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?