Question 1

When offering a flexible-benefit plan, most employers will set up a salary reduction agreement with an employee if the employee:

Accepted Answer

A)   has paid hospitalization charges for a pre-existing condition.
B)   has paid health care costs due to a lapse of insurance coverage.
C)   needs additional insurance benefits.
D)   does not look for ways to avoid exposure to health care loss before it occurs.
E)   is injured on the job or becomes ill through work-related causes.

Question 2

INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. Select A for the first item, B for the second item, and C if neither item will correctly complete the statement. 
In the past, one complaint about health maintenance organizations (HMOs) was that [ the cost was expensive | members couldn't always choose their physicians ].

Accepted Answer

The answer of INSTRUCTIONS: Choose the word or phrase in...

Question 3

INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. Select A for the first item, B for the second item, and C if neither item will correctly complete the statement. 
You would be more likely to receive [ 70% | 90% ] of your pre-disability income from a disability income policy.

Accepted Answer

The answer of INSTRUCTIONS: Choose the word or phrase in...

Question 4

In the pure community rating approach to health insurance premium pricing, all policyholders in an area pay:

Accepted Answer

A)   a premium equal to the premium payable to the federal or state insurance exchange for a similar insurance policy.
B)   premiums based on their family size, where they live, whether they use tobacco, and their age.
C)   the same premium without regard to their personal health, age, or gender.
D)   the premium as a contribution to a community pool of funds and utilize it on as-needed basis.
E)   premiums at varied rates based on their health status or claim history.

Question 5

Which of the following statements regarding workers' compensation insurance is true?

Accepted Answer

A)   The federal government is responsible for setting workers' compensation legislation and regulating the program.
B)   Workers' compensation insurance includes only rehabilitation expenses.
C)   Employees are required to bear half of the entire cost of workers' compensation insurance.
D)   Workers' compensation insurance compensates workers who are injured on the job or become ill through work-related causes.
E)   Employers who file the most claims pay the lowest premiums on the insurance coverage.

Question 6

_____ is a health care plan in which subscribers / users contract with the provider organization, which uses a designated group of providers meeting specific selection standards to furnish health care services for a monthly fee.

Accepted Answer

A)   An indemnity plan
B)   A fee-for-service plan
C)   A managed care plan
D)   A supplementary medical insurance plan
E)   Medicare

Question 7

Almost 14% of the population does not have health insurance.

Accepted Answer

A) True 
 B)False

Question 8

Employers are legally required to extend group health insurance benefits to retirees.

Accepted Answer

A) True 
 B)False

Question 9

If Jan has Alzheimer's, she is unable to buy long-term-care insurance.

Accepted Answer

A) True 
 B)False

Question 10

Activities of daily living (ADLs)  are important in determining _____ for long-term-care insurance.

Accepted Answer

A)   type of care
B)   services covered
C)   the waiting period
D)   eligibility
E)   benefit duration

Question 11

Disability income policies usually have a(n)  _____, which is a time delay from the date of the issuance of the policy until benefit privileges are activated.

Accepted Answer

A)   waiting period
B)   probationary period
C)   elimination period
D)   internal limit period
E)   outer limit period

Question 12

With a traditional indemnity (fee-for-service)  plan, the:

Accepted Answer

A)   health care provider and the insurer are separate.
B)   insurer always pays the health care provider directly.
C)   lower the deductible, the lower the premium.
D)   insured receives comprehensive health care services from a designated group of doctors only.
E)   health care provider contracts with the insured's employee union to provide health insurance benefits.

Question 13

INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. Select A for the first item, B for the second item, and C if neither item will correctly complete the statement. 
The average age of the American population is [ decreasing | increasing ].

Accepted Answer

The answer of INSTRUCTIONS: Choose the word or phrase in...

Question 14

You would have a better chance of insurance coverage for medical services not provided by the network with a preferred provider organization (PPO) than with a health maintenance organization (HMO) plan.

Accepted Answer

A) True 
 B)False

Question 15

The insurance designed to help with nursing home, assisted-living community, or in-home care due to chronic illness is called:

Accepted Answer

A)   Medicare.
B)   a major medical plan.
C)   a comprehensive major medical plan.
D)   nursing home care.
E)   long-term care.

Question 16

The _____ represents the initial amount that's not covered by a health insurance policy and thus must be paid by the insured.

Accepted Answer

A)   deductible
B)   stop-loss provision
C)   co-payment
D)   premium
E)   internal limit

Question 17

Under the Patient Protection and Affordable Care Act (ACA) , family health care insurers must allow parents to retain their children on their health insurance policies up to the age of:

Accepted Answer

A)   18.
B)   21.
C)   24.
D)   26.
E)   30.

Question 18

INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. Select A for the first item, B for the second item, and C if neither item will correctly complete the statement. 
Medicare [ hospital | supplemental medical ] insurance requires those covered to pay a monthly premium.

