HEALTH INSURANCE FLORIDA 2-40 EXAM NEWEST ACTUAL
EXAM COMPLETE ALL QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
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A specified period before new coverage goes into effect for a specified condition is
known as which of the following?
A) Waiting period
B) Exclusion
C) Probationary period
D) Morbidity table - ANSWER-Probationary period
(The question establishes a period before coverage goes into effect for specified
conditions, not a period before an employee is even eligible to enroll for group
benefits, which would be a waiting period.)
Beth has a contract stating she must be disabled for 3 months before benefits will
be paid. This is considered the?
A) Probationary Period
B) Elimination Period
C) Grace Period
D) Contingency Period - ANSWER-Elimination Period
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, Health Insurance Florida 2-40 Exam NEWEST ACTUAL EXAM
(The Elimination Period is a period of time that must expire after onset of an
illness or occurrence of an accident before benefits will be payable.)
Which is NOT a reason insurers limit disability income benefits to 70% or less of
the insured's past earnings?
A) Insurers limit the benefits simply because it keeps their expenses down.
B) The full income is not paid in order to reduce malingering.
C) The insurer considers other sources of disability income in order to prevent
overinsurance.
D) Insurers limit the length of the benefit to encourage the return to work. -
ANSWER-Insurers limit the benefits simply because it keeps their expenses down.
(Although insurers are always sensitive to controlling expenses, that is not a factor
in this question.)
A court reporter develops arthritis making it impossible to continue this
employment. The reporter now has other employment at a reduced salary and
receives a monthly benefit from an insurance contract due to which of the
following policy provisions?
A) Residual Disability
B) Recurrent Disability
C) Partial Disability
D) Total Disability - ANSWER-Residual Disability
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(Residual Disability recognizes one's ability to continue to work, but at a reduction
of earnings.Arthritis is what forms as a result of an injury from an accident or
otherwise, therefore it's considered a residual disability.)
Steve Borden, a kindergarten teacher, was in a boating accident and lost both legs.
Although he will continue to teach, his disability policy pays full benefits because
of this provision?
A) Presumptive Disability
B) Total Disability
C) Partial Disability
D) Residual Disability - ANSWER-Presumptive Disability
(Presumptive Disability is where a loss is presumed to be total and permanent due
to loss of sight, hearing, speech or loss of two limbs.)
This provision states that if there is a second disability due to the same cause
within a specified period, then the elimination period may not apply the second
time. It is which provision?
A) Rehabilitation Disability
B) Residual Disability
C) Recurrent Disability
D) Second Disability - ANSWER-Recurrent Disability
(Under Recurrent Disability, if a second disability - NOT a left over as in Residual, is
suffered due to the same cause as the first, within a given period, the elimination
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, Health Insurance Florida 2-40 Exam NEWEST ACTUAL EXAM
period may not apply the second time. The benefit period will be considered as a
continuous period of disability.)
Which of the following would meet the definition of Presumptive Disability?
A) The loss of a leg below the knee.
B) The loss of sight in an eye.
C) The loss of the ability to speak.
D) The loss of hearing in an ear. - ANSWER-The loss of the ability to speak
(The only response that reflects complete loss of a function is the ability to speak.
'The loss of a leg below the knee does not represent loss of two limbs, and loss of
sight in an eye or hearing in an ear does not reflect loss of all sight or hearing.)
Which provision provides a loss of earnings benefit to an employee who returns to
work after sustaining a total disability, if the insured's earnings are less than they
were before the disability?
A) Recurrent Disability
B) Presumptive Disability
C) Residual Disability
D) Restorative Disability - ANSWER-Residual Disability
Stephen must be disabled 60 days before he will receive any benefits from his
disability policy. This 60-day period is the?
A) Waiting Period
B) Elimination Period
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