Colorado Life and Health Insurance Test 2025
Questions And Correct Answers/ Colorado Life And
Health Insurance License Exam 2025 With 300 Real
Exam Prep Questions And Correct Verified Answers
(Brand New!)
utilization review - ...ANSWER...✓✓a set of formal
techniques to monitor the use or clinical necessity of
health care, determining the application of exclusions,
and the medical necessity of treatment.
30 days for electronic; 45 days for paper -
...ANSWER...✓✓With a clean claim, the insured has ? days
for paying or denying electronic and ? days for paper
claims.
Enforces - ...ANSWER...✓✓The Commissioner ______ laws
and does not create them.
5 years - ...ANSWER...✓✓Every ____ years, a licensed
insurer must be examined by the state commissioner.
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Adverse selection - ...ANSWER...✓✓What is a major
concern for Underwriters, especially during the open
enrollment period?
Conversion privilege - ...ANSWER...✓✓Allows individual
policy conversion upon plan group termination
Non-taxable - ...ANSWER...✓✓Benefits are taxable or
non-taxable (?) to employees.
20 - ...ANSWER...✓✓Employers with ___ + employees are
required to offer COBRA for up to 18 months after an
employee is terminated.
Master policy - ...ANSWER...✓✓In group health insurance
a ______ type of policy is issued to the group sponsor.
Impairment rider - ...ANSWER...✓✓Temporary or
permanent rider added to a policy that includes specific
conditions which would normally cause a policy to be
declined.
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Free Look Period - ...ANSWER...✓✓The period of time for
the insured to look over a policy after it is issued (10 days
for health insurance, 15 for life)
Class - ...ANSWER...✓✓The guaranteed renewable
provision states that premiums can only be increased by
_________.
Legal Actions Provision - ...ANSWER...✓✓The ___________
states that one has 60 days after proof of loss with a 2-
year limit on certain defenses.
Insurers - ...ANSWER...✓✓The insuring clause includes
____________'s promise to pay benefits.
Proof of loss provision - ...ANSWER...✓✓This provision
states that the insured must provide proof of loss within
90 days, up to a 1-year maximum.
elimination period - ...ANSWER...✓✓waiting period after a
loss occurs before benefit period begins (30, 90 days, up
to 1 year)
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Part C - ...ANSWER...✓✓Medicare Advantage plan,
substitution for original benefits (A & B)
Medicare Part A - ...ANSWER...✓✓Hospital insurance,
covers inpatient and hospice
Medicare Part B - ...ANSWER...✓✓Outpatient treatment,
ER treatment, preventive care is looped under Part ___
Supplement Part A - ...ANSWER...✓✓Also known as
Medigap, this part covers core benefits, including hospice
care; premiums vary.
Guaranteed Insurability Rider - ...ANSWER...✓✓Optional
rider that enables the policyowner to purchase additional
amounts of coverage at predetermined times without
proof of insurability
Accidental Death Benefit Rider - ...ANSWER...✓✓doubles
the face amount of life insurance if death occurs as a
result of an accident