NC Health Insurance Exam FX Already Graded A

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Under the Affordable Care Act, what is the limiting age for coverage of children of the insured ✔✔Age 26 Premium will be refunded ✔✔After the elimination period, a totally disabled insured q... ualified for benefits from a disability income policy that has a wavier of premium rider. What will happen to the premium that was paid into the policy during the elimination period? Prepaid plans ✔✔In what type of health plans are providers paid for services in advance, regardless of the services provided The individual member ✔✔Who chooses a primary care physician in an HMO plan Insured's inability to perform duties of his current job or an occupation for which the insured is educated & trained ✔✔What is the own occupation disability Persumptive disability ✔✔Which provision in a disability income policies specifies the conditions that automatically qualifiy the insured for full disablity benefitsKey-person disability insurance ✔✔What type of HI would pay for hiring a replacement for an important employee who becomes disabled As a rider to a HI policy, or as a separate policy ✔✔How can an AD&D policy be written A primary care physician ✔✔Who is the gatekeeper in a HMO Medial, income, rehabilitation and death benefits ✔✔What are the four types of WC benefits BOE business overhead expense insurance ✔✔What type of HI is sold to small business owners to reimburse them for the overhead expenses Disability benefits are not income taxable ✔✔What portion, if a, of the individual disability income policy benefits are taxed to the insured The insured's income at the time of policy application ✔✔What does the amout of disability benefit an insured can receive depend onPreventive care ✔✔What is the main principle of an HMO plan To help catch heath problems early when treatment has the greatest chance for success ✔✔Why do HMO's encourage members to get regular checkups Provision found in most disability income policies that specifies the conditions will automatically qualify for full disability benefits ✔✔What is a presumptive disability provision To replace income lost due to a disability ✔✔What is the primary purpose of disability income insurance Workers Compensation ✔✔What type of insurance covers an employee who is hurt on the job To replace income lost due to a disability ✔✔What is the primary purpose of disability income insurance The business (employer) ✔✔With key person disability insurance, who pays the policy premiumsElimination period ✔✔What is the term for a period of time immediately following a disability during which benefits are not payable Social Security ✔✔What is another name for Old Age, Survivors, and Disability Insurance benefits Disabilities result from accident or sickness that occur on or off the job ✔✔What type of disabilities will be covered by occupational coverage disability buy sell ✔✔What type of HI covers partners or corporate officers of a closely held business Under a fee for service plan, providers receive payments for each service provided ✔✔What is a fee for service health plan Between the basic coverage and the major medical coverage ✔✔When does a corridor deductible applyInjuries caused by war, intentionally self inflicted injuries, injuries covered by workers comp, regular dental/vision/hearing care, custodial care and elective cosmetic surgery ✔✔What types of injuries and services will b excluded from major medical coverage Key Person Disability Insurance ✔✔What type of HI would pay for hiring a replacement for an important employee who becomes disabled Hospital, surgical and medical ✔✔What are the three types of basic medical expense insurance State government ✔✔What entity regulates workers comp benefits A percentage of the principal sum ✔✔What is the capital sum of AD&D coverage Referral by the primary care physician ✔✔How can an HMO member see a specialist Hospital Indemnity ✔✔What type of hospital policy pays a fixed amount each day the insured is in the hospitalDisability Income ✔✔A waiver of premium provision may be included with what type of health insurance policies 100% ✔✔Under the Affordable Care Act, what % of preventive care must be covered without cost sharing [Show More]

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