Colorado Health Insurance Exam| Questions and Verified Answers| Grade A (2023/2024)
QUESTION
J has a physical impairment, attends school, and is
... [Show More] incapable of self-sustaining employment and/ or self care. Which of the following statements is CORRECT about J's medical coverage under J's father's group plan?
A. J's coverage ceases, but J may apply for group student coverage.
B. J's coverage automatically discontinues at age twenty-six.
C. J's coverage continues only as long as J is a full-time student.
D. J's coverage continues as long as J is continually incapacitated and is financially dependent on J's father.
Answer:
D
QUESTION
Which of the following statements is CORRECT about a Disability Income policy with a Guaranteed Insurability rider?
A. The insured may periodically increase the amount of benefits payable under the policy.
.
B. The insured may assign the policy to a member of the insured's family.
C. The insurer is not permitted to cancel the policy.
D. The insurer will issue the policy without a medical examination.
Answer:
A
QUESTION
Which of the following types of provisions guarantees renewability to a specified date or age unless certain specified events occur?
A. Noncancellable
B. Optionally Renewable
C. Guaranteed Renewable
D. Conditionally Renewable
Answer:
D
QUESTION
Under the Claims Forms provision of a health policy, if the insurance company fails to send claim forms within the time period required, the insured should:
A. expect a full refund of all premiums paid plus interest
B. submit the claim in any form, which must be accepted by the company as adequate proof of loss
C. request the Department of Insurance mediate the claim settlement
D. wait for the claim form to arrive
Answer:
B
QUESTION
Suicide, pre-existing conditions and self-inflicted injuries are dealt with in which of the following policy features?
A. Extensions of coverage
B. Benefits clause
C. Riders
D. Exclusions
Answer:
D
QUESTION
The Coordination of Benefits clause found in group health master contracts is used to:
A. integrate Disability Income benefits with Major Medical benefits
B. avoid double payment of benefits to an insured who has duplicate group coverages
C. investigate the claims history of an insured
D. avoid duplicate claims to an employer for the same employee
Answer:
B
QUESTION
Which of the following provisions designates to whom claim payments are made?
A. Time of Payment of Claims
B. Claim Forms
C. Notice of Claim
D. Payment of Claims
Answer:
D
QUESTION
The insurance policy clause that identifies the contracting parties and defines the scope and limits of coverage is called the:
A. Insuring clause
B. Benefit clause [Show Less]