age 1 of 146
Ohio Life, Accident and Health Insurance FINAL EXAM
STUDY GUIDE 2025/2026 ACCURATE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
What does an insuring clause state? .......Answer.........Under a
health insurance policy, the provision that states the kind of
benefits provided and the circumstances under which they will be
paid
What is the purpose of the Pre-Existing Condition Insurance Plan
(PCIP)? .......Answer.........PCIP was created by the PPACA for
people rejected by private health insurers due to pre-existing
conditions
women who have private insurance plans with a maternity-only
deductible or copayment greater than $1,500 are eligible
,age 2 of 146
What is PPO? .......Answer.........A Preferred Provider
Organization pays more for care received from a network
provider than it pays for care from a non-network provider
In health insurance, morbidity rates show .......Answer.........the
expected incidence of sickness or disability within a given group
during a given period of time
What effect did the Pregnancy Discrimination Act have on the
health industry? .......Answer.........Pregnancy must be treated as
any other medical condition
Your license will be considered to be inactive when you:
.......Answer.........No longer have any appointments
On a "participating" health insurance policy issued by a mutual
insurance company, dividends paid to policy holders are:
,age 3 of 146
.......Answer.........Not taxable since the IRS treats them as a
refund of a portion of the premium paid
All of the following are true regarding a non-contributory
employer group medical expense insurance policy EXCEPT:
.......Answer.........Premiums must be paid entirely by the
employees
Which two of the following are considered to be activities of
daily living in most long-term care policies:
.......Answer.........Eating and dressing
The Employee Retirement Income Security Act (ERISA) requires
that employee benefit plans be managed for the benefit of:
.......Answer.........Participants and beneficiaries
, age 4 of 146
Which of the following must be printed on every licensee's
business cards, written price quotations and printed
advertisements: .......Answer.........Their insurance license number
At age 65, an individual would be eligible for which of the
following at no charge .......Answer.........Part A of Medicare
Under the California Insurance Code (CIC), neither party to a
contract of insurance is bound to communicate any of the
following EXCEPT: .......Answer.........Information known to be
material
The enrollee pays what percentage of the premium for
Medicare Part B? .......Answer.........100%
When an insurer voids an insurance contract due to an
intentionally fraudulent omission by the insured of a material
fact, it is known as: .......Answer.........Rescission
Ohio Life, Accident and Health Insurance FINAL EXAM
STUDY GUIDE 2025/2026 ACCURATE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
What does an insuring clause state? .......Answer.........Under a
health insurance policy, the provision that states the kind of
benefits provided and the circumstances under which they will be
paid
What is the purpose of the Pre-Existing Condition Insurance Plan
(PCIP)? .......Answer.........PCIP was created by the PPACA for
people rejected by private health insurers due to pre-existing
conditions
women who have private insurance plans with a maternity-only
deductible or copayment greater than $1,500 are eligible
,age 2 of 146
What is PPO? .......Answer.........A Preferred Provider
Organization pays more for care received from a network
provider than it pays for care from a non-network provider
In health insurance, morbidity rates show .......Answer.........the
expected incidence of sickness or disability within a given group
during a given period of time
What effect did the Pregnancy Discrimination Act have on the
health industry? .......Answer.........Pregnancy must be treated as
any other medical condition
Your license will be considered to be inactive when you:
.......Answer.........No longer have any appointments
On a "participating" health insurance policy issued by a mutual
insurance company, dividends paid to policy holders are:
,age 3 of 146
.......Answer.........Not taxable since the IRS treats them as a
refund of a portion of the premium paid
All of the following are true regarding a non-contributory
employer group medical expense insurance policy EXCEPT:
.......Answer.........Premiums must be paid entirely by the
employees
Which two of the following are considered to be activities of
daily living in most long-term care policies:
.......Answer.........Eating and dressing
The Employee Retirement Income Security Act (ERISA) requires
that employee benefit plans be managed for the benefit of:
.......Answer.........Participants and beneficiaries
, age 4 of 146
Which of the following must be printed on every licensee's
business cards, written price quotations and printed
advertisements: .......Answer.........Their insurance license number
At age 65, an individual would be eligible for which of the
following at no charge .......Answer.........Part A of Medicare
Under the California Insurance Code (CIC), neither party to a
contract of insurance is bound to communicate any of the
following EXCEPT: .......Answer.........Information known to be
material
The enrollee pays what percentage of the premium for
Medicare Part B? .......Answer.........100%
When an insurer voids an insurance contract due to an
intentionally fraudulent omission by the insured of a material
fact, it is known as: .......Answer.........Rescission
