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Michigan Accident and Health Exam Questions and Answers
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Michigan Accident and Health Exam Questions and Answers
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Michigan Accident and Health ExamQuestions and Answers
What process determines group rates by using a preset table that deals with the
demographic makeup of the group - Answer -community rating
An insurer may exclude or limit coverage for conditions for which medical advice or
treatment was recommended before enrollment for no more than - Answer -12 months
What type of policy provides income during recuperation at home from disabling illness -
Answer -disability income
Which plan is most likely to have a pre-negotiated discount with various medical
providers - Answer -PPO
to provide an employee evidence of coverage in the company group medical plan, what
type of document will be provided - Answer -a certificate of coverage
What is the typical partial disability - Answer -50% of the monthly indemnity for total
disability
for a non-contributory plan, how many of the employees must be offered coverage
under the group - Answer -100%
All of the following are true regarding comprehensive dental plans EXCEPT - Answer -
benefits are paid on a first-dollar basis
true:
-coinsurance
-duductibles
-also referred to as nonscheduled
After a group disability insurance policy is approved by the Commissioner, what is
issued - Answer -Certificate of coverage
a change of occupation provision will allow the insurance company to do any o fthe
following at the time of claim, EXCEPT: - Answer -increase the premiums for the
individual
, ALLOW:
-pay the benefits stated in the policy
-pay a reduced benefit for a higher risk occupation
-require a doctor's statment cofirming disability
When completing an application for insurance, an agent is allowed to do... - Answer -
witness the applicant's signature
Not an example of a limited policy - Answer -universal life
example of a limited policy - Answer -prescription drugs
vision
dread disease
the agent must provide an outline of coverage to the applicant - Answer -upon
application or policy delivery
it is considered a controlled business in Michigan if the premiums exceed what
precentage - Answer -15%
which of these is also known as the time deductible in a basic total disability plan -
Answer -elimination period
what feature is someone likey going to see in a health insurance policy - Answer --
summary of benefits
-summary of limitations and exclusions
-proof of loss requirements
When does the wariver of premium rider take effect - Answer -At the moment of the
disability
Pre-admissions testing is usually required for most non-emergency hospital stays
because - Answer -this process will generally be a lower cost than and inpatient test of
the same and will also save inpatient days as a result
Who assesses loss or damage under a policy of insurance - Answer -insurance adjuster
a person become eligible for medicare when - Answer -part a is automatic for all
persons reaching age 65
HIPPA requirements deal with on a federal level, groups of what size - Answer -50 or
more
Which of the following must be given to an applicant for of long-term care insurance -
Answer -shoppers guide and outline of coverage
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