Health and Accident Insurance 62 Exam Questions with 100% Correct Answers

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Health and Accident Insurance 62 Exam Questions with 100% Correct Answers 1. During the underwriting process for a group health policy, it was discovered that 15 out of 50 members of the group have... major health issues. How would the insurer handle this? - Accept or reject the whole group 2. When a claim has coverage under more than one health plan, which group medical plan provision applies? - Coordination of benefits 3. What percentage of eligible employees must participate in a noncontributory group health plan before it can be put in effect? - 100% 4. Who is financially liable for the payment of covered claims in a fully insured group health plan? - Insurer 5. Buy-Sell Plans are typically funded by which two types of insurance? - Life insurance and Disability insurance 6. In regards to a group health insurance plan, which statement is CORRECT? - A non-contributory group health plan must cover all eligible members 7. Which of the following is NOT typically covered under vision care insurance? - Eye Surgery 8. An eligible individual who would like to obtain group health insurance without providing evidence of insurability must? - Enroll within a specified eligibility period 9. Coverage is limited for vision and dental insurance in all of the following ways, EXCEPT? - Specific dollar amount for examinations 10.The Consolidated Omnibus Budget Reconciliation Act (COBRA) applies to employers who employ at least? - 20 employees 11.The problem of overinsurance is addressed in which health insurance provision? - Coordination of benefits 12.Minimum participation standards exist for group health insurance plans in order to - prevent adverse selection 13.In an employer-sponsored group accident and health plan, a master contract is issued to the? - Employer [Show More]

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