health and accident – Flashcards

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question
The benefits under a Disability Buy-Out policy are
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payable to the company or another shareholder
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Which of the following statements does NOT accurately describe the tax treatment of premiums and benefits of individual Accident and Health insurance?
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Disability income policy premiums are tax-deductible
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The Health Insurance Portability and Accountability Act (HIPAA) gives privacy protection for
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health information
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When an employee is required to pay a portion of the premium for an employer/employee group health plan, the employee is covered under which of the following plans?
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Contributory
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The federal income tax treatment of employer-provided group health insurance can be accurately described as
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Employee's coverage paid for by the employer is tax-deductible to the employer as a business expenditure
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Under which of the following circumstances do the benefits under COBRA continuation coverage expire?
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All group health plans are eliminated by the employer
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T is covered by two health insurance plans: a group plan through his employer and his spouse's plan as a dependent. When T submits a claim, his employer's plan is considered what type of carrier under the Model Group Coordination of Benefits provision?
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Primary carrier
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A Business Overhead Expense policy
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covers business expenses such as rent and utilities
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A Business Overhead Expense policy would cover which of the following if a business owner becomes disabled?
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Utilities and office rent
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XYZ Company pays the entire premium for its group health plan. The MINIMUM percentage of eligible employees that must be covered is
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100%
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Which contract permits the remaining partners to buy-out the interest of a disabled business partner?
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Disability Buy-Sell
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Which of these circumstances is a Business Disability Buy-Sell policy designed to help in the sale of a business?
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Business owner becoming disabled
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Which of the following statements BEST describes how a policy that uses the "accidental bodily injury" definition of an accident differs from one that uses the "accidental means" definition?
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Less restrictive
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An insurance company would MOST likely pay benefits under an Accidental Death and Dismemberment policy for which of the following losses?
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Loss of eyesight due to an accidental injury
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All students attending a large university could be covered by
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a blanket policy
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J has an Accidental Death and Dismemberment policy with a principal sum of $50,000. While trimming the hedges, J cuts off one of his fingers. What is the MAXIMUM J will receive from his policy?
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$25,000
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Which of the following characteristics are associated with a large group disability income policy?
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No medical underwriting
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The difference between group insurance and blanket health policies is
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Blanket health policies do not issue certificates
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The provision in a Group Health policy that allows the insurer to postpone coverage for a covered illness 30 days after the policy's effective date is referred to as the
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Waiting Period
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Which of the following is the reimbursement of benefits for the treatment of a beneficiary's injuries caused by a third party?
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Subrogation
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Which of the following statements is correct regarding an employer/employee group health plan?
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the employer receives a master policy and the employees receive certificates
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Which statement is TRUE regarding a group accident & health policy issued to an employer?
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The employer is the policyowner and each employee receives a certificate of coverage
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S is employed by a large corporation that provides group health coverage for its employees and their dependents. If S dies, the company must allow his surviving spouse and dependents to continue their group health coverage for a maximum of how many months under COBRA regulations?
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36
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Many small business owners worry how their business would survive financially if the owner becomes disabled. The policy which BEST addresses this concern is
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Business Overhead Expense
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How does group insurance differ from individual insurance?
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Premiums are lower
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The reason for a business having a Business Overhead Expense Disability Plan is to cover
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fixed business expenses
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