GUARANTEED EXAM 2

In Arizona, when is a child who is adopted at birth covered for health insurance?

From birth if a petition is filed within 31 days of the birth of the child

How many health benefit plans must each accountable health plan in Arizona offer on a guaranteed issue basis to small employers?

1

An agent's first-year commission CANNOT exceed what percentage of the renewal commission for servicing a Medicare Supplement policy in its second year?

200%

Most domestic insurers mus be examined at least once every

5 years

Under the mandatory uniform provision Legal Actions, an insured is prevented from bringing a suit against the insurer to recover on a health policy prior to

60 days after written proof of loss has been submitted

Which of the following could be used to prove that a person applying for a license is in the country legally?

A bureau of Indian affairs affidavit of birth (NOT Social Security Card)

Which of the following would be an EXCEPTION to the rule that a life contract can only be made on a person who is legally competent?

A person buys a policy on his spouse (this is NORMAL)

All of the following could qualify as a group for the purpose of purchasing group health insurance EXCEPT

An association of 35 people. (Group insurance may be issued to employer, employee, or other groups that are together for a purpose other than purchasing insurance)

Which of the following is NOT correct concerning taxation of disability income benefits?

If paid by the individual, the premiums are tax deductible.

With a conditionally renewable policy, the premiums are more likely to be

Increased.

Which of the following is NOT true regarding an optionally renewable policy?

Insurer can only cancel the policy for reasons stipulated in the contract.

Which of the following is provided by skilled medical personnel to those who need occasional medical assistance or rehabilitative care?

Intermediate care

For a contract to be enforceable by law, the purpose of the contract must be

Legal and against public policy

Medicare Part B covers all of the following EXCEPT

Long-term care services.

Only the agent is involved in completing the agent's report. The agent's statement is

Not included in the "entire contract".

When may HIV-related test results be provided to the MIB?

Only if the individual is not identified

Ed is covered under a health plan provided by his employer. He was told that his insurance would pay the majority of the covered expenses if he would choose to see a provider in his plan's list. If Ed chose to be treated by a provider who was not on the list, his portion of the bill would be greater. Ed is covered under a/an

Preferred Provider Plan

Which of the following is NOT a characteristic of a Managed Care Plan?

Risk retention

Dennis has a cavity filled. His insurer covers his claim up to a predetermined amount which is indicated by a fee schedule. Which type of plan does he have?

Scheduled

Before an insurer may transact business in a specific state, they must apply for a license or Certificate of Authority from the state department of insurance and meet

Solvency requirements.

An elimination (waiting) period may NOT have to be satisfied for a disability in which of the following?

An insured suffers a relapse of a prior disability within 6-months of the initial covered disability

Which of the following meets the insured's personal needs, and is provided by nonmedical personnel?

Custodial care

All of the following are features of a health insurance plan purchased on the health insurance marketplace EXCEPT

Dollar limits on essential benefits

At what point is a newborn covered under a health insurance and how long will this coverage last before the insurer needs to be notified of the birth in order for coverage to continue?

From the moment of birth, and the surer must be notified within 31 days

In order for an alumni association to be eligible to purchase group health insurance for its members all of these statements must be true EXCEPT when the association

Has been active for five years minimum

Which of the following does NOT need to be included on the first page of a Medicare supplement policy?

Premium rates