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Question 1 of 10
1. Question
Robin’s HMO requires that she receive health care services from a specified, limited number of health care providers chosen by the HMO. Robin’s HMO is
Correct
This is an example of a closed panel HMO structure. Robin’s HMO is a closed panel HMO structure.
Incorrect
This is an example of a closed panel HMO structure. Robin’s HMO is a closed panel HMO structure.
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Question 2 of 10
2. Question
Angela has a policy that will pay any expenses that she incurs due to in-hospital medical treatment, and some of the expenses she incurs daily. Angela probably has a
Correct
This is an example of a medical expense policy. Angela probably has a medical expense policy as it pays any expenses that she incurs due to in-hospital medical treatment, and some of the expenses she incurs daily.
Incorrect
This is an example of a medical expense policy. Angela probably has a medical expense policy as it pays any expenses that she incurs due to in-hospital medical treatment, and some of the expenses she incurs daily.
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Question 3 of 10
3. Question
A payment system through which a particular fee is charged annually by a supplier is known as
Correct
A capitation fee is a fixed amount paid to the provider for each patient. A payment system through which a particular fee is charged annually by a supplier is known as Capitation.
Incorrect
A capitation fee is a fixed amount paid to the provider for each patient. A payment system through which a particular fee is charged annually by a supplier is known as Capitation.
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Question 4 of 10
4. Question
Sky HMO contracts with 14 medical groups to increase accessibility to providers as a convenience for subscribers. Each of the medical groups is paid on a capitation basis to provide services to Sky’s subscribers. The Sky HMO operates as a
Correct
Sky has 14 medical groups, and Each of the medical groups is paid on a capitation basis. So, this is an example of a network model.
Incorrect
Sky has 14 medical groups, and Each of the medical groups is paid on a capitation basis. So, this is an example of a network model.
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Question 5 of 10
5. Question
Unless it is canceled, when a health insurance policy becomes successful, it will remain in force for
Correct
The policy will stay in force for the length of the term for which a premium has been paid Unless it is canceled and becomes successful.
Incorrect
The policy will stay in force for the length of the term for which a premium has been paid Unless it is canceled and becomes successful.
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Question 6 of 10
6. Question
The policy is considered delivered in all of the following situations legally, except
Correct
Underwriting approval does not constitute delivery. The policy is considered legally delivered in all of the following situations except the policy is approved by the company.
Incorrect
Underwriting approval does not constitute delivery. The policy is considered legally delivered in all of the following situations except the policy is approved by the company.
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Question 7 of 10
7. Question
A statement that guarantees the benefits offered under the old policy would continue under the new policy is
Correct
This is the term used for the document that assures that the same benefits will continue. A statement that guarantees the benefits offered under the old policy would continue under the new policy is a transfer of benefits statement.
Incorrect
This is the term used for the document that assures that the same benefits will continue. A statement that guarantees the benefits offered under the old policy would continue under the new policy is a transfer of benefits statement.
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Question 8 of 10
8. Question
Jenny pays for her health insurance monthly. Her identical twin Alice has the same policy but pays annually. Which of them probably pays more for the policy?
Correct
Jenny will pay more because the insurance company does not use her entire annual premium in advance.
Incorrect
Jenny will pay more because the insurance company does not use her entire annual premium in advance.
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Question 9 of 10
9. Question
What is a Keogh plan?
Correct
Keogh plans were designed specifically to provide retirement accounts for self-employed individuals. So, the Keogh plan is a retirement plan for self-employed persons.
Incorrect
Keogh plans were designed specifically to provide retirement accounts for self-employed individuals. So, the Keogh plan is a retirement plan for self-employed persons.
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Question 10 of 10
10. Question
Dividend options When life insurance is written on a participating basis may be selected by the
Correct
It is the policy owner, who may not be the insured, who has the right to select dividend options or any other options available under the policy.
Incorrect
It is the policy owner, who may not be the insured, who has the right to select dividend options or any other options available under the policy.