Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Health Insurance Exam Arkansas > Exam questions > Flashcards

Exam questions Flashcards

1
Q

Workers compensation benefits regulated by which entity?

A

state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Type of dental plan incorporated into major medical plan

A

integrated plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Section of a health policy that states the causes of eligible loss under which insured is assumed disabled

A

insuring clause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

compared to policy that uses accidental means definition, accidental BODILY injury definition coverage is broader limited in general?

A

broader in general

bodily coverage is broader than means

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

insured goes from window washer to library manager; insurer is notified and does what?

A

adjust benefit in accordance to decreased risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

person is disabled at age 27 and meets SS’s definition of total disability; how many work credits?

A

12 credits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

NOT a characteristic of group health insurance

A

policy issued to each insured individual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Consumer requests additional information from consumer reports. How long does insurer or consumer agency have to comply?

A

5 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

insured wants to name husband as beneficiary of health policy; wishes to retains all rights of ownership; should have hb. named as what type of beneficiary?

A

revocable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

applicant returns completed application and check for first premium to agent; she receives conditional rcpt. two weeks later; what has the insurer done by this point?

A

neither approved NOR issued policy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

MIB (Medical Information Bureau)

A

nonprofit maintaining underwriting information on applicants for life and health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Social Security Supplement or SS Riders provide payment of income benefits in each situation EXCEPT

A

when amount payable under SS is more than amount payable under rider

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which is an eligibility requirement for SS disability income benefits?

A

fully insured status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

in disability income ins., time between onset of injury or sickness and when benefits begin

A

elimination period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which is NOT provided by an HMO?

A

reimbursement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

purpose of coinsurance provisions?

A

help insurance company to prevent overutilization of policy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

maximum age for qualifying for catastrophic plan

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

taxation of group medical expense premiums and benefits

A

premiums are tax deductible and benefits are not taxed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

which policy covers unusual risks NOT normally included under AD&D coverage?

A

Special Risk Policy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

defamation

A

making false statements about financial conditions of any insurer that are intended to injure any person engaged in insurance business

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

banker is ready to close on customer’s loan; bank will offer loan only if customer purchases life insurance policy from bank

A

COERCION

22
Q

exists to protect the PUBLIC

A

State Insurance Department

23
Q

state provides temporary license for all EXCEPT

A

producer’s retirement

24
Q

producers give or promise anything of value not specified in the policy

A

rebating

25
Q

specifies minimum number of persons to be covered under a group health insurance plan

A

state law

26
Q

participating ins. policy may do what?

A

pay dividends to the policyowner

27
Q

NOT considered to be a rebate because policy specifies that they might be paid

A

dividends from mutual insurer

28
Q

how long must insurer’s advertisements be kept on file?

A

4 years

29
Q

how long is free-look period in long-term policies in this state?

A

30 days

30
Q

specifies causes of loss for which insurer will not pay

A

exclusions

31
Q

any supplemental agreement attached to and made part of the policy whether the policy’s conditions are expanded and additional coverage added or coverage or condition is waived

A

rider

32
Q

the provision in a health ins. policy that ensures that the insurer cannot refer to any document not in the contract

A

entire contract clause

33
Q

who can make changes to an insurance policy?

A

insurer’s executive officer

34
Q

The relation of earnings to insurance provision allows the insurance company to limit the insured’s benefits to his/her average income over the last how many months?

A

24 months

35
Q

What provision requires that no legal action to collect benefits may be started sooner than 60 days after the proof of loss is filed with the insurer?

A

legal action

36
Q

When can you change an IRREVOCABLE beneficiary?

A

only with the written consent of the beneficiary

37
Q

Under the Uniform Required Provisions, proof of loss under a health insurance policy normally should be filed within ? days of a loss.

A

90 days

38
Q

Which provision allows a policyholder 10 days after the policy is delivered in which to decide whether or not he/she wants the policy?

A

Free Look Period

39
Q

Ted was a doctor on a Covid ward. He changed to a remote job. What should the insurer do?

A

Adjust the benefit in accordance with the decreased risk.

40
Q

waiver of premium provision may be included with what kind of health ins. policy?

A

disability income

41
Q

a medical expense policy that establishes the amount of benefit paid based on the prevailing charges falling within the standard range of fees normally charged in that geographic location

A

usual, customary, and reasonable

42
Q

premium charged for exercising the Guaranteed Ins. Rider based on insured’s

A

attained age

43
Q

what is the purpose of coinsurance provisions?

A

to help ins. company prevent over utilization of policy

44
Q

Spells out the insured’s duty to provide the insurer with reasonable notice in the event of a loss.

A

The Notice of Claim Provision

45
Q

Who has authority to make changes to insurance policy?

A

executive officer of the company

46
Q

section of a health policy that states the causes of eligible loss under which an insured is assumed to be disabled

A

insuring clause

47
Q

The insured would be the policyowner and wants to be able to make changes even though she names her hb. as beneficiary.

A

revocable

48
Q

head of State Dept. of Insurance

A

Commissioner

49
Q

ability to meet financial obligations

A

solvency

50
Q

an insurance company incorporated in this state

A

domestic insurer

51
Q

appointed by the governor

A

Insurance Commissioner, for four years, at least 30 years old, citizen of Arkansas

52
Q

insurance exams conducted every how many years?

A

5

Health Insurance Exam Arkansas (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions