Exam (elaborations)
Pearson Vue National Health Insurance Practice Test
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Pearson Vue National Health Insurance Practice Test
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Name: Score:50 Multiple choice questions
Term 1 of 50
Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of the
following policy features?
Extensions of coverage
Benefits clause
Riders
Exclusions
Term 2 of 50
M and N own a small interior design studio that employs six people. The owners are
concerned about the financial continuation of the business if either of them should become
permanently disabled. In this situation, a producer would MOST likely recommend which of the
following types of contracts?
Basic Hospital
Disability Buy-Out
Comprehensive Major Medical
Short-Term Disability Income
Term 3 of 50
The Social Security program provides all of the following benefits EXCEPT:
retirement
survivor
disability
workers compensation
,Term 4 of 50
A group long-term disability plan is integrated with Social Security when which of the
following statements is CORRECT?
Social Security and group benefits pay a combined maximum limit.
Full group benefits are paid in addition to Social Security benefits.
Full Social Security benefits are paid after group benefits are exhausted.
Half of the allowable Social Security benefits are paid after group benefits are
exhausted.
Term 5 of 50
All of the following elements are required of a contract EXCEPT:
assignment
acceptance
legal capacity
legal purpose
Term 6 of 50
Which of the following statements is CORRECT about a Waiver of Premium provision in a
Disability Income policy?
It allows the insurer to deduct premiums due from the disabled insured's benefit
payments.
It allows the insurer to increase the amount of premium during the insured's time of
disability.
It allows the insured to extend the length of the Grace Period while disabled.
It allows the insured to maintain a policy in force while disabled and unable to pay
premiums.
,Term 7 of 50
A producer and an applicant complete an application for a health policy and submit it to the
insurer for underwriting without any premium. The underwriter issues a policy and mails it to
the producer for delivery to the applicant. The producer should take all of the following
actions during the delivery of the policy to the applicant EXCEPT:
collect the initial premium payment
issue a conditional receipt
have the applicant complete a statement of continued good health
explain the Free Look provision which begins on the policy delivery date
Term 8 of 50
Under a group health plan, an employer may offer additional benefits to classes of employees
on the basis of all of the following factors EXCEPT:
length of employment
gender
salary grade
job category
Term 9 of 50
An individual who has had a heart murmur since birth is likely to be issued an individual
disability policy that includes:
Guaranteed Insurability rider
an Exclusionary/ Impairment rider
Waiver of Premium rider
Double Indemnity rider
, Term 10 of 50
Which of the following reports may include information obtained by a telephone call to the
proposed insured?
Medical Information Bureau (MIB) report
Attending physician's report
Inspection report
Precertification Review
Term 11 of 50
The Internal Revenue Service (IRS) considers Disability Income benefits paid under an
employer-paid group Disability Income to be:
taxable for thirteen weeks only
nontaxable for twenty-six weeks only
fully taxable
exempt from taxation
Term 12 of 50
Under the Claims Forms provision of a health policy, if the insurance company fails to send
claim forms within the time period required, the insured should:
expect a full refund of all premiums paid plus interest
submit the claim in any form, which must be accepted by the company as adequate
proof of loss
request the Department of Insurance mediate the claim settlement
wait for the claim form to arrive
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