Accident and health insurance Basics questions

The agent is known as the field underwriter because of the information he/she gathers for the insurer. This helps the insurer

Avoid adverse selection

A group policy used to provide accident and health coverage on a group of persons being transported by common carrier without naming the insurance persons individually is called

Blanket policy

Medicaid is sponsored by what kind of sources

Both state and federal

How are state insurance guaranty association is funded

By their members authorized insurance

A health insurance plan that covers all accidents and sicknesses that are not specifically excluded from the policy is referred to as a

Comprehensive plan

All of the following statements concerning accidental death and dismemberment coverage are correct except

Death benefits are paid only if death occurs within 24 hours of an accident

And insured is upset that her new health insurance policy was delivered to her by certified mail and not to her agent. Which of the following is true

There's nothing wrong with this form of policy delivery

Under a credit disability Policy, until what point will payments to the creditor be made for the insured

Until the disability ends or the debt is satisfied, which ever is sooner

A person steps off a street car and trips and breaks his ankle. This type of injury can be described as

sudden and unforeseen

What document describes an insurance medical history, including diagnoses and treatments

Attending physician statement

At what age does an individual qualify for Medicare

65

Most policies will pay the accidental death benefits as long as the death is caused by the accident and occurs within

90 days

A hospital indemnity policy will pay

A benefit for each day the insured is in the hospital

In underwriting a substandard risk, which of the following is incorrect

A discounted premium would be charged

Which of the following are characteristics of a successful self-funded plan

A group large enough to reasonably predict future loss experience, a stop loss contract to assume losses be on the insurance retention, a third-party administrator who services claims

Where would long-term care services be rendered

A nursing home or one's own home

Insurance health policy only pays for medical costs related to accidents. Which of the following types of policies does the insured have

Accident only

If during the underwriting process an insurer obtains personal information about an applicant from the applicant, one must the insurer provide notice of its information practices

At the time of policy delivery

A policy which covers medical costs related to a specific condition is called a

Dread disease policy

Because of the history of cancer in her family, Julie purchased a policy that specifically cover the expense of treating cancer. Her policy would be classified as what type of policy

Dread disease policy

The insurance policy, together with the policy application and any added writers from what is known as an

Entire contract

I producers acting in what capacity when he or she is trying to obtain credible information about an applicant for health insurance?

Field underwriter

Which of the following expenses is not covered by health insurance policy

Funeral

In which of the following cases would a credit disability policy be issued

If an individual is in debt to a specific creditor, payments will be made for him/her until they return to work

Which of the following factors about the insured determines the amount of disability benefit that the insured will receive

Income

Who must pay for the cost of the medical examination required in the process of underwriting

Insurer

Which document is used to assess risk associated with an applicants lifestyle and character

Investigative consumer report

And policy owner is reading a statement on the first page of his health insurance policy, which says this is a limited policy. What is the name of this statement

Limited policy notice

In franchise insurance, premiums are usually

Lower than individual policies, but higher than group policies.

If a dental plan is integrated, it is combined with what type of plan

Medical

Which of the following information regarding an insured is not included in an investigative consumer report, which is requested by an underwriter

Medical history

Who is involved in completing the agents report

Only the agent

Which of the following is the most common time for errors and omissions to occur on the part of an insurer

Policy delivery

An applicant for health insurance has not had a medical claim in five years. He exercises daily and does not smoke or drink. What classification do you assume the applicant would receive from his insurer

Preferred

When benefits are paid directly to the insured under your Health insurance policy, the policy provides benefits on what type of basis

Reimbursement

Which of the following is an example of peril covered in an accident and health insurance policy

Sickness

What is the best way to change an application

Start over with a fresh application

Which of the following groups would most likely be covered under a blanket accident policy

Students at a public school

Regarding health insurance premiums, all the following statements are true except

Substandard risks are not insurable and are always rejected

Which of the following would an accident- only policy NOT cover?

Surgery to repair a wrist damaged by tendinitis

Which of the following may not be included in an insurance companies advertisement

That its policies are covered by a state guarantee association

Which of the following is true about the requirements regarding HIV exams

The applicant must give prior informed written consent

Which of the following will not be covered under an individual health insurance policy

The applicant's house help

And insured who has an accidental death and dismemberment policy this is her left arm in an accident. What type of business fit will she most likely receive from this policy

The capital amount in a lump sum

Which is not true regarding an insured who is considered to be a standard risk

The insured may have to pay slightly higher premiums

An insurer hires a representative to advertise its Company at a local convention. The representative lies about the details of some of the policies, an attempt to secure more business for the company. Who is responsible for the representatives claims?

The insurer

And ensure wishes to compare the information given in an insurance application with previous insurance applications by the same applicant but for different companies. What organization can help the insurer accomplish this

The medical information bureau

A health insurance policy may cover all of the following risks except

War-related injuries

In a group prescription drug plan, the insured typically pays what amount of the drug cost?

co-payment

Under a typical health insurance policy, claims that result from injuries while the insured was intoxicated or under the influence of drugs are generally

excluded

Which type of hospital policy pays a fixed amount each day that the insured is in the hospital

indemnity

Which of the following losses will be covered by a group medical expense policy

pre-existing condition