SICKNESS PRACTICE Exam Questions with
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Which of the following is TRUE of a point of service plan - CORRECT ANSWERS A patient's care is coordinated by an
in-network primary care physician.
In a Level term life policy, which always remains constant ? - CORRECT ANSWERS death benefit
which part of an insurance contract contains the promise to pay losses covered by the policy in exchange for the insureds
premium and compliance with policy terms ? - CORRECT ANSWERS insuring clause
In a home healthcare benefit, all of the following are eligible expenses EXCEPT - CORRECT ANSWERS blood
transfusions
in noncontributory plans, which percentage of eligible members must participate? - CORRECT ANSWERS 1
How are issues of ambiguity usually resolved because insurance contracts are contracts of adhesion? - CORRECT ANSWERS
In favor of the insured because the insurance company drafts the language in the contract.
Why is the accidental death benefit referred to as double indemnity? - CORRECT ANSWERS It provides twice the face
value in the policy for death due to accident.
which types of rider reimburses health and social service expenses incurred in a convalescent or nursing home facility -
CORRECT ANSWERS long term care rider
All life insurance and health insurance contracts contain all of the following EXCEPT - CORRECT ANSWERS
representations
all of the following are requirements to qualify for social security disability benefits except when - CORRECT ANSWERS
unable to work in occupation in which the worker was trained or educated.
what is the order in which beneficiaries receive proceeds from a life insurance policy ? - CORRECT ANSWERS
succession of beneficiaries
If a company provides group disability insurance to its employees, which of the following may be tax-deductible? - CORRECT
ANSWERS the premiums paid by the company as a business expense
Which annuity settlement option provides a stated monthly amount to the annuitant and upon the annuitant's death the same
or a lesser amount paid for the lifetime of the survivor? - CORRECT ANSWERS Joint and survivorship option
which of the following policy types is considered double indemnity - CORRECT ANSWERS accidental death
How long after being entitled to disability benefits will an individual be eligible to receive Medicare benefits? - CORRECT
ANSWERS 2 years
which of the following is an example of a hospital indemnity plan - CORRECT ANSWERS pays a fixed amount per day
to the insured for each day the insured is hospitalized
According to the time of payment of claims provisions, the insurer must make the payment immediately after receiving proof of
loss EXCEPT - CORRECT ANSWERS For claims involving periodic payments