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Colorado Health Insurance Exam 2025 – Version 1 and 2
Study Guide, Practice Questions, and Answer Key for State
Licensing Test
Pass the Colorado Health Insurance Exam 2025 (Versions 1 & 2) with updated study guides,
practice test questions, and answers for your state insurance license.
Prepare for the Colorado Health Insurance Exam 2025 (Versions 1 and 2) with this
comprehensive study and review guide. Learn key topics such as insurance laws, health policy
provisions, ACA regulations, claims handling, and ethics. Access practice test questions,
detailed answer keys, and exam tips to help you pass the Colorado Division of Insurance
licensing exam on your first try. Ideal for students, agents, and professionals pursuing their
Colorado health insurance producer license.
• Colorado health insurance exam 2025
• Colorado health insurance exam version 1 and 2
• Colorado insurance licensing exam questions
• Colorado health insurance exam study guide pdf
Which of the following entities has the authority to make changes to an insurance policy?
AProducer
BInsurer's executive officer
CDepartment of Insurance
DBroker - ANSWER-B
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In a group health policy, a probationary period is intended for people
AWho want lower premiums.
BWho joined the group after the effective date.
CWho had a pre-existing condition at the time they joined the group.
DWho have additional coverage through a spouse. - ANSWER-B
Under the uniform required provisions, proof of loss under a health insurance policy normally should be
filed within
A90 days of a loss.
B20 days of a loss.
C30 days of a loss.
D60 days of a loss. - ANSWER-A
A waiver of premium provision may be included with which kind of health insurance policy?
ADisability income
BBasic medical
CHospital indemnity
DDread disease - ANSWER-A
Which of the following terms describes the specified dollar amount beyond which the insured no longer
participates in the sharing of expenses?
AOut-of-pocket limit
BFirst-dollar coverage
CCorridor deductible
DStop-loss limit - ANSWER-D
When Linda suffered a broken hip, she notified her agent, in writing, within 12 days of the loss.
However, her agent did not notify the insurance company until 60 days after the loss. Which of the
following statements correctly explains how this claim would be handled?
AThe insurer may delay the payment of this claim for up to 6 months.
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BThe insurer may settle this claim for less than it otherwise would have had the notification been
provided in a timely manner.
CThe insurer may deny the claim since it was not notified within the required 20-day time frame.
DThe insurer is considered to be notified since the notification to agent equals notification to the
insurer. - ANSWER-D
Which of the following is NOT a feature of a guaranteed renewable provision?
AThe insured has a unilateral right to renew the policy for the life of the contract.
BCoverage is not renewable beyond the insured's age 65.
CThe insured's benefits cannot be reduced.
DThe insurer can increase the policy premium on an individual basis. - ANSWER-D
The provision in a health insurance policy that ensures that the insurer cannot refer to any document
that is not contained in the contract is the
ATime limit on certain defenses clause.
BIncontestability clause.
CLegal action against us clause.
DEntire contract clause. - ANSWER-D
The expense for an autopsy covered under the physical exam and autopsy provision is paid by
AThe insurer.
BThe state's autopsy fund.
CThe limits of coverage under the health insurance policy.
DThe estate of the insured. - ANSWER-A
The section of a health policy that states the causes of eligible loss under which an insured is assumed to
be disabled is the
AProbationary period.
BInsuring clause.
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CIncontestability clause.
DConsideration clause. - ANSWER-B
An insured wants to name her husband as the beneficiary of her health policy. She also wishes to retain
all of the rights of ownership. The insured should have her husband named as what type of beneficiary?
AContingent
BIrrevocable
CRevocable
DPrimary - ANSWER-C
A guaranteed renewable disability insurance policy
AIs renewable at the option of the insurer to a specified age of the insured.
BIs guaranteed to have a level premium for the life of the policy.
CCannot be cancelled by the insured before age 65.
DIs renewable at the insured's option to a specified age. - ANSWER-D
A Health insurance policy lapses but is reinstated within an acceptable timeframe. How soon from the
reinstatement date will coverage for accidents become effective?
AImmediately
BAfter 14 days
CAfter 21 days
DAfter 31 days - ANSWER-A
Which of the following is NOT a feature of a noncancellable policy?
AThe guarantee to renew coverage usually applies until the insured reaches certain age.
BThe insured has the right to renew the policy for the life of the contract.
CThe insurer may terminate the contract only at renewal for certain conditions.
