Florida Health and Life Insurance
State Exam 2025-2026
COMPLETE QUESTIONS AND
ANSWERS ACCURATE ACTUAL
EXAM WITH FREQUENTLY
TESTED QUESTIONS// EXPERT
VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
Which Accident and Health policy provision addresses preexisting
conditions? - ANSWER Time Limit on Certain Defenses
Which of the following individual health insurance policies will provide
the broadest protection? - ANSWER Major Medical
Which of the following situations does NOT apply to the Florida
Replacement Rule? - ANSWER An existing policyholder purchases an
additional policy from the same insurer
Agent J takes an application and initial premium from an applicant and
sends the application and premium check to the insurance company. The
insurance company returns the check back to J because the check is made
out to J instead of the insurance company. What action should J take? -
ANSWER Return to the customer, collect a new check made out to the
insurance company, and send the new check out to the insurance
company
Under which of the following circumstances will the benefits under
COBRA continuation coverage end? - ANSWER All group health plans
are terminated by the employer
Which type of renewability best describes a Disability Income policy
that covers an individual until the age of 65, but the insurer has the right
,to change the premium rate for the overall risk class? - ANSWER
Garunteed Renewable
An incomplete life insurance application submitted to an insurer will
result in which of these actions? - ANSWER Application will be returned
to the writting agent
The waiting period for a pre-existing condition under a Medicare
Supplement policy may NOT go beyond - ANSWER 6 Months
Which of these statements is INCORRECT regarding the federal income
tax treatment of life insurance? - ANSWER Entire cash surrender value is
taxable
Which of these is considered a mandatory provision? - ANSWER
Payment of Claims
Which of the following actions will an insurance company most likely
NOT take if an applicant, who has diabetes, applies for a Disability
Income policy? - ANSWER Issue the policy with an altered Time of
Payment of Claims provision
Which of the following phrases refers to the fees charged by a healthcare
professional? - ANSWER Usual, customary, and reasonable expenses
D was actively serving in the Marines when he was killed in an
automobile accident while on leave. His $100,000 Whole life policy
contains a War Exclusion clause. How much will D's beneficiary's
receive? - ANSWER The full face amount
N is covered under an individual Disability policy with a 30-day
Elimination period and a monthly benefit of $500. N is totally disabled
for 3 1/2 months. N's total benefit received on this claim is: - ANSWER
$1,250
No benefits are available during the elimination period.
Who does an agent represent during the solicitation or insurance? -
ANSWER The insurance company
Which of the following costs would a Basic Hospital/Surgical policy
likely cover? - ANSWER Sugically removing a facial birthmark
, The federal income tax treatment of employer-provided group Medical
Expense insurance can be accurately described as: - ANSWER
Employee's premiums paid by the employer is tax-deductible to the
employer as a business expenditure
Premiums paid by an employer for an employee's coverage are deductible
by the employer as a buisness expense
What must the policyowner provide to the insurer for validation that a
loss has occurred? - ANSWER proof of loss
Which of the following can an agent provide to help a prospective client
understand and purchase the most appropriate product? - ANSWER
Buyer's Guide
At what time must a policyowner have insurable interest on the insured
in order for the life policy to be valid? - ANSWER at the time of the
appliation
What would be an accurate definition of "controlled business"? -
ANSWER Insurance business that is written on the agent's own life,
property, or interests
Association Plans that are designed to provide health benefits to their
members are regulated by the state because - ANSWER They are insured
by and authorized insurer
Which of the following statements is CORRECT about the period in
which a Term Policy can be converted? - ANSWER It varies according to
contracts
When does a life insurance contract become effective if the initial
premium is not collected during the application process? - ANSWER
When producer delives policy and collects initial premium
A provision in a life insurance policy that pays the policyowner an
amount that does not surpass the guaranteed cash value is called the: -
ANSWER Policy Loan Provision
Medicare Part A and Part B do no pay for: - ANSWER Dental Work
, When a misrepresentation on a life insurance policy application is
discovered, what action may an insurance company take? - ANSWER
Void the policy only if it is discovered during the Contestable period and
proven to be material
The insuring Clause - ANSWER States the scope and limits of the
coverage
An applicant's medical information recieved from the Medical
Information Bureau (MIB) may be furnished to the: - ANSWER
Applicant's physician
K has an Accidental Death and Dismemberment (AD&D) insurance
policy where her husband is beneficiary and her daughter is contingent
beneficiary. Under the Common Disaster clause, if K and her husband are
both killed in an automobile accident, where would the death proceeds be
directed? - ANSWER Daughter
K has a life insurance policy where her husband is beneficiary and her
daughter is contingent beneficiary. Under the Common Disaster clause, if
K and her husband are both killed in an automobile accident, where
would the death proceeds be directed? - ANSWER Primary Beneficiary.
