At age 65, an individual would be eligible for which of the following at no charge -
ANSWER: 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: - ANSWER: Information known
to be material
The enrollee pays what percentage of the premium for Medicare Part B? - ANSWER:
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: - ANSWER: Rescission
When can a representation be altered or withdrawn? - ANSWER: 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: - ANSWER: 19
Which of the following is not covered in a long-term care policy? - ANSWER: Acute
care in the hospital
The uncertainty about loss that exists whenever more than one outcome is possible
is called: - ANSWER: Risk
The hospice benefit under a long-term care policy will cover all of the following
EXCEPT: - ANSWER: Rehabilitation expenses
On disability income insurance, another name for the "waiting" period is the
_______ period: - ANSWER: Elimination
Which of the following parts of Medicare is known as the "managed care" option -
ANSWER: 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: -
ANSWER: 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: - ANSWER: 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): -
ANSWER: Attending physicians statement
Which of the following is true regarding the taxation of individual disability income
policies? - ANSWER: The premiums are not deductible and the benefits are tax free.
HMOs try to contain costs by stressing: - ANSWER: 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: - ANSWER: 65
An example of a fiduciary duty is: - ANSWER: The trust that your client places in you
in regard to handling premiums
All of the following are parts of Medicare EXCEPT; - ANSWER: Part D - Medi-Cal
