Life and Health EXAM REAL WAY
Managed care plan
A health insurance plan which involves financing, managing, and delivery of health care services and involves a group of providers who share in the financial risk of the plan or who have an incentive to deliver cost effective service, is called
The benefits will be coordinated
A husband and wife are insured under group health insurance plans at their own places of employment, and as dependents under their sprouse's coverage. If one of them incurs hospital expenses, how will those expenses likely be paid?
Pay dividends to the policyowner
A participation insurance policy may do which of the following?
3 years
According to the Time Limit on Certain Defenses provision, non-fraudulent misstatements made on the health insurance application may not be used to deny a claim after the policy has been in force for
MIB reports are based upon information supplied by doctors and hospitals
All of the following are true regarding the Medical Information Bureau (MIB) EXCEPT
A license to practice law
An applicant for a Counselor's license in Michigan must possess all of the following EXCEPT
The insurer will pay the full death benefit from the group policy to the beneficiary
An employee quits his job on May 15 and doesn't convert his Group Life policy to an individual policy for 2 weeks. He dies in a freak accident on June 1. Which of the following statements best describes what will happen?
Single Premium Whole Life
An insurance policy that only requires a payment of premium at its inception, provides insurance protection for the life of the insured, and matures at the insured age 100 is called?
LTC policies are marketed effectively to prospective insureds.
Every insurer marketing Long-Term Care insurance must establish marketing procedures to ensure all of the following EXCEPT
6 months
In order for costs to be covered under a dental plan, what is the minimum interval that must pass between routine dental exams?
February 28th, or 10 days after the time the policy is delivered
J applied for a life insurance policy on January 10. the policy was issued on January 31. J's agent was vacationing at the time the policy was issued, so J did not receive the policy until February 18. J decides that he does not want the policy. When would J need to return the policy to the insurer in order to receive a full refund of premium paid?
Annually Renewable Term
The LEAST expensive first- year premium is found which of the following policies?
Age 65 who are not retired
The Omnibus Budget Reconciliation Act of 1990(OBRA) requires that large group health plans must provide primary coverage for disabled individuals under
An individual who was previously covered by group health insurance for 6 months is eligible
Under HIPPA, which of the following is INCORRECT regarding eligibility requirements for conversion to an individual policy?
conditional
When both parties to a contract must perform duties and follow rules of conduct to make the contract enforceable, the contract is
Statement of Good Health
When the policy premium wasn't submitted with the application what should the agent obtain from the insured upon policy delivery?
Elective services
Which of the following is NOT covered by Health Maintenance Organizations (HMOs)?
Respite care
Which of the following is not covered under a dental insurance plan?
