Health insurance basics quiz
Health coverage becomes effective when the
First premium has been paid and the application has been approved.
Which of the following is an example of a peril covered in an accident and health insurance policy?
Sickness
In underwriting a substandard risk, which of the following is INCORRECT? a. additional exclusions could be included to modify the underlying policy coverage. b.A discounted premium would be charged c. The policy could be modified in the coverage or amount of coverage requested. d. The applicant could be rejected for coverage.
A discounted premium would be charged
Which of the following individuals will be eligible for coverage on health insurance marketplace? a. A U.S. citizen who is incarcerated b. A U.S. citizen living abroad c. A permanent resident lawfully present in the U.S. d. Someone who has Medicare coverage
A permanent resident lawfully present in the U.S.
what is the rule of thumb regarding the payment of benefits on limited services policies?
Benefits are paid under specific circumstances detailed in the policy
The patient protection and affordable care act includes all of the following provisions EXCEPT? a. right to appeal b. No lifetime dollar limits c. Coverage for preventive benefits d. Individual tax deduction for premiums paid
Individual tax deduction for premiums paid
Which document is used to assess risk associated with an applicant's lifestyle and character?
Investigative consumer report
Which of the following is NOT a metal level of coverage offered under the Patient protection and affordable care act? a.Silver b.Bronze c.Iron d.Gold
Iron
All of the following are true regarding the Medical information Bureau (MIB) EXCEPT? a. MIB reports are based upon information supplied by doctors and hospitals. b. MIB information is reported to underwriters in coded form. c. MIB reports contain previous insurance information. d. Insurers may not refuse to accept an application solely due to information in an MIB report
MIB reports are based upon information supplied by doctors and hospitals
Which of the following would NOT be considered a primary risk factor in underwriting individual health insurance policies?
Marital status
In health underwriting, it would be inappropriate to decline a risk using any of the following factor EXCEPT. a. Marital status b. Blindness c. Mental illness d. Genetic characteristics
Mental illness
How many pairs of glasses in a 12-month period will a vision expense insurance plan cover?
One
Which of the following dental insurance categories would cover the filling of cavities? a. Routine and major restorative care b.Orthodontic care c.This type of work is not covered d.Routine and preventative maintenance
Routine and major restorative care
Regarding health insurance premiums, all of the following statements are true EXCEPT? a. Standard risks pay the regular premium for their classification b. Substandard risks are not insurable and are always rejected. c. Rated policies can be issued by standard insurers. d. Preferred risks may be given a discounted rate for being a non-smoker or a non-smoker
Substandard risks are not insurable and are always rejected
When is insurability conditional receipt given?
When the premium is paid at the time of application
