FSEFHE

A Basic Hospital Policy pays expenses for:

• prescription medications
• routine check-ups
• Basic hospital expense, room and board with a daily limit coverage. Basic surgical procedures and basic medical covers office visits and routine medical treatment.

• physical therapy sessions

What is the maximum amount of time the insured has to file legal action against the insurer after written proof of loss is provided

• 3 years

• 2 weeks
• 5 years
• 6 months

What is the difference between misrepresentation and fraud

• Misrepresentation is unintentional falsehood; fraud is intentional deception.
• Misrepresentation involves legal contracts; fraud does not.
• Fraud is a type of misrepresentation; both are the same.
• Misrepresentation is always a crime; fraud is not.

Which of the following determines whether a person passes the financial test to qualify for Medicaid

• Employment status and job title
• Personal savings account balance
• Credit score and debt-to-income ratio
• Income and asset limits set by the state.

All of the following are elements of an uninsurable loss EXCEPT

• Affordable premiums can be charged

• Expected losses are measurable

• Expected losses will be accidental

• Types of losses that occur can be expected

In which of the following does a covered employee agree to a reduction in compensation so the amount can be used to cover medical expenses?

• Health Reimbursement Arrangement (HRA)
• Retirement Savings Plan (RSP)
• Flexible Spending Account (FSA)

• Standard Health Insurance Plan

Which of the following in a disability income policy is like a waiting period where you don't receive benefits during that time?

• premium payment
• benefit period
• coverage limit
• elimination period

Why are insurance regulators often critical of dread disease insurance policies?

• They provide comprehensive coverage for all diseases.
• They are highly regulated and transparent.
• They are cheaper than standard health insurance policies.
• They can be misleading and offer limited coverage.

If a health insurance policy lapses due to nonpayment, how many days does it take for coverage to be reinstated after submitting an application, paying the premium, and not being refused?

• 30 days
• 60 days
• 45 days
• 15 days

Which type of authority holds that a producer may have whatever authority a reasonable person would assume the producer has?

• Implied authority
• Express authority
• Actual authority
• Apparent authority