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LOUISIANA ACCIDENT HEALTH INSURANCE
EXAM 2025 ACTUAL EXAM QUESTIONS WITH
100% CORRECT SOLUTIONS | GUARANTEED
SUCCESS.
1. Risk Retention Group - correct answer - A liability insurance company
owned by its members, which are exposed to similar liability risks by
virtue of being in the same business or industry.
2. Risk, Speculative - correct answer - The uncertainty or chance of a loss
occurring in a situation that involves the opportunity for either loss or
gain.
3. Risk, Standard - correct answer - An applicant or insured who is
considered to have an average probability of a loss based on health,
vocation and lifestyle.
4. Risk, Substandard - correct answer - An applicant or insured who has a
higher than normal probability of loss, and who may be subject to an
increased premium.
5. Service Plans - correct answer - Insurance plans where the health care
services rendered are the benefits instead of monetary benefits.
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6. Short - correct answer - Rate Cancellation - Canceling the policy with a
less than proportionate return of premium.
7. Short - correct answer - Term Disability Insurance - A group or individual
policy that covers disabilities of 13 to 26 weeks, and in some cases for a
period of up to two years.
8. Sickness - correct answer - A physical illness, disease, or pregnancy,
but not a mental illness.
9. Skilled Nursing Care - correct answer - Daily nursing care or skilled
care, such as administration of medication, diagnosis, or minor surgery
that is performed by or under the supervision of a skilled professional.
10. Standard Provisions - correct answer - Requirements approved by
state law that must appear in all insurance policies.
11. Standard Risk - correct answer - An applicant or insured who is
considered to have an average probability of a loss based on health,
vocation and lifestyle.
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12. Stock Companies - correct answer - Companies owned by the
stockholders whose investments provide the capital necessary to
establish and operate the insurance company.
13. Subrogation - correct answer - The legal process by which an
insurance company seeks recovery of the amount paid to the insured
from a third party who may have caused the loss.
14. Substandard Risk - correct answer - An applicant or insured who has
a higher than normal probability of loss, and who may be subject to an
increased premium.
15. Superintendent (Commissioner, Director) - correct answer - The head
of the state department of insurance.
16. Terminally Ill - correct answer - In most states, this is defined as a
patient who is expected to die within 6 months of a specific illness or
sickness.
17. Total Disability - correct answer - A condition which does not allow a
person to perform the duties of any occupation for payment as a result
of injury or sickness.
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18. Twisting - correct answer - A form of misrepresentation in which an
agent persuades an insured/owner to cancel, lapse, or switch policies,
even when it's to the insured's disadvantage.
19. Underwriter - correct answer - A person who evaluates and classifies
risks to accept or reject them on behalf of the insurer.
20. Underwriting - correct answer - The process of reviewing, accepting
or rejecting applications for insurance.
21. Unearned Premium - correct answer - The portion of premium for
which policy protection has not yet been given.
22. Unilateral Contract - correct answer - A contract that legally binds
only one party to contractual obligations after the premium is paid.
23. Utmost Good Faith - correct answer - The fair and equal bargaining
by both parties in forming the contract, where the applicant must make
full disclosure of risk to the company, and the insurance company must
be fair in underwriting the risk.
24. Waiting Period - correct answer - Time between the beginning of a
disability and the start of disability insurance benefits.
LOUISIANA ACCIDENT HEALTH INSURANCE
EXAM 2025 ACTUAL EXAM QUESTIONS WITH
100% CORRECT SOLUTIONS | GUARANTEED
SUCCESS.
1. Risk Retention Group - correct answer - A liability insurance company
owned by its members, which are exposed to similar liability risks by
virtue of being in the same business or industry.
2. Risk, Speculative - correct answer - The uncertainty or chance of a loss
occurring in a situation that involves the opportunity for either loss or
gain.
3. Risk, Standard - correct answer - An applicant or insured who is
considered to have an average probability of a loss based on health,
vocation and lifestyle.
4. Risk, Substandard - correct answer - An applicant or insured who has a
higher than normal probability of loss, and who may be subject to an
increased premium.
5. Service Plans - correct answer - Insurance plans where the health care
services rendered are the benefits instead of monetary benefits.
, Page |2
6. Short - correct answer - Rate Cancellation - Canceling the policy with a
less than proportionate return of premium.
7. Short - correct answer - Term Disability Insurance - A group or individual
policy that covers disabilities of 13 to 26 weeks, and in some cases for a
period of up to two years.
8. Sickness - correct answer - A physical illness, disease, or pregnancy,
but not a mental illness.
9. Skilled Nursing Care - correct answer - Daily nursing care or skilled
care, such as administration of medication, diagnosis, or minor surgery
that is performed by or under the supervision of a skilled professional.
10. Standard Provisions - correct answer - Requirements approved by
state law that must appear in all insurance policies.
11. Standard Risk - correct answer - An applicant or insured who is
considered to have an average probability of a loss based on health,
vocation and lifestyle.
, Page |3
12. Stock Companies - correct answer - Companies owned by the
stockholders whose investments provide the capital necessary to
establish and operate the insurance company.
13. Subrogation - correct answer - The legal process by which an
insurance company seeks recovery of the amount paid to the insured
from a third party who may have caused the loss.
14. Substandard Risk - correct answer - An applicant or insured who has
a higher than normal probability of loss, and who may be subject to an
increased premium.
15. Superintendent (Commissioner, Director) - correct answer - The head
of the state department of insurance.
16. Terminally Ill - correct answer - In most states, this is defined as a
patient who is expected to die within 6 months of a specific illness or
sickness.
17. Total Disability - correct answer - A condition which does not allow a
person to perform the duties of any occupation for payment as a result
of injury or sickness.
, Page |4
18. Twisting - correct answer - A form of misrepresentation in which an
agent persuades an insured/owner to cancel, lapse, or switch policies,
even when it's to the insured's disadvantage.
19. Underwriter - correct answer - A person who evaluates and classifies
risks to accept or reject them on behalf of the insurer.
20. Underwriting - correct answer - The process of reviewing, accepting
or rejecting applications for insurance.
21. Unearned Premium - correct answer - The portion of premium for
which policy protection has not yet been given.
22. Unilateral Contract - correct answer - A contract that legally binds
only one party to contractual obligations after the premium is paid.
23. Utmost Good Faith - correct answer - The fair and equal bargaining
by both parties in forming the contract, where the applicant must make
full disclosure of risk to the company, and the insurance company must
be fair in underwriting the risk.
24. Waiting Period - correct answer - Time between the beginning of a
disability and the start of disability insurance benefits.
