focused health 1 Flashcards
Which of the following is true regarding the agent’s appointments?
A person may hold several appointments at one time.
Most HMOs operate through what type of system?
A group enrollment system either at their place of employment or as a member of an association
An insurance agent B likes to add additional coverages to applicants’ policies and charge them for such coverages without their knowledge. The agents is guilty of
Sliding.
HMOs that contract with outside physicians to provide health care service to their subscribers compensate those providers on a
Capitation basis
If an agent advises a policyholder to replace an insurance policy but only does so for the purpose of making commissions, the agent has committed an act of
Churning.
Under special circumstances, continuing education requirements may be extended beyond the 2-year period for a maximum period of
12 months
An agent transacts business for Insurer A and Insurer B, both selling life insurance, and for Insurer C, selling health insurance. How many appointments must the agent hold?
Three - one for each insurer
A health insurance policy that pays a lump sum if the insured suffers a heart attack or stroke is known as
Critical illness.
All of the following long-term care coverages would allow an insured to receive care at home EXCEPT
Skilled care
All of the following are differences between individual and group health insurance EXCEPT
Individual insurance does not require medical examinations, while group insurance does require medical examinations.
Which of the following is NOT a feature of a noncancellable policy
The insurer may terminate the contract only at renewal for certain conditions.
Which of the following riders would NOT increase the premium for a policyowner?
Impairment rider
Hospital indemnity/hospital confinement indemnity policy will provide payment based on
The number of days confined in a hospital.
An insured wants to name her husband as the beneficiary of her health policy. She also wishes to retain all of the rights of ownership. The insured should have her husband named as what type of beneficiary?
Revocable
An applicant is discussing his options for Medicare supplement coverage with his agent. The applicant is 65 years old and has just enrolled in Medicare Part A and Part B. What is the insurance company obligated to do?
Offer the supplement policy on a guaranteed issue basis