DThe premiums cannot be increased beyond the amount stated in the policy. - ANSWER-C
Colorado Health Insurance Exam 2025 – Version 1 and 2
Study Guide, Practice Questions, and Answer Key for State
Licensing Test
Pass the Colorado Health Insurance Exam 2025 (Versions 1 & 2) with updated study guides,
practice test questions, and answers for your state insurance license.
Prepare for the Colorado Health Insurance Exam 2025 (Versions 1 and 2) with this
comprehensive study and review guide. Learn key topics such as insurance laws, health policy
provisions, ACA regulations, claims handling, and ethics. Access practice test questions,
detailed answer keys, and exam tips to help you pass the Colorado Division of Insurance
licensing exam on your first try. Ideal for students, agents, and professionals pursuing their
Colorado health insurance producer license.
• Colorado health insurance exam 2025
• Colorado health insurance exam version 1 and 2
• Colorado insurance licensing exam questions
• Colorado health insurance exam study guide pdf
Which of the following entities has the authority to make changes to an insurance policy?
AProducer
BInsurer's executive officer
CDepartment of Insurance
DBroker - ANSWER-B
,2|Page
In a group health policy, a probationary period is intended for people
AWho want lower premiums.
BWho joined the group after the effective date.
CWho had a pre-existing condition at the time they joined the group.
DWho have additional coverage through a spouse. - ANSWER-B
Under the uniform required provisions, proof of loss under a health insurance policy normally should be
filed within
A90 days of a loss.
B20 days of a loss.
C30 days of a loss.
D60 days of a loss. - ANSWER-A
A waiver of premium provision may be included with which kind of health insurance policy?
ADisability income
BBasic medical
CHospital indemnity
DDread disease - ANSWER-A
Which of the following terms describes the specified dollar amount beyond which the insured no longer
participates in the sharing of expenses?
AOut-of-pocket limit
BFirst-dollar coverage
CCorridor deductible
DStop-loss limit - ANSWER-D
When Linda suffered a broken hip, she notified her agent, in writing, within 12 days of the loss.
However, her agent did not notify the insurance company until 60 days after the loss. Which of the
following statements correctly explains how this claim would be handled?
AThe insurer may delay the payment of this claim for up to 6 months.
,3|Page
BThe insurer may settle this claim for less than it otherwise would have had the notification been
provided in a timely manner.
CThe insurer may deny the claim since it was not notified within the required 20-day time frame.
DThe insurer is considered to be notified since the notification to agent equals notification to the
insurer. - ANSWER-D
Which of the following is NOT a feature of a guaranteed renewable provision?
AThe insured has a unilateral right to renew the policy for the life of the contract.
BCoverage is not renewable beyond the insured's age 65.
CThe insured's benefits cannot be reduced.
DThe insurer can increase the policy premium on an individual basis. - ANSWER-D
The provision in a health insurance policy that ensures that the insurer cannot refer to any document
that is not contained in the contract is the
ATime limit on certain defenses clause.
BIncontestability clause.
CLegal action against us clause.
DEntire contract clause. - ANSWER-D
The expense for an autopsy covered under the physical exam and autopsy provision is paid by
AThe insurer.
BThe state's autopsy fund.
CThe limits of coverage under the health insurance policy.
DThe estate of the insured. - ANSWER-A
The section of a health policy that states the causes of eligible loss under which an insured is assumed to
be disabled is the
AProbationary period.
BInsuring clause.
, 4|Page
CIncontestability clause.
DConsideration clause. - ANSWER-B
An insured wants to name her husband as the beneficiary of her health policy. She also wishes to retain
all of the rights of ownership. The insured should have her husband named as what type of beneficiary?
AContingent
BIrrevocable
CRevocable
DPrimary - ANSWER-C
A guaranteed renewable disability insurance policy
AIs renewable at the option of the insurer to a specified age of the insured.
BIs guaranteed to have a level premium for the life of the policy.
CCannot be cancelled by the insured before age 65.
DIs renewable at the insured's option to a specified age. - ANSWER-D
A Health insurance policy lapses but is reinstated within an acceptable timeframe. How soon from the
reinstatement date will coverage for accidents become effective?
AImmediately
BAfter 14 days
CAfter 21 days
DAfter 31 days - ANSWER-A
Which of the following is NOT a feature of a noncancellable policy?
AThe guarantee to renew coverage usually applies until the insured reaches certain age.
BThe insured has the right to renew the policy for the life of the contract.
CThe insurer may terminate the contract only at renewal for certain conditions.
DThe premiums cannot be increased beyond the amount stated in the policy. - ANSWER-C
