ANSWERS
Terms in this set (150)
Which helped Medicare The insurance industry created Medicare supplement policies.
subscribers fill the gaps in
Medicare coverage?
A totally disabled person must Five months.
pass a
waiting period of how long
before Social Security
disability benefits are paid?
Under a joint life insurance Upon the death of the insured who dies first.
policy, when does the insurer
pay the death benefit?
Replacement occurs if a life The existing policy's beneficiary designation is changed.
insurance
policy is purchased and, in
conjunction, any of the
following happen EXCEPT:
Juan went to the emergency room Must pay for the care at its usual and customary rate or at an
in the agreed rate, regardless of whether the physician is in the
middle of the night because he network or not.
was having a heart attack. If a
non-network physician
provides emergency care, then
Juan's HMO
Which of the following best It refers to the financial relationship between the policyowner
describes insurable interest? and the insured person or property.
XYZ Insurance has been XYZ charged two individual insureds of the same class and
charged with unfairly risk different premiums for life insurance policies based on
discriminating among insureds. where they lived and their ethnicities.
Which of the following practices
is unfair discrimination?
, Adam is a Medicare beneficiary and Medicare will be the primary insurer, and Medicaid will be the secondary insurer.
enrolled in his state's Medicaid program.
When he submits a claim for covered
services to both, how will Medicare and
Medicaid pay the claim?
Which of the following must HMO HMO's network of providers and caregivers.
members use to receive covered care?
What are policies that do NOT meet Modified endowment contracts (MECs)
the IRS's definition of life insurance
generally called?
Ethel is at full retirement age with Part B The deductible plus 20 percent of the expenses.
coverage. She incurs $1,000 in
Medicare- approved health care charges.
What must she pay?
In Texas, new enrollees to an HMO who 30 days.
do not choose a primary care physician
within an established period of time can
have
their coverage cancelled how many days
following written notice by the HMO?
A long-term care insurance policy must Alzheimer's disease.
cover:
Which plan reimburses the insured for the Indemnity plan.
cost of covered medical care received?
With respect to adjustable life insurance, Premiums can increase or decrease to suit the policyowner's changing needs.
which of the following statements is
correct?
Ginny's medical plan provides coverage for Automatic coverage for the first 31 days following adoption, after which Jenny must
the newborn children from their date of pay a premium.
birth. She adopts a 5-year-old child on July
1. What benefits is she entitled to
John is an agent and has just learned that Not sell a policy to Debbie.
Debbie, a prospect for Medicare
supplement coverage, already has a
Medicare supplement policy. In this
case, John must:
A dental plan that categorizes covered Category 1.
treatments into 3 categories will typically
place diagnostic and preventative care in:
Which statement about credit life insurance State laws typically set a maximum coverage limit that creditors can offer to
is most correct? borrowers.
Besides select policy anniversary dates, The policyowner's loss of a job.
a life insurance guaranteed insurability
rider usually permits special alternative
option dates that typically include all
the
following, EXCEPT:
Which is a common benefit period in Two to five years.