1
INSURANCE – HEALTH EXAM/ Actual Exam Questions with Correct Verified Answers/ Rated A+
A health insurance policy that the insurer may choose not to renew only on the premium due date is called ✓ An optionally renewable policy
In order to obtain group insurance without providing evidence of insurability, what do eligible individuals generally have to do?✓ Enroll within a specified eligibility period
Second surgical opinions, precertification, concurrent and retrospective reviews, and outpatient/ambulatory services are all elements of a cost containment system commonly known as ✓ Case management
Each of the following would be found in the insuring clause of an insurance policy
EXCEPT
✓ Name of the insured
The type of health care provider that provides both the health care services and the health care coverage is a ✓ Health Maintenance Organization
- / 2
2 Dread disease, travel accident, vision care, and hospital indemnity policies are all examples of ✓ Limited policies
Which of the following are NOT eligible for medicare coverage?✓ People with any life threatening condition
A company that is licensed to sell insurance in a particular state is ✓ An authorized company
Luis and Margarita Rodriguez have a family health policy that includes two riders. One rider excludes coverage for Margarita's existing diabetes. The other rider indicates that the couple may purchase additional disability income coverage at specified dates in the future without proving insurability. What two riders are attached to this policy?✓ Impairment and guaranteed insurability riders
Normally, Blue Cross/Blue Shield makes payments for medical expenses ✓ Directly to the providers
When may agents change a policy or waive its provisions according to Required Provision 1?✓ Never
Under what circumstance do major medical policies usually provides for restoration of benefits.✓ Restoration usually occurs after a specified dollar amount of benefits has been exhausted and after the insured has proven insurability
What is the minimum grace period, provided in Required Provision 3, for all policies other than monthly or weekly premium policies?✓ 31 days
- / 2