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KENTUCKY LIFE AND HEALTH INSURANCE EXAM
VERSIONS A, B AND C EACH 150 REAL EXAM
QUESTIONS AND CORRECT ANSWERS 2024 -2025
ALREADY GRADED A+
KENTUCKY HEALTH INSURANCE EXAM A
An insured disability income policy defines total disability as "the insureds inability to preform the duties of any occupation for which he or she is reaosnily qualified by education, training, or experience." This definition is known as the
- "own occupation" definition and is more restrictive than other definitions
- "any occupation" definition and is more restrictive than other definitions
- "own occupation" definition and is less restrictive than other definitions
- "any occupation" definition and is less restrictive than other definitions - ANSWER-A. "own
occupation" definition and is more restrictive than other definitions
A certain major medical policy states a maximum number of X-rays that will be paid for under any one claim. These are examples of 1 / 4
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- first dollar coverage
- inside limits
- carryover provisions
- stop-loss limits - ANSWER-B. inside limits
All medicare supplement (or Medigap) policies must
- have the same premium
- have the same core benefits
- duplicate benefits provided by Medicare
- all of the above - ANSWER-D. all of the above
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3 Which of the following most accurately and completely describes an application?
- a form furnished by the insurer requesting certain information to become part of the
insurance policy
- a written request from an applicant to an insurer requesting the insurer to issue a policy on
the basis of the information in the application
- An oral request from an agent to an insurer to issue an insurance policy
- an application can be any of the above - ANSWER-B. A written request from an applicant to
an insurer requesting the insurer to issue a policy on the basis of the information in the application
A Health maintenance organization (HMO) in a certain city contracts with an independent medical group to provide services to HMO subscribers. The paying the individual medical practitioners, What type of HMO structure is this?
- Group Model
- Network Model 3 / 4
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- Staff Model
- IPA Model - ANSWER-C. Staff Model
When medical expenses policies do not state any specific dollar amount, but instead base payments upon the charges for like services in the same geographical area, benefits are designated as which of the following?
- Usual, customary and reasonable charges
- Stated charges
- Percentage of Stated Charges
- Designated Charges - ANSWER-D. Designated Charges
As compared to individual disability income policies, group disability income policies are generally
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