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| Section | Objectives |
|---|---|
| Insurance Fundamentals | - Insurance contract law basics
|
| Accident and Health Insurance | - Health insurance products
|
| State Regulations (New York) | - Licensing requirements
|
1. What period of time can a life insurance application be backdated?
A) 1 year
B) 6 months
C) 2 weeks
D) 3 months
2. Under the grace period, an insured submits a $300 claim for medical expenses. The insurer notes that the insured has a past due premium of $100, and as a result, the insurer only pays $200. Which of the following provisions covers this situation?
A) Payment of claims.
B) Misstatement of age.
C) Payment actions.
D) Unpaid premium.
3. Which of the following is NOT an Essential Health Benefit Category under the Affordable Care Act?
A) Emergency Services.
B) Laboratory Services.
C) Maternity and Newborn Care.
D) Alternative Medicine.
4. Who is the beneficiary of a key person insurance policy?
A) Insured ' s spouse.
B) Employee.
C) Employer.
D) Business partner.
5. When a provider does NOT have an agreement with the insurer for payment, they will be reimbursed
A) an absolute fee.
B) a non-scheduled plan customary fee.
C) a relative fee.
D) a usual, customary, and reasonable fee.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: D |
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