Montana Health Insurance Exam
Under an individual disability income policy, the minimum schedule of time in which
claim payments must be made to an insured is? - answer Monthly
What type of LTC is NOT provided in an institutional setting? - answer Home health
care
What are the four essential elements of all legal contracts>? - answer Consideration,
offer and acceptance, competent parties, legal purpose
Which health insurance provision describes the insured's right to cancel coverage? -
answer Renewal provision
When an insurer issues and individual health insurance policy that is guaranteed
renewable, the insurer agrees. - answer to renew the policy until the age of 65
What is the amount a physician or supplier bills for a particular service or supply? -
answer Actual charge
The purpose of managed care health insurance plans is to? - answer Control health
insurance claims expenses
An agent is in the process of replacing the insureds current health insurance policy with
a new one, which is a proper action? - answerThe old policy should stay in force until
the new policy is issues
An insured is involved in a car accident. In addition to less serious injuries, he
permanently loses the use of his leg and is rendered completely blind. The blindness
improves a month later. To what extent will the insured receive Presumptive Disability
benefits? - answerNo benefits
Once an irrevocable beneficiary is named for the policy, changes of beneficiaries
require? - answerbeneficiarys written consent
An innsured pays a $100 premium every month for his insurance ocverage, yet the
insurance promises to pay $10,000 for a covered loss. What characteristic of an
insurance contract does this describe? - answerAletory
According to the Preferred Provider Agreement Act, a health benefit plan that contains a
payment difference provision and has not been determined to have an adequate
provider network may NOT exceed what percent of payment difference in the
reimbursement level for a preferred provider? - answer25%
Under an individual disability income policy, the minimum schedule of time in which
claim payments must be made to an insured is? - answer Monthly
What type of LTC is NOT provided in an institutional setting? - answer Home health
care
What are the four essential elements of all legal contracts>? - answer Consideration,
offer and acceptance, competent parties, legal purpose
Which health insurance provision describes the insured's right to cancel coverage? -
answer Renewal provision
When an insurer issues and individual health insurance policy that is guaranteed
renewable, the insurer agrees. - answer to renew the policy until the age of 65
What is the amount a physician or supplier bills for a particular service or supply? -
answer Actual charge
The purpose of managed care health insurance plans is to? - answer Control health
insurance claims expenses
An agent is in the process of replacing the insureds current health insurance policy with
a new one, which is a proper action? - answerThe old policy should stay in force until
the new policy is issues
An insured is involved in a car accident. In addition to less serious injuries, he
permanently loses the use of his leg and is rendered completely blind. The blindness
improves a month later. To what extent will the insured receive Presumptive Disability
benefits? - answerNo benefits
Once an irrevocable beneficiary is named for the policy, changes of beneficiaries
require? - answerbeneficiarys written consent
An innsured pays a $100 premium every month for his insurance ocverage, yet the
insurance promises to pay $10,000 for a covered loss. What characteristic of an
insurance contract does this describe? - answerAletory
According to the Preferred Provider Agreement Act, a health benefit plan that contains a
payment difference provision and has not been determined to have an adequate
provider network may NOT exceed what percent of payment difference in the
reimbursement level for a preferred provider? - answer25%
