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CA PSI SITE LIFE ACCIDENT AND HEALTH OR SICKNESS EXAM (LIFE
AGENT) NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
Which health plan might apply 90% coinsurance to network
providers and 70% coinsurance to non-network providers?
a.exclusive provider organization(EPO)
b.health maintenance organization(HMO)
c.preferred provider organization (PPO)
d.major medical - ANSWER-c.preferred provider organization
(PPO)
the frequency and severity of certain illnesses and a accidents is
known as
a.morbidity
b.mortality
c.instability
d.incontestability - ANSWER-a.morbidity
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relevant factors in the health insurance principle of morbidity
include all of the following except
a.age
b.income
c.intelligence
d.sex - ANSWER-c.intelligence
What rights do individuals have if they disagree with a decision on
the amount medicare will pay?
a.they can charge medicare carriers
b.they can ask the medicare carrier to review the decision
c.they can request a second opinion by the state medical
examiner
d.they can terminate making premium payments until the claim is
resolved - ANSWER-b.they can ask the medicare carrier to review
the decision
who submits medicare part A claims?
a.patient
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b.hospital
c.pharmacies
d.physicians - ANSWER-b.hospital
Social security survivor benefits are available for all of the
following EXCEPT
a.a surviving spouse over age 50
b.children under age 19 who are full-time students
c.a spouse of any age who were dependent upon the deceased
worker
d.parents of any age who were dependent upon the deceased
worker - ANSWER-d.parents of any age who were dependent
upon the deceased worker
in health insurance, the result of rising morbidity rates is
a.decreased claims
b.increased premiums
c.increased profitability
d.decreased insurance rates - ANSWER-b.increased premiums
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Under PPACA, what is a health benefit exchange?a.PPACA
creates new entities called american health benefit exchanges
through which individuals, small business, and those who do not
have access to affordable employer coverage, can purchase
coverage
b.a health benefits exchange is created by health insurers to allow
individuals to access benefits in other insurer's plans
c.a health benefits exchange is created by employers to relieve
them of having to provide health benefits to employees
d.PPACA creates new entities called american health benefits
exchanges through which low-income individuals can access
public health care programs - ANSWER-a.PPACA creates new
entities called american health benefit exchanges through which
individuals, small business, and those who do not have access to
affordable employer coverage, can purchase coverage
What happens if an insurer violates the medical loss ratio rate and
spends too much money on administrative costs?a. Insurers that
do not meet the medical loss ratio standard will be required to
provide rebates to their customers and reduce spending on their
administrative costs
CA PSI SITE LIFE ACCIDENT AND HEALTH OR SICKNESS EXAM (LIFE
AGENT) NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
Which health plan might apply 90% coinsurance to network
providers and 70% coinsurance to non-network providers?
a.exclusive provider organization(EPO)
b.health maintenance organization(HMO)
c.preferred provider organization (PPO)
d.major medical - ANSWER-c.preferred provider organization
(PPO)
the frequency and severity of certain illnesses and a accidents is
known as
a.morbidity
b.mortality
c.instability
d.incontestability - ANSWER-a.morbidity
,2|Page
relevant factors in the health insurance principle of morbidity
include all of the following except
a.age
b.income
c.intelligence
d.sex - ANSWER-c.intelligence
What rights do individuals have if they disagree with a decision on
the amount medicare will pay?
a.they can charge medicare carriers
b.they can ask the medicare carrier to review the decision
c.they can request a second opinion by the state medical
examiner
d.they can terminate making premium payments until the claim is
resolved - ANSWER-b.they can ask the medicare carrier to review
the decision
who submits medicare part A claims?
a.patient
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b.hospital
c.pharmacies
d.physicians - ANSWER-b.hospital
Social security survivor benefits are available for all of the
following EXCEPT
a.a surviving spouse over age 50
b.children under age 19 who are full-time students
c.a spouse of any age who were dependent upon the deceased
worker
d.parents of any age who were dependent upon the deceased
worker - ANSWER-d.parents of any age who were dependent
upon the deceased worker
in health insurance, the result of rising morbidity rates is
a.decreased claims
b.increased premiums
c.increased profitability
d.decreased insurance rates - ANSWER-b.increased premiums
, 4|Page
Under PPACA, what is a health benefit exchange?a.PPACA
creates new entities called american health benefit exchanges
through which individuals, small business, and those who do not
have access to affordable employer coverage, can purchase
coverage
b.a health benefits exchange is created by health insurers to allow
individuals to access benefits in other insurer's plans
c.a health benefits exchange is created by employers to relieve
them of having to provide health benefits to employees
d.PPACA creates new entities called american health benefits
exchanges through which low-income individuals can access
public health care programs - ANSWER-a.PPACA creates new
entities called american health benefit exchanges through which
individuals, small business, and those who do not have access to
affordable employer coverage, can purchase coverage
What happens if an insurer violates the medical loss ratio rate and
spends too much money on administrative costs?a. Insurers that
do not meet the medical loss ratio standard will be required to
provide rebates to their customers and reduce spending on their
administrative costs
