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Exam (elaborations)

Florida Health Insurance Exam/ 110+ Questions with Certified Solutions

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  • Florida Health Insurance

Florida Health Insurance Exam/ 110+ Questions with Certified Solutions. terms like: An unplanned, unforeseen event which occurs suddenly and at an unspecified place - Answer: Accident A type of insurance that protects the insured against loss due to accidental bodily injury - Answer: Acciden...

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  • September 29, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Florida Health Insurance
  • Florida Health Insurance
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docmickey
Florida Health Insurance Exam/ 110+
Questions with Certified Solutions
An unplanned, unforeseen event which occurs suddenly and at an unspecified
place - Answer: Accident


A type of insurance that protects the insured against loss due to accidental bodily
injury - Answer: Accident Insurance


Unplanned, unforeseen traumatic injury to the body - Answer: Accidental Bodily
Injury




Page 1 of 16

,An insurance policy which pays a specified amount or a specified multiple of the
insured's benefit if the insured dies, loses his/her sight, or loses two limbs due to
an accident - Answer: Accidental Death and Dismemberment


A policy rider that states that the cause of death will be analyzed to determine if it
complies with the policy description of accidental death - Answer: Accidental
Death Benefits


Activities individuals must do every day such as moving about, getting dressed,
eating, bathing, etc. - Answer: Activities of Daily Living


The amount a physician or supplier actually bills for a particular service or supply -
Answer: Actual Charge


A contract offered on a "take-it-or-leave-it" basis by an insurer, in which the
insured's only option is to accept or reject the contract. Any ambiguities in the
contract will be settled in favor of the insured - Answer: Adhesion


An insurance company authorized and licensed to transact insurance in a
particular state - Answer: Admitted (Authorized) Insurer


A program for impaired adults that attempts to meet their health, social, and
functional needs in a setting away from their homes - Answer: Adult Day Care




Page 2 of 16

, The tendency of risks with higher probability of loss to purchase and maintain
insurance more often than the risks who present lower probability - Answer:
Adverse Selection


An individual who is licensed to sell, negotiate, or effect insurance contracts on
behalf of the insurer - Answer: Agent


A contract in which participating parties exchange unequal amounts. Insurance
contracts are this in that the amount the insured will pay in premiums is unequal
to the amount the insurer will pay in the event of a loss - Answer: Aleatory


An insurance company that is incorporated outside the USA - Answer: Alien
Insurer


The appearance or the assumption of authority based on the actions, words, or
deeds of the principal or because of circumstances the principal created - Answer:
Apparent Authority


The amount Medicare determines to be reasonable for a service that is covered
under Part B of Medicare - Answer: Approved Amount


A claim to a provider or medical supplier to receive payments directly from
Medicare - Answer: Assignment


The age of the insured at a determined date - Answer: Attained Age

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