Insurance Licensing InsNV_Health02 Exam : NV Accident and Health

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

Insurance Licensing NV Accident and Health Sample Questions:

1. The Fair Credit Reporting Act requires that:

A) insurance companies pay interest on claims that are paid late
B) applicants be advised that a consumer report may be requested
C) interest charged on premium loans be limited to a specified amount
D) insurance companies treat insureds fairly and not discriminate

2. Which of the following statements is generally CORRECT about a major medical policy?

A) It contains a 30-day Elimination period for losses due to sickness.
B) It contains more limitations than a Basic Hospital, Medical, or Surgical policy.
C) It provides benefits for in-hospital expenses only, subject to policy limits.
D) It provides benefits for reasonable and necessary medical expenses, subject to policy limits.

3. Which feature most clearly distinguishes a health maintenance organization (HMO) from a traditional indemnity health insurance plan?

A) The HMO provides only disability-income benefits.
B) The HMO pays only after the insured satisfies a cash-value requirement.
C) The HMO commonly uses a provider network and coordinates care through managed-care rules.
D) The HMO always reimburses any provider at the same level.

4. 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) 15 days
B) 30 days
C) 31 days
D) 45 days

5. An individual health insurance policy contains a Change of Occupation provision. If the insured experiences a loss in a more hazardous occupation than when the policy was issued, the insurance company may:

A) adjust benefits to the amount the premium provides for the new occupation
B) deny any claim on the basis of misrepresentation
C) increase the waiting period to adjust for the occupational difference
D) increase the deductible to adjust for the occupational difference

Solutions: