Health Law Exam Questions
Under special circumstances, continuing education requirements may be extended beyond the 2-year period for a maximum period of
12 months
The continuation of coverage provision allows terminated employees to continue coverage under a group health insurance plan for up to
18months
Which of the following Medicare supplement plans would be available to a reasonably healthy 91-year old female?
A-N
When transacting business in this state an insurer formed under the laws of another country is known as a/an
Alien insurer
Any policy of health insurance that provides coverage for maternity care must also cover the services of all of the following EXCEPT
All of the above
What is a foreign insurer?
An insurer with a home office in another state
When must an insurance company present an outline of coverage to an applicant for a Medicare supplement policy?
At the time of application
An insurer that holds a Certificate of Authority in the state in which it transacts business is considered a/an
Authorized insurer
Who must sign the notice regarding replacement?
Both the applicant and agent
An applicant for an insurance agents license must
Complete a prelicensing education course
When applying for an individual life insurance policy, an applicant states that he went to the doctor for nausea, but fails to mention that he was also having severe chest pains. This is an example of
Concealment
Applications to an insurer must include all of the following information EXCEPT
Credit history report
Which of the following authorities grants and revoked licenses?
Department of Financial Services
The requirement that agents not commingle insurance monies with their own funds is known as
Fiduciary responsibility
Which of the following government health programs provides health insurance coverage to children who do not have access to adequate health care services?
Florida Healthy Kids
Which of the following activities would be sufficient violation to warrant rejection, revocation, or suspension of an insurance agents license?
Forgery. Upon conviction of a felony, an agent's license will be revoked by the Commissioner.
All of the following are the general qualifications for an agents license EXCEPT
Have a high school diploma
Which of the following is NOT true regarding a Certificate of Authority?
It is issued to group insurance participants.
The Florida Employee Health Care Access Act services which of the following purposes?
It regulates group health insurance provisions provided by insurers or HMOs to small employers
Which of the following is NOT considered a misrepresentation as it pertains to unfair trade practices?
Making comparisons between different policies
On its advertisement, a company claims that it has funds in its possession that are, in fact, not available for the payment of losses or claims. What is the company guilty of?
Misrepresentation
Which of the following entities is responsible for agent licensing and administrative supervision?
Office of Insurance Regulation
What method do insurers use to protect themselves against catastrophic losses?
Reinsurance
Which of the following groups would most likely be covered under a blanket accident policy?
Students at a public school
If the agent is in the military, which of the following is true?
The agent can not sell a policy to another active military person who is of a lower rank
If a person accumulates more continuing education hours than is necessary to fulfill the requirements of the 2 year period which of the following will occur?
The extra hours may be continued into the next period
Which of the following is an agreement between an insured and an insurer, where the insurer agrees to indemnify the insured for specific losses in exchange for a premium?
The insurance contract
An insurer hires a representative to advertise its company at a local convention. The representative lies about the details of some of the policies, in an attempt to secure more business for the company. Who is responsible for the representative's claims?
The insurer
When an insurer appoints an agent,
The insurer is bound by the agent's acts.
An individual purchased a Medicare supplement policy in March and decided to replace it 2 months later. His history of coronary artery disease is considered a pre-existing condition. Which of the following is true?
The pre-existing condition waiting period fulfilled in the old policy will be transferred to the new policy, the new one picking up where the old one left off.
Coverage of a newborn includes all of the following EXCEPT
Transportation costs of up to $3,000 if medically necessary
Which type of misrepresentation persuades an insured, to his or her detriment, to cancel, lapse, or switch policies from one to another?
Twisting
An insured submits proof of loss form within 10 days of loss. The insurer however does not acknowledge the form for 3 months. Which of the following violations has the insurer committed?
Unfair claims settlement
When can a Long-Term Care policy deny a claim for losses incurred because of a pre-existing condition?
Within 6 months of the effective date of coverage
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 receive notice of policy lapse or termination