health focused review

what is the typical deductible for basic surgical expense insurance?

$0

what long-term care benefits would provide coverage for care for functionally impaired adults on a less than 24-hour basis?

adult day care

an insured pays a $100 premium every month for his insurance coverage, yet the insurer promises to pay $10,000 for a covered loss. what characteristic of an insurance contract does this describe?

aleatory

the proposed insure makes the premium payment on a new insurance policy. if the insured should die, the insurer will pay the death benefit to the beneficiary if the policy is approved. what kind of contract is this an example of?

conditional

what is another term for "no deductible"?

first-dollar basis

what entities have the authority to make changes to an insurance policy?

insurer's executive officer

what is the type of dental plan incorporate into a major medical expense plan?

integrated dental plan

what are untrue statements on the application unintentionally made by insures that, if discovered, would alter the underwriting decision of the company?

material misrepresentations

what provision would prevent an insurance company from paying a reimbursement claim to someone other than the policy owner?

payment of claims

how many consecutive months of coverage must LTC insurance provide in colorado?

12 moths

what is the period of coverage for events such as death or divorce under COBRA?

36 months

L has a major medical policy with a $500 deductible and 80/20 coinsurance. L is hospitalized and sustains a $2,500 loss. what is the maximum amount that L will have to pay?

$900 ( deductible + 20% of bill after deductible)

what is it called when health care insurers negotiate contracts with health care providers or physicians to provide health care services for subscribers at a favorable cost?

preferred provider organization (PPO)