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GA Health Insurance Exam Graded A+ 2024
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GA Health Insurance Exam Graded A+ 2024
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GA Health Insurance Exam Graded A+ 2024A "reimbursement policy" pays what amount of covered Long-Term Care expenses? -
ANSWER-actual covered expenses up to the daily maximum
A characteristic of Preferred Provider Organization (PPO) would be: - ANSWER-
discounted fees for the patient
A comprehensive major medical health insurance policy contains an Eligible Expenses
provisions which identifies the types of health care services that are converted. All of the
following health care services are typically converted, EXCEPT for: - ANSWER-
experimental and investigative services
A domestic insurance company in Georgia is considered a company that: - ANSWER-is
incorporated and formed in Georgia
A domestic insurance company MUST be examined by the Commissioner every ___
years. - ANSWER-5
A major medical policy typically: - ANSWER-provides benefits for reasonable and
necessary medical expenses, subject to policy limits
A policy owner would like to change the beneficiary on an Accidental Death and
Dismemberment (AD&D) insurance policy and make the change permanent. Which type
of designation would fulfill this need? - ANSWER-Irrevocable
A prepaid application for individual Disability Income insurance was recently submitted
to an insurer. When the insurer received the Medical Information Bureau (MIB) report,
the report showed that the applicant had suffered a stroke 18 months ago, something
that was not disclosed on the application. Which of the following actions would the
insurance company NOT take? - ANSWER-send a notice to the MIB that the applicant
was declined
A producer must notify the Commissioner within ___ days of an address change. -
ANSWER-30
Accidental Death coverage is provided to commercial airline passengers in which of the
following types of policies? - ANSWER-Blanket Accident policy
According to the Time Payment of Claims provision, the insurer must pay Disability
Income benefits no less frequently than which of the following options? - ANSWER-
monthly
After an insured gives notice of loss, what must he/she do if the insurer does not furnish
forms? - ANSWER-file written proof of loss
, Agent J takes an application and initial premium from an applicant and sends the
application and premium check to the insurance company. The insurance company
returns the check back to J because the check is made out to J instead of the insurance
company. What action should J take? - ANSWER-return to the customer, collect a new
check made out to the insurance company, and send the new check out to the
insurance company
All accident and sickness plans MUST provide coverage on newborn children for ___
days - ANSWER-31
All of the following are limited benefit plans: - ANSWER-cancer policies, dental policies,
critical illness policies
An agent takes an individual Disability Income application, collects the appropriate
premium, and issues the prospective insured a conditional receipt. The next step the
insurance company will take is to: - ANSWER-determine if the applicant in an
acceptable risk by completing standard underwriting procedures
An agent's license can be suspended or revoked by: - ANSWER-writing primarily
controlled business
An example of an unfair claims practice would be: - ANSWER-failing to effectuate
prompt, fair, and equitable settlements of a claim
An example of an unfair claims settlement practice is: - ANSWER-turning down a claim
without providing the basis of denial
An insurance agent is guilty of ___ if the agent misrepresents a policy to induce a policy
owner to surrender an existing policy. - ANSWER-twisting
An insurance agent is in violation of the Rules Governing Advertisement of Life
Insurance and Annuities if the agent takes which of the following actions during a sales
presentation? - ANSWER-refers to guaranteed policy dividends
An insurance company normally has 2 years to contest information provided on an
accident and health application. This 2 year period begins on the date that the: -
ANSWER-insurer dates the policy
An insurance company which engages in boycott, coercion, and intimidation that results
in the unreasonable restraint of trade is committing a prohibited act under Georgia
insurance laws covering: - ANSWER-unfair trade policies
An insured covered by Accidental Death and Dismemberment (AD&D) insurance has
just died. What will happen if the primary beneficiary had already died before the
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