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1. Unless an insured has made fraudulent statements on the application for individual health coverage, subsequent claims may not be denied under the provision for:
A) Legal actions
B) Grace period
C) Time payment of claims
D) Time limit on certain defenses
2. The insurance with other insurers provision in an individual health insurance policy allows an insurer to pay benefits to the insureds on a pro-rata basis when the:
A) Insured has submitted claims in excess of $2,000 during the policy year
B) Policy is within 31 days of the renewal date
C) Insurer was not notified prior to the claim that the insured has other health coverage
D) Policy has entered into the grace period for premium payment
3. A health insurer must generally pay for all of the following types of claims EXCEPT:
A) Those related to mental or nervous disorders
B) Those incurred before termination of coverage
C) Those less than $20 above the deductible amount
D) Those incurred after termination of coverage
4. An individual currently owns a long-term care policy. At the time of application for similar coverage, which item must be signed by the applicant and retained by the insurer?
A) A cancellation notice
B) A duplication notice
C) A replacement notice
D) A substitution notice
5. The preventive medical care benefit sometimes provided in a Medicare supplement policy covers:
A) Skilled nursing care
B) Home health care
C) Annual physical exams
D) Hospitalization
Solutions:
Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C |
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