Chapter 5 Cont 8 Flashcards

1
Q

Purpose of cobra

To provide coverage for dependents
To protect insureds against insolvent insurers
To provide continuation of coverage for terminated employees

A

Continuation of coverage for terminated employees

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2
Q

In order to maintain COBRA how soon fro term must employee exercise extension of benefits

7 days
10
30
60

A

60 days

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3
Q

Qualifying event re cobra

Term of employment for stealing
Eligibility or Medicare
Term due to downsizing

A

Term due to downsizing

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4
Q

Event of divorce, which would allow divorcee to continue receiving group coverage under insured spouse’s plan for additional 36 months

HIPAA
Social security
Cobra
Msa

A

Cobra

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5
Q

Insureds health policy only pays for medical costs related to accidents. Which of the following types of policies does insured have

Comprehensive
Accident only
Restrictive
Accidental death

A

Accident only

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6
Q

Policy that pays lump sum if insured suffers a heart attack or stroke is known as

Add
Medical expense
Major medical
Critical illness

A

Critical illness

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7
Q

Which is qualifying event under cobra

Promotion
Divorce
Marriage
Relocation

A

Divorce

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8
Q

Hospital indemnity policy will pay

All expenses incurred by stay in the hospital
Any expenses incurred by stray in hospital minus coinsurance payments and deductibles
A benefit for each day insured is in hospital

A

A benefit for each day insured is in a hospital

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9
Q

These policies pay specific amounts that depend on the amount of time insured is confined to hospital

Hospice
Endowment
Hospital confinement indemnity

A

Hospital confinement indemnity

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10
Q

Which type of hospital policy pays a fixed amount each day that insured is in hospital

Blanket
Medigap
Indemnity
Surgical

A

Indemnity

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11
Q

Hospital indemnity policy pays a fixed amount each day the insured is hospitalized unrelated to

A

Medical expenses

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12
Q

Hospital indemnity aka hospital confinement policy will provide payment based on

Medical expense incurred
Number of days confined in hospital
Type of illness
Premiums paid into policy

A

Number of days confined in hospital

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13
Q

Important feature of dental expense ins plan that is not typically found in medical expense ins plan

Low cost deductibles
Diagnostic and preventive care
Broad coverage area
Low monthly premium

A

Diagnostic and preventive care

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14
Q

Which would accident only policy not cover

Boating accident hospitalization
Motorcycle accident
Amputation of leg burned during house fire
Surgery to repair wrist damaged by tendinitis

A

Surgery to repair wrist damaged by tendinitis

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15
Q

Type of dental plan incorporated into major medical expense plan is

Supplemental dental
Stand-alone dental
Blanket dental
Integrated dental

A

Integrated dental

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16
Q

How many pairs of glasses in a 12 month period will vision expense ins plan cover

1
2
3
Unlimited

A

One

17
Q

If a dental plan is integrated it is combined with what

Life
Medical
Secondary dental
Supplemental

A

Medical

18
Q

Health insurers must offer pediatric dental coverage as essential health benefit under

A

Health plan or as standalone

19
Q

Insurd with accidental death and dismemberment loses left arm
What benefit

Did principal in monthly installments
Capital in lump sum
Principal in lump sum

A

Capital in lump sum

20
Q

Employee has been paying 25 monthly for group coverage. Employer contributes 75. 100 is total monthly cost/ if employee leaves company what would be maximum monthly premium for cobra
25
100
102

A

102

Permitted to collect 102% of individuals group premium rate … 102% of 100% is 102%

21
Q

Which of following are not true re boe

Benefits are usually limited to six months
Benefits are limits to nine months
Benefits are limited to one month
Benefits recd are taxable to biz

A

Usually limited to six months

22
Q

Maintain cobra =

A

60 days

23
Q

Indemnity =

A

Fixed amount each day