Florida Insurance Exam (2-15) 150 Questions and Answers 100% Verified A Supplementary Medical Expense policy combines the benefits of what two types of plans? - Correct Answer Basic Medical and Major Medical Which of the following is not correct concerning Health Maintenance Organizations? - Correct Answer They mandate enrollment for groups of 25 or more.Which is not true concerning a Hospital Fixed-Rate plan? - Correct Answer Benefits are paid directly to the hospital When benefits are paid to a policyowner covered under a Hospital Expense policy, the policy is considered to be which of the following? - Correct Answer Fixed-Rate plan Which of the following about Health Reimbursement Accounts HRA's is/are correct? - Correct Answer HRA's are established by the employer Which of the following statements is true about Basic Hospital, Medical, and Surgical Expense Policies? - Correct Answer They usually have a stated limit for specific expenses.Which of the following plans used with High Deductible Health Plans is employee owned? - Correct Answer Health Savings Accounts (HSAs)
- Which of the following service providers allows for a primary care physician as well as
out-of-network care? - Correct Answer Point of Service Plan (POS) Which of the following is true about coinsurance? - Correct Answer It helps control overutilization of benefits.In a Basic Surgical policy, which of the following pays per point? - Correct Answer Relative Value The type of health care provider that provides both the health care services and the
health care financing is a: - Correct Answer Health Maintenance Organization
Which of the following non-insurance entities are NOT involved with self-insured plans?
- Correct Answer Actuaries
Which of the following policies would cover a student pilot taking flying lessons? - Correct Answer Special Risk 1 / 2
An applicant for insurance may pay the initial premium and receive a document from the agent indicating that if the policy is issued as requested coverage begins on the date of the documents. What is this document called? - Correct Answer Conditional receipt How does a basic medical plan avoid small claims and keep the cost of premiums down? - Correct Answer by imposing benefit limits A limited risk policy will pay for dread diseases
: - Correct Answer such as cancer
Stagmite purchases a major medical policy with a $100 annual deductible, 80/20 co- insurance and a maximum out-of-pocket of $5000. If Stagmite were to incur covered expenses of $10,100, how much would Stag be out of pocket? - Correct Answer $2100 If all or part of a $500 deductible is offset by a Basic Medical policy, what type of deductible applies? - Correct Answer Integrated In a Basic Hospital Expense policy, the miscellaneous expense limits are a multiple of what factor? - Correct Answer Daily room and board What is the agreement between an HMO and subscriber or group? - Correct Answer Health maintenance contract HMOs are a distinct form of health provider because: - Correct Answer They provide financing for the health care plus the health care itself Which of the following is the most common type of co-insurance in a major medical policy? - Correct Answer 20-25% Which statement concerning commercial companies is not true? - Correct Answer They are not debit companies
Another term used for Home Service insurers is: - Correct Answer Debit insurers
Basic Medical expense policies do not generally provide coverage for: - Correct Answer Lost income HMO's are known for stressing - Correct Answer preventive medicine and early treatment Which of the following companies can sell health insurance?
- Mono-Line
- / 2
II. Home Service/Industrial III. Property/Casualty IV. Multi-Lines Company - Correct Answer All of the above