Which of the following is NOT considered rebating - ANSWER Sharing
commissions with an agent licensed in the same line of buisness
Which of the following employer tasks does a Professional Employer
Organization normally handle? - ANSWER Administration tasks
What type of life policy has a death benefit that adjusts periodically and
is written for a specific period of time? - ANSWER Decreasing Term
Which action could result in a hearing being ordered by the Department
of Financial Services? - ANSWER Performing insurance transactions
without a license
What kind of special need would a policyowner require with an
Adjustable Life insurance policy? - ANSWER Flexible Premiums
The premiums paid by an employer for his employee's group life
insurance are usually considered to be: - ANSWER Tax deductible to the
employer
State Exam 2025-2026
COMPLETE QUESTIONS AND
ANSWERS ACCURATE ACTUAL
EXAM WITH FREQUENTLY
TESTED QUESTIONS// EXPERT
VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
Which Accident and Health policy provision addresses preexisting
conditions? - ANSWER Time Limit on Certain Defenses
Which of the following individual health insurance policies will provide
the broadest protection? - ANSWER Major Medical
Which of the following situations does NOT apply to the Florida
Replacement Rule? - ANSWER An existing policyholder purchases an
additional policy from the same insurer
Agent J takes an application and initial premium from an applicant and
sends the application and premium check to the insurance company. The
insurance company returns the check back to J because the check is made
out to J instead of the insurance company. What action should J take? -
ANSWER Return to the customer, collect a new check made out to the
insurance company, and send the new check out to the insurance
company
Under which of the following circumstances will the benefits under
COBRA continuation coverage end? - ANSWER All group health plans
are terminated by the employer
Which type of renewability best describes a Disability Income policy
that covers an individual until the age of 65, but the insurer has the right
,to change the premium rate for the overall risk class? - ANSWER
Garunteed Renewable
An incomplete life insurance application submitted to an insurer will
result in which of these actions? - ANSWER Application will be returned
to the writting agent
The waiting period for a pre-existing condition under a Medicare
Supplement policy may NOT go beyond - ANSWER 6 Months
Which of these statements is INCORRECT regarding the federal income
tax treatment of life insurance? - ANSWER Entire cash surrender value is
taxable
Which of these is considered a mandatory provision? - ANSWER
Payment of Claims
Which of the following actions will an insurance company most likely
NOT take if an applicant, who has diabetes, applies for a Disability
Income policy? - ANSWER Issue the policy with an altered Time of
Payment of Claims provision
Which of the following phrases refers to the fees charged by a healthcare
professional? - ANSWER Usual, customary, and reasonable expenses
D was actively serving in the Marines when he was killed in an
automobile accident while on leave. His $100,000 Whole life policy
contains a War Exclusion clause. How much will D's beneficiary's
receive? - ANSWER The full face amount
N is covered under an individual Disability policy with a 30-day
Elimination period and a monthly benefit of $500. N is totally disabled
for 3 1/2 months. N's total benefit received on this claim is: - ANSWER
$1,250
No benefits are available during the elimination period.
Who does an agent represent during the solicitation or insurance? -
ANSWER The insurance company
Which of the following costs would a Basic Hospital/Surgical policy
likely cover? - ANSWER Sugically removing a facial birthmark
, The federal income tax treatment of employer-provided group Medical
Expense insurance can be accurately described as: - ANSWER
Employee's premiums paid by the employer is tax-deductible to the
employer as a business expenditure
Premiums paid by an employer for an employee's coverage are deductible
by the employer as a buisness expense
What must the policyowner provide to the insurer for validation that a
loss has occurred? - ANSWER proof of loss
Which of the following can an agent provide to help a prospective client
understand and purchase the most appropriate product? - ANSWER
Buyer's Guide
At what time must a policyowner have insurable interest on the insured
in order for the life policy to be valid? - ANSWER at the time of the
appliation
What would be an accurate definition of "controlled business"? -
ANSWER Insurance business that is written on the agent's own life,
property, or interests
Association Plans that are designed to provide health benefits to their
members are regulated by the state because - ANSWER They are insured
by and authorized insurer
Which of the following statements is CORRECT about the period in
which a Term Policy can be converted? - ANSWER It varies according to
contracts
When does a life insurance contract become effective if the initial
premium is not collected during the application process? - ANSWER
When producer delives policy and collects initial premium
A provision in a life insurance policy that pays the policyowner an
amount that does not surpass the guaranteed cash value is called the: -
ANSWER Policy Loan Provision
Medicare Part A and Part B do no pay for: - ANSWER Dental Work
, When a misrepresentation on a life insurance policy application is
discovered, what action may an insurance company take? - ANSWER
Void the policy only if it is discovered during the Contestable period and
proven to be material
The insuring Clause - ANSWER States the scope and limits of the
coverage
An applicant's medical information recieved from the Medical
Information Bureau (MIB) may be furnished to the: - ANSWER
Applicant's physician
K has an Accidental Death and Dismemberment (AD&D) insurance
policy where her husband is beneficiary and her daughter is contingent
beneficiary. Under the Common Disaster clause, if K and her husband are
both killed in an automobile accident, where would the death proceeds be
directed? - ANSWER Daughter
K has a life insurance policy where her husband is beneficiary and her
daughter is contingent beneficiary. Under the Common Disaster clause, if
K and her husband are both killed in an automobile accident, where
would the death proceeds be directed? - ANSWER Primary Beneficiary.
Which of the following is NOT considered rebating - ANSWER Sharing
commissions with an agent licensed in the same line of buisness
Which of the following employer tasks does a Professional Employer
Organization normally handle? - ANSWER Administration tasks
What type of life policy has a death benefit that adjusts periodically and
is written for a specific period of time? - ANSWER Decreasing Term
Which action could result in a hearing being ordered by the Department
of Financial Services? - ANSWER Performing insurance transactions
without a license
What kind of special need would a policyowner require with an
Adjustable Life insurance policy? - ANSWER Flexible Premiums
The premiums paid by an employer for his employee's group life
insurance are usually considered to be: - ANSWER Tax deductible to the
employer
