FLORIDA 2-15 INSURANCE LICENCE EXAM QUESTIONS AND
CORRECT ANSWERS LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
If a person is receiving disability income benefits, the insurer can
require the insured undergo a physical examination every:
a) Month
b) 3 months
c) 12 months
d) 6 months - ANSWER-6 months
If an insurer is allowed to exclude coverage for a pre-existing
condition, WHAT form will they use?
a) A medical declination provision
b) This cannot happen, as no insurance policy may exclude
coverage for pre-existing conditions due to the Affordable Care
Act
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c) There is no form for this, the insurer will simply deny all claims
associated with the pre-existing condition
d) An impairment rider or waiver - ANSWER-An impairment rider
or waiver
Once an insurer has received a properly executed proof of loss
form, medical claims must be paid IN WHAT MANNER, and
disability claims may be paid not less frequently than HOW
OFTEN?
a) Medical claims must be paid within 60 days of proof of loss,
and disability claims cannot be paid less frequently than weekly
b) Medical claims must be paid immediately upon proof of loss,
and disability claims cannot be paid less frequently than monthly.
c) Medical claims must be paid immediately upon proof of loss,
and disability claims cannot be paid less frequently than daily
d) Medical claims must be paid with 14 days of proof of loss, and
disability claims cannot be paid less frequently than quarterly -
ANSWER-Medical claims must be paid immediately upon proof of
loss, and disability claims cannot be paid less frequently than
monthly.
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Instead of coinsurance, a small amount of money paid at the time
services are rendered is known as a:
a) Deductible
b) Cost reduction provision
c) Cost sharing amount
d) Copayment - ANSWER-Copayment
If any part of a policy is not compliant with state law, the policy will
automatically be changed to meet the law through WHAT
provision in the policy?
a) Liberalization clause
b) Conformity with State Statutes
c) The Automatic Increase in Coverage feature
d) Legal Requirement provisions - ANSWER-Conformity with
State Statutes
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If an insured submits a claim, but owes the insurer premium,
WHAT can the insurance company do?
a) The insurer may obtain a legal judgment that forces the insured
to pay the premium
b) Delay paying the claim until the insured can prove he has the
financial ability to pay the premiums
c) Deduct the premium owed from any claims payment
d) Deny the claim until the past due premiums are paid, and then
pay the claim - ANSWER-Deduct the premium owed from any
claims payment
ALL of the following situations create a Special Enrollment period
for medical coverage through the Affordable Care Act EXCEPT:
a) Death of the insured employee in a group plan
b) An insured chooses the wrong plan, and decides that a
different plan would work better
c) A person loses their coverage under Medicare, Medicaid or the
Children's Health Insurance Plan