OHIO LIFE/HEALTH INSURANCE TEST BANK NEWEST 2025/2026
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Some agents supervise all of an insurance company's business within a specified
territory. These agents appoint other agents, supervise their business, and receive
an overriding commission on that business. This type of agent is called a(n)
_______ agent.
a. captive
b. exclusive
c. general
d. independent - ANSWER-General agents.
Or MGA managing general agent is responsible for recruiting and training agents
on behalf of an insurer in a specific territory,
It is NOT insurance fraud to do which of the following?
a. conspire with another person to make a deceptive statement in order to get a
claim paid.
b. enter a false written statement on the license application.
c. fail to notify the Superintendent of the change in the business address
d. give a false oral statement regarding health conditions - ANSWER-failing to
notify about change in business address.
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When a person takes early retirement under Social Security at age 62, when does
coverage for Medicare Part A begin?
a. automatically at age 65
b. immediately
c. only when the person purchases a Medicare supplement
d. only when the person purchases the optional coverage for Medicare Part B -
ANSWER-Automatically at age 65
Medicare just doesn't start until then, no matter if they take an early retirement,
unless they are totally disabled or needs kidney dialysis.
Part A = hospitals
Part B = doctors
There are five ways to manage a risk. Remembering the acronym STARR, risks may
be
a. Shared, terminated, avoided, retained, or reduced.
b. shared, transferred, avoided, retained, or reduced.
c. shared, transferred, avoided, retained, or reinsured.
d. transferred, substituted, avoided retained, or reduced. - ANSWER-B.
Shared
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Transferred
Avoided
Retained
Reduced
A Medicare Part A claim begins on the date of
a. the doctor visit.
b. enrollment in Medicare.
c. hospitalization.
d. surgery. - ANSWER-hospitalization.
begins the moment they receive services as an inpatient in a Medicare-certified
hospital.
A Health Insurance claim occurs on May 30th but the policy lapses on June 3rd. If
the claim is turned in on June 21st, the company will
a. deny the claim.
b. pay the claim.
c. pay the claim, but bill the inured for coverage up to the date of the claim.
d. pay the claim, but subtract the overdue premium from claim proceeds. -
ANSWER-Pay that claim
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It occurred during the time that the policy was still in force.
Under the Legal Actions Provision, the insured cannot sue for non-payment of a
valid claim until after 60 days in order to?
a. allow the insurer to keep its legal reserves invested as long as possible.
b. allow time for binding arbitration to occur.
c. give the insurer time to investigate the claim.
d. give the insurer time to negotiate the claim settlement. - ANSWER-Give the
insurer time to investigate the claim.
A cancelable policy of Health Insurance may be canceled
a. by the insurer or the insured
b. by the insured, but only with the insurer's permission
c. only by the insured
d. only by the insurer - ANSWER-by the insurer or the insured when cancelling.
If the insurer cancels, advance written notice must be given to the insured and the
unearned premium must be refunded on a pro-rata basis.
Of the types of insurers, which is NOT a type of private insurer?
a. Atlantis International Reinsurance Company
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