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WorksheetsUnit 12: Managing Risk — Health, Life, and Disability Insurance
Total questions: 40
Worksheet time: 20hrs 0mins
Health insurance helps pay for _______ and _______ expenses resulting from illness or injury. Even minor medical issues can be expensive, making health insurance a valuable form of financial protection.
medical; hospital
travel; accommodation
food; entertainment
transport; education
A _______ is a fee you pay when you receive a covered medical service, while a _______ is the amount you must pay out of pocket before your insurer begins paying.
copayment; deductible
deductible; copayment
premium; copayment
coinsurance; premium
Health insurance deductibles are based on a _______ year rather than per incident. Some plans waive deductibles for preventive services like _______ or _______.
calendar; checkups; immunizations
fiscal; surgeries; prescriptions
policy; emergencies; therapies
benefit; hospitalizations; diagnostics
_______ requires the policyholder to pay a percentage of medical costs after the deductible is met, usually ranging from 10% to 30%.
Coinsurance
Premium
Copayment
Out-of-pocket maximum
The _______ is the annual limit on how much you have to pay in deductibles and coinsurance before your insurance pays 100%.
out-of-pocket maximum
premium
copayment
network provider
Most insurers limit payments based on the average local rate for services. These are called _______ and _______ charges.
usual; customary
fixed; variable
standard; premium
average; maximum
Using providers within your insurance company’s network is called using _______ providers. If you go outside of the network, you may pay _______ or even the full cost.
in-network; more
out-of-network; less
preferred; nothing
external; less
The three main ways people obtain health insurance are through _______ , _______ purchases, or _______ programs.
employers; individual; government
friends; family; private
schools; clubs; charity
banks; loans; investment
Since 2015, employers with more than _______ full-time employees must offer health insurance.
50
25
100
75
The Affordable Care Act created the _______ , found at _______ , to make comparing health insurance plans easier.
Health Insurance Marketplace; Healthcare.gov
Health Benefits Exchange; Healthbenefits.gov
Insurance Comparison Portal; Insure.gov
Medical Coverage Center; Medcover.gov
Plans are categorized as _______ , _______ , _______ , or _______ levels, depending on coverage and cost.
bronze; silver; gold; platinum
basic; standard; premium; elite
starter; advanced; expert; master
economy; value; deluxe; supreme
_______ are government payments that help lower-income individuals pay part of their premium cost.
Subsidies
Deductibles
Copayments
Premiums
PPO: Allows visits to in- or out-of-network providers without a _______.
referral
copay
deductible
prescription
POS: Requires a primary physician who provides _______ to specialists.
referrals
medications
diagnoses
appointments
HMO: Limits care to providers who work for or contract with the plan; usually no coverage for _______ care.
out-of-network
preventive
emergency
primary
EPO: Similar to an HMO, but does not require a _______ physician.
primary care
specialist
surgeon
emergency
A _______ health insurance plan has low monthly premiums and very high deductibles and is available only to people under 30 or those with financial hardship.
catastrophic
comprehensive
group
family
A _______ combines a high deductible with a Health Savings Account (HSA), allowing individuals to pay medical expenses with pre-tax dollars.
consumer-driven health plan
preferred provider organization
health maintenance organization
point of service plan
Government health insurance programs include _______ for older adults and _______ for low-income individuals. The _______ program provides low-cost insurance for children in families that earn too much for Medicaid.
Medicare; Medicaid; CHIP
Medicaid; Medicare; CHIP
CHIP; Medicare; Medicaid
Medicare; CHIP; Medicaid
The annual period during which you can add, drop, or change your insurance coverage is called _______ enrollment. If you have a major life event such as marriage or moving, you may qualify for _______ enrollment.
open; special
general; emergency
annual; temporary
regular; life
Young adults can stay on their parents’ insurance plan until age _______.
26
21
30
18
_______ allows employees to continue their employer-provided health insurance for a limited time after losing coverage, but they must pay the full premium themselves.
COBRA
FMLA
HIPAA
ERISA
A _______ Spending Account (FSA) allows employees to set aside pre-tax dollars for eligible medical expenses. However, most plans do not allow funds to _______ from year to year.
Flexible; roll over
Fixed; accumulate
Flexible; expire
Health; transfer
Prescription drug plans typically require a _______ that depends on whether the drug is brand name or generic.
copayment
deductible
premium
referral
_______ insurance covers eye exams and glasses, while _______ insurance covers routine exams and cleanings.
Vision; dental
Dental; vision
Health; auto
Auto; health
If a claim is denied, you can file an _______ with your insurance company. If it is denied again, you may request an _______ review by a third party.
appeal; external
complaint; internal
request; formal
inquiry; independent
Life insurance provides financial protection for your _______ in the event of your death.
dependents
employer
neighbors
friends
Experts recommend adults with dependents purchase between _______ and _______ times their annual income in life insurance.
7; 10
2; 4
3; 5
10; 15
_______ life insurance lasts for a specific period and pays benefits only if the insured dies during the term.
Term
Whole
Universal
Variable
_______ life insurance combines insurance coverage with an investment or savings component.
Permanent
Term
Group
Accidental
_______ life insurance is offered through employers or professional organizations and usually does not require a physical exam.
Group
Whole
Universal
Term
_______ life insurance pays off a specific loan balance if the insured dies before the loan is repaid.
Credit
Term
Whole
Universal
Factors that affect life insurance premiums include age, health, sex, health history, lifestyle, occupation, and _______.
amount of coverage
favorite color
number of pets
car brand
The person or organization that receives the payout from a life insurance policy is called the _______.
beneficiary
policyholder
insurer
underwriter
Disability insurance provides income if you are unable to work due to _______ or _______.
illness; injury
vacation; travel
retirement; old age
education; training
_______ Compensation covers work-related injuries and illnesses.
Workers'
Life
Travel
Auto
The federal government provides disability benefits through _______ and _______ programs.
Social Security; Medicare
Medicaid; CHIP
Unemployment; SNAP
TANF; WIC
Private disability income insurance typically replaces between _______% and _______% of a worker’s previous income.
50; 70
30; 50
70; 90
10; 30
_______ disability insurance covers shorter periods, while _______ disability insurance provides income replacement for several years or until retirement age.
Short-term; long-term
Long-term; short-term
Medical; accidental
Temporary; permanent
What is the main purpose of insurance?
to follow the law
to get weathly
For investment purposes
To reduce risk
