TN Health and Life Insurance Exam Questions and Answers Rated A
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Course
NURSING 706
Institution
NURSING 706
TN Health and Life Insurance Exam Questions and Answers Rated A+
Which of the following reimburses its insureds for covered medical expenses?
- health maintenance organizations
- preferred provider organizations
- commercial insurers
- service providers
A business entity can be defined as a(n...
TN Health and Life Insurance Exam Questions
and Answers Rated A+
1). Which of the following reimburses its insureds for covered medical expenses?
- health maintenance organizations
- preferred provider organizations
- commercial insurers
- service providers
Ans: COMMERCIAL INSURERS
- Commercial insurance companies function on the reimbursement approach.
Policyowners obtain medical treatment from whatever source they feel is most
appropriate and submit their charges to their insurer for reimbursement
2). A business entity can be defined as a(n)
- agency that must only operate outside of tn
- agency that must only operate inside of tn
- association or a limited liability company
- business that requires approval by the attorney general to transact business
Ans: ASSOCIATION OR A LIMITED LIABILITY COMPANY
- The definition of a business entity includes an association or limited liability company
3). Which of the following health insurance policy provisions specifies the health care
services a policy will provide?
- insuring clause
- usual, customary, and reasonable clause
- consideration clause
- benefit clause
Ans: INSURING CLAUSE
- The insuring clause identifies the specific type of health care services that are covered
by that policy
4). A disability income policy that only the policyowner can terminate and which the rates will
never go up is considered to be
- optionally renewable
- noncancellable
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, - cancellable
- guaranteed renewable
Ans: NONCANCELLABLE
- A disability income policy that only the policyowner can terminate and on which the
rates will never increase is a noncancellable policy
5). A producer may apply for one or more of the following licenses:
- life insurance
- personal lines property
- accident and health or sickness insurance
- all of the above
Ans: ALL OF THE ABOVE
6). A provision in a life insurance policy that pays the policyowner an amount that does not
surpass the guaranteed cash value is called the:
- policy loan provision
- automatic premium loan provision
- accelerated benefits provision
- consideration clause
Ans: POLICY LOAN PROVISION
- a policy loan will pay the policyowner an amount that, with interest, does NOT exceed
the guaranteed cash value
7). Long term care policies will usually pay for eligible benefits using which of the following
methods?
- delayed
- fee for service
- expense incurred
- respite
Ans: EXPENSE INCURRED
- Most long term care policies pay on a reimbursement (or expense-incurred) basis, up to
policy limits
8). Which of the following is not a limited benefit plan?
- dental policy
- life insurance policy
- critical illness policy
- cancer policy
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, Ans: LIFE INSURANCE POLICY
- is not a limited benefit plan
9). In tn, the definition of "individual" may include which of the following?
- the individual's children
- the individual's business associates
- the individuals legal representative
- the individuals financial accounts
Ans: THE INDIVIDUALS LEGAL REPRESENTATIVE
- The term "individual" can be associated with an individuals legal representative
10). What is the purpose of the time of payment claims provision?
- requires the insured to wait 60 days after submitting proof of loss before filing a lawsuit
- prevents delayed claim payments made by the insurer
- requires a probation period for each claim filed by the insured
- protects the insurer from frivolous lawsuits
Ans: PREVENTS DELAYED CLAIM PAYMENTS MADE BY THE INSURER
- The purpose of the Time of Payment of Claims provision is to prevent the insurance
company from delaying claim payments
11). What is considered to be a characteristic of an immediate annuity?
- benefit payments start within one payment period of purchase
- benefit payments start within 5 years of initial purchase
- normally tied to a specific equity or stock index
- periodical contributions begin immediately
Ans: BENEFIT PAYMENTS START WITHIN ONE PAYMENT PERIOD OF PURCHASE
- an immediate annuity is designed to make its first benefit payment to the annuitant at
one payment interval from the date of purchase
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, 12). A licensed producer can be best described as a(n)
- someone who places insurance advertisements in a newspaper
- underwriting officer of an insurance company
- individual who places insurance on behalf of anyone seeking insurance
- administrator answering calls for an insurance agency
Ans: INDIVIDUAL WHO PLACES INSURANCE ON BEHALF OF ANYONE SEEKING
INSURANCE
- A person who places insurance on behalf of anyone seeking insurance must be
licensed as a producer
13). What is the max fine that can be imposed by the commissioner to a producer who violates
an insurance law?
- $250 per violation
- $500 per violation
- $1,000 per violation
- no limit to the fine
Ans: $1,000 PER VIOLATION
- If the Commissioner finds a producer to be in violation of insurance laws, the
Commissioner may impose a fine of no more than $1000 per violation
14). A father who dies within 3 years after purchasing a life insurance policy on his infant
daughter can have the policy premiums waived under which provision?
- payor provision
- accelerated benefits provision
- assignment provision
- waiver of premium provision
Ans: PAYOR PROVISION
- a payor provision provides that in the event of death or disability of the adult premium
payor, the premium on a juvenile policy will be waived until the insured child reaches a
specified age or the maturity date of the contract
15). Medicare part c is:
- government insurance
- available to those who are enrolled in a medicare supplement plan with income under
$12,000 per year
- orginal part a and b medicare
- available to those who are enrolled in medicare part a and part b
Ans: AVAILABLE TO THOSE WHO ARE ENROLLED IN MEDICARE PART A AND PART B
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