Questions with Correct Answers 2025
utilizationAreviewA-ACORRECTAANSWERA-
aAsetAofAformalAtechniquesAtoAmonitorAtheAuseAorAclinicalAnecessityAofAhealthAcare,AdeterminingAtheAappli
cationAofAexclusions,AandAtheAmedicalAnecessityAofAtreatment.
30AdaysAforAelectronic;A45AdaysAforApaperA-ACORRECTAANSWERA-
WithAaAcleanAclaim,AtheAinsuredAhasA?AdaysAforApayingAorAdenyingAelectronicAandA?AdaysAforApaperAclaims.
EnforcesA-ACORRECTAANSWERA-TheACommissionerA______AlawsAandAdoesAnotAcreateAthem.
5AyearsA-ACORRECTAANSWERA-
EveryA____Ayears,AaAlicensedAinsurerAmustAbeAexaminedAbyAtheAstateAcommissioner.
AdverseAselectionA-ACORRECTAANSWERA-
WhatAisAaAmajorAconcernAforAUnderwriters,AespeciallyAduringAtheAopenAenrollmentAperiod?
ConversionAprivilegeA-ACORRECTAANSWERA-
AllowsAindividualApolicyAconversionAuponAplanAgroupAtermination
Non-taxableA-ACORRECTAANSWERA-BenefitsAareAtaxableAorAnon-taxableA(?)AtoAemployees.
20A-ACORRECTAANSWERA-
EmployersAwithA___A+AemployeesAareArequiredAtoAofferACOBRAAforAupAtoA18AmonthsAafterAanAemployeeAis
Aterminated.
MasterApolicyA-ACORRECTAANSWERA-
InAgroupAhealthAinsuranceAaA______AtypeAofApolicyAisAissuedAtoAtheAgroupAsponsor.
ImpairmentAriderA-ACORRECTAANSWERA-
TemporaryAorApermanentAriderAaddedAtoAaApolicyAthatAincludesAspecificAconditionsAwhichAwouldAnormally
AcauseAaApolicyAtoAbeAdeclined.
, FreeALookAPeriodA-ACORRECTAANSWERA-
TheAperiodAofAtimeAforAtheAinsuredAtoAlookAoverAaApolicyAafterAitAisAissuedA(10AdaysAforAhealthAinsurance,A1
5AforAlife)
ClassA-ACORRECTAANSWERA-
TheAguaranteedArenewableAprovisionAstatesAthatApremiumsAcanAonlyAbeAincreasedAbyA_________.
LegalAActionsAProvisionA-ACORRECTAANSWERA-
TheA___________AstatesAthatAoneAhasA60AdaysAafterAproofAofAlossAwithAaA2-yearAlimitAonAcertainAdefenses.
InsurersA-ACORRECTAANSWERA-TheAinsuringAclauseAincludesA____________'sApromiseAtoApayAbenefits.
ProofAofAlossAprovisionA-ACORRECTAANSWERA-
ThisAprovisionAstatesAthatAtheAinsuredAmustAprovideAproofAofAlossAwithinA90Adays,AupAtoAaA1-
yearAmaximum.
eliminationAperiodA-ACORRECTAANSWERA-
waitingAperiodAafterAaAlossAoccursAbeforeAbenefitAperiodAbeginsA(30,A90Adays,AupAtoA1Ayear)
PartACA-ACORRECTAANSWERA-MedicareAAdvantageAplan,AsubstitutionAforAoriginalAbenefitsA(AA&AB)
MedicareAPartAAA-ACORRECTAANSWERA-HospitalAinsurance,AcoversAinpatientAandAhospice
MedicareAPartABA-ACORRECTAANSWERA-
OutpatientAtreatment,AERAtreatment,ApreventiveAcareAisAloopedAunderAPartA___
SupplementAPartAAA-ACORRECTAANSWERA-
AlsoAknownAasAMedigap,AthisApartAcoversAcoreAbenefits,AincludingAhospiceAcare;ApremiumsAvary.
GuaranteedAInsurabilityARiderA-ACORRECTAANSWERA-
OptionalAriderAthatAenablesAtheApolicyownerAtoApurchaseAadditionalAamountsAofAcoverageAatApredetermi
nedAtimesAwithoutAproofAofAinsurability