WI HEALTH INSURANCE EXAM PREP QUESTIONS &
ANSWERS
Which of the following is true regarding the notice of the insured's right to file a
complaint?
A) the notice must be prominently displayed in the agent's office during the time of
application
B) Every insurer must provide such notice to its policyholders when the policy is issued
C) The department of insurance is responsible for providing the notice to the insurance
applicants
D) the notice may be provided to the policyholders upon request - Answers :B
To be eligible under HIPAA regulations, for how long should an individual converting to
an individual health plan have been covered under the previous group plan? - Answers
:18 months
A policyowner is reading a statement on the first page of his health insurance policy,
which says "this is a limited policy." What is the name of this statement - Answers
:Limited Policy Notice
Which of the following is NOT a characteristic of a group long-term disability plan?
A) the benefit period may be to age 65
B) the benefit can be up to 66 and 2/3% of one's monthly income
C) the benefit can be up to 50% of one's yearly income
D) the elimination period is the same as in the short-term plan's benefit period -
Answers :the benefit can be up to 50% of one's yearly income--the max benefit is based
upon monthly income
How long is an open enrollment period for Medicare supplement policies? - Answers :6
months
Long-term care policies MUST cover - Answers :Alzheimer's disease
Most policies will pay the accident death benefits as long as the death is caused by the
accident and occurs within - Answers :90 days
What is an important feature of a dental expense insurance plan that is NOT typically
found in a medical expense insurance plan - Answers :diagnostic and preventive care
An insured is covered by a disability income policy that contains an accidental means
clause. The insured exits a bus by jumping down the steps and breaks an ankle. What
coverage will apply? - Answers :No coverage will apply, since the injury could have
been foreseen
, Disability income coverage specifies that the policy covers the insured if he is unable to
perform any job for which he is qualified. In this case, total disability is defined as -
Answers :any occupation, more restrictive than other definitions
While repairing the roof of his house an insured accidentally falls off and breaks his arm
and sustains a head injury that results in total blindness of both eyes. His policy
contains an Accidental Death & Dismemberment Rider. What is the extent of benefits
that he will receive? - Answers :principal sum
what is the maximum period that an insurer would pay benefits in accordance with an
Additional monthly benefit rider - Answers :1 year
According to the future increase option rider, which is not a qualifying event:
A) birth of a child
B) Death of a spouse
C) age 40
D) marriage - Answers :death of a spouse
an insured has health insurance that covers them at work and at home. This policy is
written on what basis - Answers :occupational
which of the following would best describe total disability - Answers :a persons ability to
work is significantly reduced or eliminated for the rest of their life
An insured was involved in an accident and could not perform her current job for 3
years. If the insured could reasonably perform another job utilizing similar skills after 1
month, for how long would she be receiving benefits under an "own occupation"
disability plan? - Answers :2 years
all of the following are true about group disability income insurance Except
A) the waiting period starts at the onset of the injury or sickness
B) the longer the waiting period, the lower the premium
C) coverage applies both on and off the job
D) benefits are usually short term - Answers :
Who guarantees a conventional fully-insured group plan? - Answers :the insurer
which of the following is monitored by ERISA
A) cash profit-sharing plans
B) Severance pay of less than 2 years
C) stock profit-sharing plans
D) cash bonus plans - Answers :stock profit-sharing plans
Which of the following is true regarding benefits paid to disabled employees
A) they are exempt from taxation if any portion of the premium was paid by the
employee
ANSWERS
Which of the following is true regarding the notice of the insured's right to file a
complaint?
A) the notice must be prominently displayed in the agent's office during the time of
application
B) Every insurer must provide such notice to its policyholders when the policy is issued
C) The department of insurance is responsible for providing the notice to the insurance
applicants
D) the notice may be provided to the policyholders upon request - Answers :B
To be eligible under HIPAA regulations, for how long should an individual converting to
an individual health plan have been covered under the previous group plan? - Answers
:18 months
A policyowner is reading a statement on the first page of his health insurance policy,
which says "this is a limited policy." What is the name of this statement - Answers
:Limited Policy Notice
Which of the following is NOT a characteristic of a group long-term disability plan?
A) the benefit period may be to age 65
B) the benefit can be up to 66 and 2/3% of one's monthly income
C) the benefit can be up to 50% of one's yearly income
D) the elimination period is the same as in the short-term plan's benefit period -
Answers :the benefit can be up to 50% of one's yearly income--the max benefit is based
upon monthly income
How long is an open enrollment period for Medicare supplement policies? - Answers :6
months
Long-term care policies MUST cover - Answers :Alzheimer's disease
Most policies will pay the accident death benefits as long as the death is caused by the
accident and occurs within - Answers :90 days
What is an important feature of a dental expense insurance plan that is NOT typically
found in a medical expense insurance plan - Answers :diagnostic and preventive care
An insured is covered by a disability income policy that contains an accidental means
clause. The insured exits a bus by jumping down the steps and breaks an ankle. What
coverage will apply? - Answers :No coverage will apply, since the injury could have
been foreseen
, Disability income coverage specifies that the policy covers the insured if he is unable to
perform any job for which he is qualified. In this case, total disability is defined as -
Answers :any occupation, more restrictive than other definitions
While repairing the roof of his house an insured accidentally falls off and breaks his arm
and sustains a head injury that results in total blindness of both eyes. His policy
contains an Accidental Death & Dismemberment Rider. What is the extent of benefits
that he will receive? - Answers :principal sum
what is the maximum period that an insurer would pay benefits in accordance with an
Additional monthly benefit rider - Answers :1 year
According to the future increase option rider, which is not a qualifying event:
A) birth of a child
B) Death of a spouse
C) age 40
D) marriage - Answers :death of a spouse
an insured has health insurance that covers them at work and at home. This policy is
written on what basis - Answers :occupational
which of the following would best describe total disability - Answers :a persons ability to
work is significantly reduced or eliminated for the rest of their life
An insured was involved in an accident and could not perform her current job for 3
years. If the insured could reasonably perform another job utilizing similar skills after 1
month, for how long would she be receiving benefits under an "own occupation"
disability plan? - Answers :2 years
all of the following are true about group disability income insurance Except
A) the waiting period starts at the onset of the injury or sickness
B) the longer the waiting period, the lower the premium
C) coverage applies both on and off the job
D) benefits are usually short term - Answers :
Who guarantees a conventional fully-insured group plan? - Answers :the insurer
which of the following is monitored by ERISA
A) cash profit-sharing plans
B) Severance pay of less than 2 years
C) stock profit-sharing plans
D) cash bonus plans - Answers :stock profit-sharing plans
Which of the following is true regarding benefits paid to disabled employees
A) they are exempt from taxation if any portion of the premium was paid by the
employee
