| 7. | All of the following are considered to be supplemental benefits under an HMO plan EXCEPT |
| a) | Long-term care. |
| b) | Mental health care. |
| c) | Prescription drugs. |
| d) | Preventive services. |
| HMOs have the option of providing one or more of the following supplemental benefits: long-term care, nursing services, home health care, prescription drugs, dental care, vision care, mental health care, and substance abuse services. | |
| #9. | Which of the following best defines the owner of a life settlement contract? |
| a) | An insurance provider |
| b) | A person who is selling the contract |
| c) | A person insured under the contract |
| d) | A fiduciary for the contract |
| The term "owner" refers to the owner of the policy who may seek to enter into a life settlement contract. This does not include an insurance provider, a qualified institutional buyer, a financing entity, a special purpose entity, or a related provider trust. | |
| #13. | An insured severely burns her hand, but is not classified as disabled. Which of the following types of coverage would cover at least a portion of the insured’s medical expenses? |
| a) | Accidental death & dismemberment |
| b) | Partial disability |
| c) | Medical reimbursement benefit |
| d) | Medical expense compensation |
| Medical reimbursement benefits help to pay medical costs for accidental injuries that are not considered to be disabling. | |
| #14. | All of the following are beneficiary designations EXCEPT |
| a) | Specified. |
| b) | Tertiary. |
| c) | Contingent. |
| d) | Primary. |
| Beneficiary designations determine the order in which benefits will be paid: primary or contingent, which includes secondary and tertiary. | |
| #19. | A participating insurance policy may do which of the following? |
| a) | Pay dividends to the policyowner |
| b) | Provide group coverage |
| c) | Pay dividends to the stockholder |
| d) | Require 80% participation |
| A participating insurance policy will pay dividends to the owner based upon actual mortality cost, interest earned and costs. | |
| #29. | Which of the following is NOT the consideration in a policy? |
| a) | The premium amount paid at the time of application |
| b) | The promise to pay covered losses |
| c) | The application given to a prospective insured |
| d) | Something of value exchanged between parties |
| Consideration is something of value that is transferred between the two parties to form a legal contract. | |
| #31. | Within how many days of requesting an investigative consumer report must an insurer notify the consumer in writing that the report will be obtained? |
| a) | 3 days |
| b) | 5 days |
| c) | 10 days |
| d) | 14 days |
| Investigative consumer reports cannot be made unless the consumer is advised in writing about the report within 3 days of the date the report was requested. | |
| #38. | What type of insurance would be used for a Return of Premium rider? |
| a) | Annually Renewable Term |
| b) | Increasing Term |
| c) | Level Term |
| d) | Decreasing Term |
| The Return of Premium Rider is achieved by using increasing term insurance. When added to a whole life policy it provides that at death prior to a given age, not only is the original face amount payable, but also all premiums previously paid are payable to the beneficiary. | |
| #40. | The death protection component of Universal Life Insurance is always |
| a) | Increasing Term |
| b) | Annually Renewable Term |
| c) | Whole Life |
| d) | Adjustable Life |
| A universal policy has two components: an insurance component and a cash account. The insurance component (or the death protection) of a universal life policy is always annual renewable term insurance. | |
| #41. | All of the following statements concerning Medicaid are correct EXCEPT |
| a) | Persons, at least 65 years of age, who are blind or disabled and financially unable to pay, may qualify for Medicaid Nursing Home Benefits. |
| b) | Medicaid is a state funded program that provides health care to persons over age 65, only. |
| c) | Individual states design and administer the Medicaid program under broad guidelines established by the federal government. |
| d) | Individuals claiming benefits must prove they do not have the ability or means to pay for their own medical care. |
| Medicaid is a government funded (both state and federal) program designed to provide health care to poor people of all ages. | |
| #43. | Under the Affordable Care Act, a special enrollment period allows an individual to enroll in a qualified health plan within how many days of a qualifying event? |
| a) | 10 days |
| b) | 30 days |
| c) | 60 days |
| d) | 90 days |
| Unless specifically stated otherwise, individuals or enrollees have 60 days from the date of a triggering event to select a qualified health plan. | |
| #46. | If a change needs to be made to the application for insurance, the agent may do all of the following EXCEPT |
| a) | Note on the application the reason for the change. |
| b) | Destroy the application and complete a new one. |
| c) | Erase the incorrect answer and record the correct answer. |
| d) | Draw a line through the first answer, record the correct answer, and have the applicant initial the change. |
| An agent should not use white-out, erase or obliterate any answers given to a question on an application. It could prevent an insurer from contesting the application, should it be necessary. | |
| #47. | A new employee who meets HIPAA eligibility requirements must be issued health coverage on what basis? |
| a) | Indemnity |
| b) | Guaranteed |
| c) | Noncancellable |
| d) | Nondiscriminatory |
| If a new employee is eligible, under HIPAA regulations, the new employer must offer coverage on a guaranteed issue basis. | |
| #48. | Who can make a fully deductible contribution to a traditional IRA? |
| a) | A person whose contributions are funded by a return on investment |
| b) | An individual not covered by an employer-sponsored plan who has earned income |
| c) | Anybody: all IRA contributions are fully deductible regardless of income level |
| d) | Someone making contributions to an educational IRA |
| Individuals who are not covered by an employer-sponsored plan may deduct the amount of their IRA contributions regardless of their income level. | |
Sunday, April 21, 2019
Practice exam
Posted by
pingatalbany