1
LIFE, ACCIDENT AND HEALTH OR
SICKNESS EXAMINATION LATEST
ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS 2025
A Long Term care insurance rider can include coverage for all of the following
EXCEPT : - (ANSWER)Hospital acute care
Which statement best describes a life insurance policy dividend ? -
(ANSWER)Legally defined as a return of excess premium and not taxable.
Which of the following information is not required to be communicated in a life
insurance contract? - (ANSWER)Personal judgment
When are parties to a contract required to communicate information solely based
on personal judgment for a matter in question? - (ANSWER)Never
After the deductible is paid , what percentage of the balance of approved charge
does Medicare part A pay ? - (ANSWER)80%
Medicare Part A provides coverage for all of the following , EXCEPT : -
(ANSWER)Physician services
Benefits under social security are available only for workers who are -
(ANSWER)Fully insured ( 40 quarters of coverage )
, 2
For social security purpose , a person with 40 quarters of coverage is considered. -
(ANSWER)Fully insured ( 40 quarters of coverage )
Who are members of the Medical information bureau ? - (ANSWER)Life and
health insurers ( life and health insurance companies )
Which of the following is the best definition of premium ? - (ANSWER)Money the
insured pays the insurer to obtain the benefits in the policy .
What rule is used to determine the importance of a representation ? -
(ANSWER)The materiality of concealment
The theory of probability is applied to life insurance through the use of -
(ANSWER)Mortality tables
In health insurance , the result of a rise in the morbidity rate is : -
(ANSWER)Increased premium
In the absence of a coordination of benefits clause , all of the following
circumstance might result in recovery of more than 100 % of actual health care
expense EXCEPT - (ANSWER)A worker's medical plan included a carryover
deductible provision
, 3
An individual is allowed to enroll in individual health insurance under the
following circumstances EXCEPT - (ANSWER)Within 30 days of being diagnosed
with an illness
Which policy covering two or more individuals pays the face amount only when
the first person dies ? - (ANSWER)Joint life policy
The acts that are reasonably necessary to the duties expressly authorized would
be covered by an agent's - (ANSWER)Implied authority
Which type of insurance guarantees the right to renew the policy each year ,
regardless of health , but increased premiums - (ANSWER)individuals the duties
right Renewable term
Life insurance policies written without a physical examination are called : -
(ANSWER)Non - medical
Part - time nursing care that follows a hospitalization and can be provided in a
patient's home is covered under - (ANSWER)Home health care benefits
Regarding the Health Benefit Exchanges , as created by PPACA , all of the
following statements are true EXCEPT - (ANSWER)An individual enrolling in a
bronze level plan is not eligible for reduced cost sharing
, 4
An attempt by an agent to deter an insured from replacing an existing life
insurance policy is called : - (ANSWER)Conservation
All of the following statements are true regarding Health Insurance Counseling
Advocacy program HICAP counselors EXCEPT - (ANSWER)Are qualified to give
legal advice
A 10 years period certain annuity with an installment refund is purchased . The
annuitant dies after being receiving monthly payments for 5 years . How many
remaining payments will the insurer make ? - (ANSWER)60 payments
NAIC reporting frequency for insurer financial statements is - (ANSWER)Annually
Which of the following statements regarding risk is TRUE - (ANSWER)Only pure
risks are insurable
The California Code of Regulations governing claim settlement practice prohibits
all of the following acts of unfair discrimination EXCEPT denial of claim based on -
(ANSWER)Reckless behavior
What is it called when an insurer uses higher rates based solely on religion , race
or ethnic group ? - (ANSWER)Unfair discrimination
All of the following statements about aleatory contracts are true EXCEPT : -
(ANSWER)The insured and insurer contribute equally to the contract
LIFE, ACCIDENT AND HEALTH OR
SICKNESS EXAMINATION LATEST
ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS 2025
A Long Term care insurance rider can include coverage for all of the following
EXCEPT : - (ANSWER)Hospital acute care
Which statement best describes a life insurance policy dividend ? -
(ANSWER)Legally defined as a return of excess premium and not taxable.
Which of the following information is not required to be communicated in a life
insurance contract? - (ANSWER)Personal judgment
When are parties to a contract required to communicate information solely based
on personal judgment for a matter in question? - (ANSWER)Never
After the deductible is paid , what percentage of the balance of approved charge
does Medicare part A pay ? - (ANSWER)80%
Medicare Part A provides coverage for all of the following , EXCEPT : -
(ANSWER)Physician services
Benefits under social security are available only for workers who are -
(ANSWER)Fully insured ( 40 quarters of coverage )
, 2
For social security purpose , a person with 40 quarters of coverage is considered. -
(ANSWER)Fully insured ( 40 quarters of coverage )
Who are members of the Medical information bureau ? - (ANSWER)Life and
health insurers ( life and health insurance companies )
Which of the following is the best definition of premium ? - (ANSWER)Money the
insured pays the insurer to obtain the benefits in the policy .
What rule is used to determine the importance of a representation ? -
(ANSWER)The materiality of concealment
The theory of probability is applied to life insurance through the use of -
(ANSWER)Mortality tables
In health insurance , the result of a rise in the morbidity rate is : -
(ANSWER)Increased premium
In the absence of a coordination of benefits clause , all of the following
circumstance might result in recovery of more than 100 % of actual health care
expense EXCEPT - (ANSWER)A worker's medical plan included a carryover
deductible provision
, 3
An individual is allowed to enroll in individual health insurance under the
following circumstances EXCEPT - (ANSWER)Within 30 days of being diagnosed
with an illness
Which policy covering two or more individuals pays the face amount only when
the first person dies ? - (ANSWER)Joint life policy
The acts that are reasonably necessary to the duties expressly authorized would
be covered by an agent's - (ANSWER)Implied authority
Which type of insurance guarantees the right to renew the policy each year ,
regardless of health , but increased premiums - (ANSWER)individuals the duties
right Renewable term
Life insurance policies written without a physical examination are called : -
(ANSWER)Non - medical
Part - time nursing care that follows a hospitalization and can be provided in a
patient's home is covered under - (ANSWER)Home health care benefits
Regarding the Health Benefit Exchanges , as created by PPACA , all of the
following statements are true EXCEPT - (ANSWER)An individual enrolling in a
bronze level plan is not eligible for reduced cost sharing
, 4
An attempt by an agent to deter an insured from replacing an existing life
insurance policy is called : - (ANSWER)Conservation
All of the following statements are true regarding Health Insurance Counseling
Advocacy program HICAP counselors EXCEPT - (ANSWER)Are qualified to give
legal advice
A 10 years period certain annuity with an installment refund is purchased . The
annuitant dies after being receiving monthly payments for 5 years . How many
remaining payments will the insurer make ? - (ANSWER)60 payments
NAIC reporting frequency for insurer financial statements is - (ANSWER)Annually
Which of the following statements regarding risk is TRUE - (ANSWER)Only pure
risks are insurable
The California Code of Regulations governing claim settlement practice prohibits
all of the following acts of unfair discrimination EXCEPT denial of claim based on -
(ANSWER)Reckless behavior
What is it called when an insurer uses higher rates based solely on religion , race
or ethnic group ? - (ANSWER)Unfair discrimination
All of the following statements about aleatory contracts are true EXCEPT : -
(ANSWER)The insured and insurer contribute equally to the contract
