TEST DAY REVIEW

What percentage of individually- owned disability income benefits is taxable?

0%

If a parent would like to enroll a child over the age of 5 into the Florida Healthy kids program, their family income must be under a certain percentage of the federal poverty level. What percentage?

200

A small hardware store owner is involeved in a car accident that renders him totally disabled for half a year. Which type of insurance would help him pay for expenses of the comany during the time of his disablity?

Business overhead expense policy

Which of the following riders would not increase the premium for a policy owner?

Impairment Rider

Which of the following does NOT describe hospice care?

It provides care to people with life expectancies of 1 to 2 years

A hospital indemity policy will pay

a benefit for each day the insured is in a hospital

Which of the following is considered a presumptive disability under a disability income policy?

loss of two limbs

An insured pays a monthly premium of 100 for her health insurance. What would be the duration of the grace period under her policy?

10 days

A client has a new diablity income policy witha 20 day prbationary period and a 30 day elimination period. Ten days later, the client breaks their leg and is off wowrk for 45 days. How many days of diablity benifits will the policy pay?

15 beccause you do 45-30

If a consumer requests additional information concerning an investigative consumer report, how long does the insurer or reporting agency have to comply?

5 days

Long - term care coverage may be avalible as any of the following options EXCEPT

Endorcement to a health policy

Which of the following is ture regarding METS?

they allow several small employers to purchanse less expensive insurance together

All of the following are basic types of health insuance plans EXPECPT

workers compensation

Most HMOs operate through what type of sytem?

a group emrollment system either at their place of emplayment or as a memmer of an assiciation

What is a material misreperesentation?

a statement by the apllicant that, upon discovery, would affect the underwriting decision of the insurance company

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

adult day care

Which provision states that the insurance comany must pay Medical Expense claims immdiately?

time of payment of claims

Long -term care policies require that in addition to the applicant at least one person must be designated in the policy . What is the role of that designated person?

to recieve notice of policy lapse or termination

Which of the following special policies conver unusual risks that are NOT normally inculded under Accidential Death and Dismemeberment coverage?

Special Risk Policy

After a person's employment is terminated, it is possible to obtain individual health insurance after losing the group heath coverage provided by the employer. Which of the following is NOT true?

by law, the new, individual policy must provide the same benefits as the group insurance policy

HMOS that contract with outside physicians to provide healtcare service to their subscribers compensate to those provides on a

capitation basis

A health insurnace policy that pays a lump sum if the insured suffers a heart attack or stroke is known as

critical illness

Which agreement specifies how a business will trnasfer hands when one of the owners dies or becomes disabled?

diabilty buy-sell

Which of the following best describes the alegatory nature of an insurnce contract?

exchange of unequal values

Under the Affordable Care act, which classification applies to health palns based on the amount of covered costs?

metal level classification

Florida Employee Health Care Access Act serves which of the following purpose

regulates group health insurance provisions provided by insurers or HMOS to small employers

Which of the following does NOT have to be disclosed in a long -term care(LTC) POLICY?

the aggregate amount of premiums due

The insuring clause of a diability policy usually states all of the following EXCEPT

the method of premium payment

When a HMO knowingly makes any misleading representation, incomplete or fraudulent comparisons for the purpose of inducing any person to lapse,forfeit,terminate,surrender or convery any insurance policy or contract with another insurnce company or HMP, they are in vilation of the unfair trading practice of

twisting

An agent makes a mistake on the application and then corrects his mistake by physically entering the necessary information. who must then initial that change?

applicant

Another term used to descibe "no deductible" is

first dollar basis

Which of the following statement is gauranteed to be true, and if untrue, may breach an insurance contract?

warrenty

When can a Long Term Care policy deny a claim for loses incurred because of a pre-existing condition?

within 6 months of the efetive date of coverage