Accepted Answer

The answer of INSTRUCTIONS: Choose the word or phrase in...

Question 19

INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. Select A for the first item, B for the second item, and C if neither item will correctly complete the statement. 
Traditional indemnity policies reimburse the insured based on the [ amount charged | usual, customary, and reasonable (UCR) charges ] for the medical services received.

Accepted Answer

The answer of INSTRUCTIONS: Choose the word or phrase in...

Question 20

Medicare Part B covers:

Accepted Answer

A)   post-hospital medical services.
B)   therapy, rehabilitation, and home health care.
C)   inpatient hospital services.
D)   imaging, laboratory tests, and prosthetic devices.
E)   dental care.

Exam 9: Insuring Your Health

Correct Answer
verified

INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. Select A for the first item, B for the second item, and C if neither item will correctly complete the statement. The average age of the American population is [ decreasing | increasing ].

Correct Answer
verified

_____ is a health care plan in which subscribers / users contract with the provider organization, which uses a designated group of providers meeting specific selection standards to furnish health care services for a monthly fee.

Correct Answer
verified

Correct Answer
verified

You would have a better chance of insurance coverage for medical services not provided by the network with a preferred provider organization (PPO) than with a health maintenance organization (HMO) plan.

Correct Answer
verified

Medicare Part B covers:

Correct Answer
verified

Under the Patient Protection and Affordable Care Act (ACA) , family health care insurers must allow parents to retain their children on their health insurance policies up to the age of:

Correct Answer
verified

In the pure community rating approach to health insurance premium pricing, all policyholders in an area pay:

Correct Answer
verified

Activities of daily living (ADLs) are important in determining _____ for long-term-care insurance.

Correct Answer
verified

The _____ represents the initial amount that's not covered by a health insurance policy and thus must be paid by the insured.

Correct Answer
verified

Almost 14% of the population does not have health insurance.

Correct Answer
verified

Disability income policies usually have a(n) _____, which is a time delay from the date of the issuance of the policy until benefit privileges are activated.

Correct Answer
verified

Which of the following statements regarding workers' compensation insurance is true?

Correct Answer
verified

Correct Answer
verified

If Jan has Alzheimer's, she is unable to buy long-term-care insurance.

Correct Answer
verified

The insurance designed to help with nursing home, assisted-living community, or in-home care due to chronic illness is called:

Correct Answer
verified

Correct Answer
verified

Employers are legally required to extend group health insurance benefits to retirees.

Correct Answer
verified

With a traditional indemnity (fee-for-service) plan, the:

Correct Answer
verified

When offering a flexible-benefit plan, most employers will set up a salary reduction agreement with an employee if the employee:

Correct Answer
verified

Exam 9: Insuring Your Health

Correct AnswerverifiedShow Answer

INSTRUCTIONS: Choose the word or phrase in [ ] which will correctly complete the statement. Select A for the first item, B for the second item, and C if neither item will correctly complete the statement. The average age of the American population is [ decreasing | increasing ].

Correct AnswerverifiedShow Answer

_____ is a health care plan in which subscribers / users contract with the provider organization, which uses a designated group of providers meeting specific selection standards to furnish health care services for a monthly fee.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

You would have a better chance of insurance coverage for medical services not provided by the network with a preferred provider organization (PPO) than with a health maintenance organization (HMO) plan.

Correct AnswerverifiedShow Answer

Medicare Part B covers:

Correct AnswerverifiedShow Answer

Under the Patient Protection and Affordable Care Act (ACA) , family health care insurers must allow parents to retain their children on their health insurance policies up to the age of:

Correct AnswerverifiedShow Answer

In the pure community rating approach to health insurance premium pricing, all policyholders in an area pay:

Correct AnswerverifiedShow Answer

Activities of daily living (ADLs) are important in determining _____ for long-term-care insurance.

Correct AnswerverifiedShow Answer

The _____ represents the initial amount that's not covered by a health insurance policy and thus must be paid by the insured.

Correct AnswerverifiedShow Answer

Almost 14% of the population does not have health insurance.

Correct AnswerverifiedShow Answer

Disability income policies usually have a(n) _____, which is a time delay from the date of the issuance of the policy until benefit privileges are activated.

Correct AnswerverifiedShow Answer

Which of the following statements regarding workers' compensation insurance is true?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

If Jan has Alzheimer's, she is unable to buy long-term-care insurance.

Correct AnswerverifiedShow Answer

The insurance designed to help with nursing home, assisted-living community, or in-home care due to chronic illness is called:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Employers are legally required to extend group health insurance benefits to retirees.

Correct AnswerverifiedShow Answer

With a traditional indemnity (fee-for-service) plan, the:

Correct AnswerverifiedShow Answer

When offering a flexible-benefit plan, most employers will set up a salary reduction agreement with an employee if the employee:

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified