ACCIDENT AND HEALTH INSURANCE EX d d d d
AM 2025| BRAND NEW ACTUAL EXAM WIT
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H 100% VERIFIED QUESTIONS AND CORR
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ECT SOLUTIONS| GUARANTEED VALUE P
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ACK| ACE YOUR GRADES. d d d
A LTC policy that will only pay for ADL given occasionally by a licensed pro
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fessional is: d
A: Skilled Care
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B: Intermediate Care
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C: Custodial Care
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D: None of the Above - correct answer - C: Custodial Care
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Which of the following policy provisions are optional in a individual healt
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h policy?
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A: Entire Contract
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B: Change of Occupation C
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: Entire Contract
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D: Reinstatement - correct answer - B: Change of Occupation
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Which of the following elements is part of the entire contract clause? A:
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The exchange of value between the parties
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B: The agreement between the policyholder and insurer
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C: The amount of time the insured has to send a policy back for a full refund
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D: None of the Above - correct answer - D: None of the Above
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All of the following are true regarding Social Security disability EXCEPT: A:
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A insured must wait 5 months before collecting benefits
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B: To qualify an insured must be unable to do any job in the American econ
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omy
C: To qualify an insured must be disabled for a year or longer or die within a
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two year period.
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D: The insured must have a certain amount of Social Security credits base
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d off age. - correct answer -
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C: To qualify an insured must be disabled for a year or longer or die within
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a two year period.
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H has suffered a covered disability away from her job and will shortly begi
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n collecting benefits. The insurer sends a letter to H stating that she will no
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t receive any benefit amounts greater than her income. This clause is kno
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wn as: d
A: Over- d
insurance clause B: free lo d d d d
ok
C: relation of earning to insurance
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D: relation of economic value - correct answer -
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C: relation of earning to insurance
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The insured should be aware of the issue date upon delivery a policy an
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d the date should be listed on:
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A: the policy summary
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B: the first page of the contract
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C: the delivery receipt
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D: upon conditional receipt - correct answer -
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B: the first page of the contract
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The policy has all of the following rights EXCEPT:
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A: Right to solely renew a guaranteed renewable policy. B
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: Right to terminate a policy
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C: Unilateral right to renew an Optionally renewable policy
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D: Right to assign a contract - correct answer -
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C: Unilateral right to renew an Optionally renewable policy
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The part of a contract that specifies which expenses may or may not be cov
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ered is known as the: d d d d
A: Exclusiond
B: Eligible Expense provision C
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: Insuring Agreement
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D: Consideration Clause - correct answer - B: Eligible Expense provision
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Which of the following is considered to be a mandatory provision in a healt
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h policy?
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A: Time Limit on Certain Defenses B
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: Change of Occupation
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C: Illegal Occupation
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D: Intoxicant/Narcotic Usage - correct answer -
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A: Time Limit on Certain Defenses
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Which of the following may be considered an eligible expense found in a h
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ealth policy? d
A: Cosmetic Surgery
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B: Premium payment
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C: cold cream
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D: Bus fare to receive treatment for a covered loss - correct answer -
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D: Bus fare to receive treatment for a covered loss
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K has a policy that covers doctors visits but limits the number of visits pe
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r calendar year and pays a limited indemnification limit per visit. K has:
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A: Basic Medical Expense
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B: Physician Nonsurgical Coverage
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C: Basic Surgical Policy
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D: Basic Hospital Coverage - correct answer -
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B: Physician Nonsurgical Coverage
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All of the following are CORRECT about Medicare EXCEPT:
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A: An insured who is age 30 but collecting Social Security disability for the l
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ast two years is eligible for Medicare.
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B: An insured who is age 60 and is at the end stage of renal failure is eligibl
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e for Medicare.
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