FLORIDA 240 LICENSE NEWEST
ACTUAL EXAM 2025 QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
2024-2025
After a person's employment is terminated, it is possible to
obtain individual health insurance after losing the group
health coverage provided by the employer. Which of the
following is NOT true?
a) The employee can convert from group to individual
insurance within 31 days of termination.
b) The premium of the individual health insurance policy
can be higher than the original policy.
c) By law, the new, individual policy must provide the
same benefits as the group insurance policy.
d) Continuation of group coverage need not include
dental, vision, or prescription drug benefits. Correct
Answer c) By law, the new, individual policy must provide
the same benefits as the group insurance policy.
If an insurance company offers Medicare supplement
policies, it must offer which of the following plans?
a) В-N
b) A-D
c) A
,d) A & B Correct Answer c) A
An insurance company must make available to each
applicant a policy form offering the basic core
benefits (Plan A) if it will offer any Medicare
Supplement policies. An insurance company does not
have to issue all or any of the plans B through N.
The Florida Health Insurance Coverage Continuation Act
requires insurers that sell health plans to small employers
to offer in those plans a right to elect to continue coverage,
without providing evidence of insurability, to employees
who lose their coverage and are unable to replace it.
The premium rate for this coverage may NOT exceed:
Correct Answer 115% of the regular group rate.
The coverage may be extended for a period of up to 18
months at a rate not to exceed 115% of the regular
group rate.
An insurance company has published a brochure that
inaccurately portrays the advantages of a particular
insurance policy.
What is this an example of? Correct Answer False
advertising
False advertising is the illegal practice of advertising
or circulating materials that are untrue, deceptive, or
misleading.
,Which of the following does NOT have to be disclosed in a
long-term care (LTC) policy?
a) Any riders or endorsements
b) The aggregate amount of premiums due
c) The meaning of the terms "reasonable" and "customary"
'd) Any limitations or conditions of eligibility for LTC
benefits Correct Answer b) The aggregate amount of
premiums due.
Disability income policies can provide coverage for a loss
of income when returning to work only part-time after
recovering from total disability.
What is the benefit that is based on the insured's loss of
earnings after recovery from a disability? Correct Answer
Residual disability
A residual disability will pay an amount to make up
the difference between what the insured would have
earned before the loss.
An insured is involved in an accident that renders him
permanently deaf, although he does not sustain any other
major injuries.
The insured is still able to perform his current job.
To what extent will he receive Presumptive Disability
benefits? Correct Answer Full benefits
Presumptive Disability plans offer full benefits for specified
conditions.
, Which of the following is NOT provided by an HMO?
a) Reimbursement
b) Services
c) Financing
d) Patient care Correct Answer a) Reimbursement
The HMO provides benefits in the form of services
rather than in the form of reimbursement for the
services of the physician or hospital.
In Florida, which of the following practitioners normally do
NOT receive payment from health insurance policies?
A prospective insured completes and signs an application
for health insurance but intentionally conceals information
about a pre-existing heart condition. The company issues
the policy. Two months later, the insured suffers a heart
attack and submits a claim. While processing the claim,
the company discovers the pre-existing condition. In this
situation, the company will Correct Answer continue
coverage but exclude the heart condition
A comprehensive major medical health insurance policy
contains an Eligible Expenses provision which identifies
the types of health care services that are covered. All of
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TUTORWAC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $24.99. You're not tied to anything after your purchase.
