Health Insurance Florida
m m
2 to 40 Practice Exam
mm mm mm mm
Questions 2
Questions and m
Correct Answers
m m
Whichmofmthemfollowing mismNOTmamformmofmmedicalminsurance?
-Businessmoverheadmexpense
-Surgicalmexpense
-Hospitalmexpense
-Long mtermmcare
Answer:m Businessmoverheadmexpensem(Explanation:Business mOverheadmExpensemi
nsurancemismdesignedmtomreimbursemambusinessmformoverheadmexpensesminmthemeve
ntmambusinessmownermbecomesmdisabled.mExpensesmsuchmasmrent,mutilities,mtelepho
ne,mequipment,memployees'msalaries,metc.)
Allmofmthemfollowing maremstatemormfederalmgovernment mprogramsmthat mprovidemheal
thminsurance,mEXCEPT?
,-Medicare
-OASDImdisability
-Medicaid
-Medigap
Answer:m Medigap m(Explanation:A mMedigap mpolicymismamMedicaremsupplement minsura
ncempolicymsoldmbymprivateminsurancemcompaniesmtomfillm"gaps"minmMedicaremPartsmAm
andmB.)
Whatmtypemofmhealthminsurancemismavailablemtomassist mlow-incomemindividuals?
Answer:m Medicaid
Whatmtypesmofmreservesmaremset masidemandmheldmbymhealthminsurancemcompanies?
Answer:m PremiummandmClaimsmreservesm(Explanation:Reserves maremset masidemformt
hempayment mofmfuturemclaims.)
Group mhealthminsurancemismgenerallymwrittenmonmambasismthat mprovidesmformdividen
dsmormexperiencemrating.mWhat mismthembasismcalled?
,Answer:m Participating m(Explanation:Group mplansmwrittenmbymmutualmcompaniesmpro
videmformdividendsmwhilemstockmcompaniesmfrequentlymissuemexperience-
ratedmplans.)
Whichmofmthemfollowing mismNOTmTRUEmregarding meligibilitymformsubsidiesmformfamil
iesmundermthemnewmhealthmcaremact?
-Formthosemwhommakembetweenm100-400%mofmthemFederalmPovertym-Level
-Cannot mbemcoveredmbymanmemployer
-Cannot mbemeligiblemformMedicare
-CanmbemeligiblemformMedicaid
Answer:m CanmbemeligiblemformMedicaid
Whichmofmthemfollowing moperatesmasmamcorporation,msociety,mormassociationmtomprov
idemlifeminsurancemprimarilymformthemmutualmbenefit mofmitsmmembers,mhasmamlodgemo
rmsocialmsystemmwithmritualsmandmrepresentative mformmofmgovernment?
A) Mutualmcompanies
B) Fraternalmassociations
C) Stockmcompanies
, -Fraternalmbenefit msociety
Answer:m B)mFraternalmassociations
WhatmdoesmeachmmembermpayminmamtypicalmHMOmplan?
-Fixedmpremiummbasedmonmamdeductiblemandmcopay
-Fixedmpremiummwhether mormnot mplanmismused
-Premiummbasedmonmhowmoftenmplanmismused
Answer:m Fixedmpremiummwhethermormnot mplanmismused
Whichmofmthemfollowing mismcorrect mabout mthosemwhomaremeligiblemformMedicaremand
wishmtomjoinmanmHMO?
m
-Theymmust mhavemamcurrent mMedicaremsupplement mpolicy
-
Theymmust mbemtoldmthat'llmbemgetting mallmthembenefitsmfrommthemMedicaremAdvant
agemplan
-Theymmust mbemagem70mandmabove
-Theymmust mhavembeenmenrolledmpreviouslyminmanmHMO
Answer:m Theymmust mbemtoldmthat'llmbemgettingmallmthembenefitsmfrommthemMedica
remAdvantagemplan
m m
2 to 40 Practice Exam
mm mm mm mm
Questions 2
Questions and m
Correct Answers
m m
Whichmofmthemfollowing mismNOTmamformmofmmedicalminsurance?
-Businessmoverheadmexpense
-Surgicalmexpense
-Hospitalmexpense
-Long mtermmcare
Answer:m Businessmoverheadmexpensem(Explanation:Business mOverheadmExpensemi
nsurancemismdesignedmtomreimbursemambusinessmformoverheadmexpensesminmthemeve
ntmambusinessmownermbecomesmdisabled.mExpensesmsuchmasmrent,mutilities,mtelepho
ne,mequipment,memployees'msalaries,metc.)
Allmofmthemfollowing maremstatemormfederalmgovernment mprogramsmthat mprovidemheal
thminsurance,mEXCEPT?
,-Medicare
-OASDImdisability
-Medicaid
-Medigap
Answer:m Medigap m(Explanation:A mMedigap mpolicymismamMedicaremsupplement minsura
ncempolicymsoldmbymprivateminsurancemcompaniesmtomfillm"gaps"minmMedicaremPartsmAm
andmB.)
Whatmtypemofmhealthminsurancemismavailablemtomassist mlow-incomemindividuals?
Answer:m Medicaid
Whatmtypesmofmreservesmaremset masidemandmheldmbymhealthminsurancemcompanies?
Answer:m PremiummandmClaimsmreservesm(Explanation:Reserves maremset masidemformt
hempayment mofmfuturemclaims.)
Group mhealthminsurancemismgenerallymwrittenmonmambasismthat mprovidesmformdividen
dsmormexperiencemrating.mWhat mismthembasismcalled?
,Answer:m Participating m(Explanation:Group mplansmwrittenmbymmutualmcompaniesmpro
videmformdividendsmwhilemstockmcompaniesmfrequentlymissuemexperience-
ratedmplans.)
Whichmofmthemfollowing mismNOTmTRUEmregarding meligibilitymformsubsidiesmformfamil
iesmundermthemnewmhealthmcaremact?
-Formthosemwhommakembetweenm100-400%mofmthemFederalmPovertym-Level
-Cannot mbemcoveredmbymanmemployer
-Cannot mbemeligiblemformMedicare
-CanmbemeligiblemformMedicaid
Answer:m CanmbemeligiblemformMedicaid
Whichmofmthemfollowing moperatesmasmamcorporation,msociety,mormassociationmtomprov
idemlifeminsurancemprimarilymformthemmutualmbenefit mofmitsmmembers,mhasmamlodgemo
rmsocialmsystemmwithmritualsmandmrepresentative mformmofmgovernment?
A) Mutualmcompanies
B) Fraternalmassociations
C) Stockmcompanies
, -Fraternalmbenefit msociety
Answer:m B)mFraternalmassociations
WhatmdoesmeachmmembermpayminmamtypicalmHMOmplan?
-Fixedmpremiummbasedmonmamdeductiblemandmcopay
-Fixedmpremiummwhether mormnot mplanmismused
-Premiummbasedmonmhowmoftenmplanmismused
Answer:m Fixedmpremiummwhethermormnot mplanmismused
Whichmofmthemfollowing mismcorrect mabout mthosemwhomaremeligiblemformMedicaremand
wishmtomjoinmanmHMO?
m
-Theymmust mhavemamcurrent mMedicaremsupplement mpolicy
-
Theymmust mbemtoldmthat'llmbemgetting mallmthembenefitsmfrommthemMedicaremAdvant
agemplan
-Theymmust mbemagem70mandmabove
-Theymmust mhavembeenmenrolledmpreviouslyminmanmHMO
Answer:m Theymmust mbemtoldmthat'llmbemgettingmallmthembenefitsmfrommthemMedica
remAdvantagemplan
