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| Section | Weight | Objectives |
|---|---|---|
| Accident and Health — General Knowledge | ~68% | - Policy Provisions, Clauses & Riders
|
| Nevada Statutes, Rules and Regulations | ~32% | - General State Insurance Regulations
|
Question 1
Group coverage for a handicapped dependent child may be continued if the primary insured submits the required proof to the insurance company within what MAXIMUM period of time after the child reaches the limiting age?
A. 30 days
B. 45 days
C. 31 days
D. 15 days
Question 2
Which of the following statements is generally CORRECT about a major medical policy?
A. It provides benefits for reasonable and necessary medical expenses, subject to policy limits.
B. It contains a 30-day Elimination period for losses due to sickness.
C. It contains more limitations than a Basic Hospital, Medical, or Surgical policy.
D. It provides benefits for in-hospital expenses only, subject to policy limits.
Question 3
Most insurance companies use the usual, customary, and reasonable (UCR) charges to:
A. reimburse physicians for excess expense
B. limit the insurance company claims liability
C. pay dollars direct to the employers for health insurance
D. reimburse the employee for expenses charged by the medical facilities
Question 4
A life policy lapses because a premium was not paid. To reinstate the policy, the insurer will generally require all of the following EXCEPT:
A. A new medical examination in every case
B. Reinstatement within the policy's permitted time limit
C. Evidence of insurability
D. Payment of overdue premiums with interest
Question 5
Which Medicare part generally helps cover inpatient hospital care, skilled nursing facility care following a qualifying hospital stay, hospice care, and certain home health services?
A. Medicare Part C
B. Medicare Part B
C. Medicare Part A
D. Medicare Part D
Solutions:
| Question 1 Answer: C | Question 2 Answer: A | Question 3 Answer: B | Question 4 Answer: A | Question 5 Answer: C |
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