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In a group health policy, a probationary period is intended for people
A Who want lower premiums.
B Who joined the group after the effective date.
C Who had a pre-existing condition at the time they joined the group.
D Who have additional coverage through a spouse.
Which renewal option does NOT guarantee renewal and allows the insurance company to refuse renewal of a policy at any premium due date?
A Optionally renewable
B Conditionally renewable
C Guaranteed renewable
D Non cancellable
Will's health insurance includes a Narcotics & Intoxicants provision. Will has been drinking alcohol before leaving his house and driving his car into an embankment. After the police arrive on the scene, they determine that Will has been drinking. Will his policy pay for his injuries?
A The extent of Will’s benefits depends upon which variation of this provision is attached to Will’s policy.
B Yes, he will get full benefits.
C He will only receive partial benefits.
D He will receive no benefits.
Which provision states that the insurance company must pay Medical Expense claims immediately?
A Relation of Earnings to Insurance
B Time of Payment of Claims
C Payment of Claims
D Legal Actions
If the insured under a disability income insurance policy changes to a more hazardous occupation after the policy has been issued, and a claim is filed, the insurance company should do which of the following?
A Cancel the policy.
B Increase the premium.
C Exclude coverage for on-the-job injury.
D Adjust the benefit in accordance with the increased risk.
6 What is the contract provision that allows the insurer to nonrenew health coverage if certain events occur?
B Non cancellable
D Conditionally renewable
The expense for an autopsy covered under the physical exam and autopsy provision is paid by
A The state's autopsy fund.
B The limits of coverage under the health insurance policy.
C The estate of the insured.
D The insurer.
In an optionally renewable policy, the insurer has which of the following options?
A Shorten the notice that the insured receives
B Increase premiums
C Increase the grace period
D Alter the due date so the policy can be cancelled sooner
Which provision allows the policyholder a period of time, while coverage is in force, to examine a health insurance policy and determine whether or not to keep it?
A Free Look Period
B Grace Period
C Elimination Period
D Probationary Period
L has a major medical policy with a $500 deductible and 80/20 coinsurance. L is hospitalized and sustains a $2,500 loss. What is the maximum amount that L will have to pay?
A $900 (deductible + 20% of the bill after the deductible [20% of $2,000])
B $500 (amount of deductible)
C $1,000 (deductible + 20% of the entire bill)
D $2,500 (the entire bill)
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