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Unit 12: Managing Risk — Health, Life, and Disability Insurance

Total questions: 40

Worksheet time: 20hrs 0mins

Name
Class
Date
1.

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.

a)

medical; hospital

b)

travel; accommodation

c)

food; entertainment

d)

transport; education

2.

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.

a)

copayment; deductible

b)

deductible; copayment

c)

premium; copayment

d)

coinsurance; premium

3.

Health insurance deductibles are based on a _______ year rather than per incident. Some plans waive deductibles for preventive services like _______ or _______.

a)

calendar; checkups; immunizations

b)

fiscal; surgeries; prescriptions

c)

policy; emergencies; therapies

d)

benefit; hospitalizations; diagnostics

4.

_______ requires the policyholder to pay a percentage of medical costs after the deductible is met, usually ranging from 10% to 30%.

a)

Coinsurance

b)

Premium

c)

Copayment

d)

Out-of-pocket maximum

5.

The _______ is the annual limit on how much you have to pay in deductibles and coinsurance before your insurance pays 100%.

a)

out-of-pocket maximum

b)

premium

c)

copayment

d)

network provider

6.

Most insurers limit payments based on the average local rate for services. These are called _______ and _______ charges.

a)

usual; customary

b)

fixed; variable

c)

standard; premium

d)

average; maximum

7.

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.

a)

in-network; more

b)

out-of-network; less

c)

preferred; nothing

d)

external; less

8.

The three main ways people obtain health insurance are through _______ , _______ purchases, or _______ programs.

a)

employers; individual; government

b)

friends; family; private

c)

schools; clubs; charity

d)

banks; loans; investment

9.

Since 2015, employers with more than _______ full-time employees must offer health insurance.

a)

50

b)

25

c)

100

d)

75

10.

The Affordable Care Act created the _______ , found at _______ , to make comparing health insurance plans easier.

a)

Health Insurance Marketplace; Healthcare.gov

b)

Health Benefits Exchange; Healthbenefits.gov

c)

Insurance Comparison Portal; Insure.gov

d)

Medical Coverage Center; Medcover.gov

11.

Plans are categorized as _______ , _______ , _______ , or _______ levels, depending on coverage and cost.

a)

bronze; silver; gold; platinum

b)

basic; standard; premium; elite

c)

starter; advanced; expert; master

d)

economy; value; deluxe; supreme

12.

_______ are government payments that help lower-income individuals pay part of their premium cost.

a)

Subsidies

b)

Deductibles

c)

Copayments

d)

Premiums

13.

PPO: Allows visits to in- or out-of-network providers without a _______.

a)

referral

b)

copay

c)

deductible

d)

prescription

14.

POS: Requires a primary physician who provides _______ to specialists.

a)

referrals

b)

medications

c)

diagnoses

d)

appointments

15.

HMO: Limits care to providers who work for or contract with the plan; usually no coverage for _______ care.

a)

out-of-network

b)

preventive

c)

emergency

d)

primary

16.

EPO: Similar to an HMO, but does not require a _______ physician.

a)

primary care

b)

specialist

c)

surgeon

d)

emergency

17.

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.

a)

catastrophic

b)

comprehensive

c)

group

d)

family

18.

A _______ combines a high deductible with a Health Savings Account (HSA), allowing individuals to pay medical expenses with pre-tax dollars.

a)

consumer-driven health plan

b)

preferred provider organization

c)

health maintenance organization

d)

point of service plan

19.

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.

a)

Medicare; Medicaid; CHIP

b)

Medicaid; Medicare; CHIP

c)

CHIP; Medicare; Medicaid

d)

Medicare; CHIP; Medicaid

20.

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.

a)

open; special

b)

general; emergency

c)

annual; temporary

d)

regular; life

21.

Young adults can stay on their parents’ insurance plan until age _______.

a)

26

b)

21

c)

30

d)

18

22.

_______ allows employees to continue their employer-provided health insurance for a limited time after losing coverage, but they must pay the full premium themselves.

a)

COBRA

b)

FMLA

c)

HIPAA

d)

ERISA

23.

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.

a)

Flexible; roll over

b)

Fixed; accumulate

c)

Flexible; expire

d)

Health; transfer

24.

Prescription drug plans typically require a _______ that depends on whether the drug is brand name or generic.

a)

copayment

b)

deductible

c)

premium

d)

referral

25.

_______ insurance covers eye exams and glasses, while _______ insurance covers routine exams and cleanings.

a)

Vision; dental

b)

Dental; vision

c)

Health; auto

d)

Auto; health

26.

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.

a)

appeal; external

b)

complaint; internal

c)

request; formal

d)

inquiry; independent

27.

Life insurance provides financial protection for your _______ in the event of your death.

a)

dependents

b)

employer

c)

neighbors

d)

friends

28.

Experts recommend adults with dependents purchase between _______ and _______ times their annual income in life insurance.

a)

7; 10

b)

2; 4

c)

3; 5

d)

10; 15

29.

_______ life insurance lasts for a specific period and pays benefits only if the insured dies during the term.

a)

Term

b)

Whole

c)

Universal

d)

Variable

30.

_______ life insurance combines insurance coverage with an investment or savings component.

a)

Permanent

b)

Term

c)

Group

d)

Accidental

31.

_______ life insurance is offered through employers or professional organizations and usually does not require a physical exam.

a)

Group

b)

Whole

c)

Universal

d)

Term

32.

_______ life insurance pays off a specific loan balance if the insured dies before the loan is repaid.

a)

Credit

b)

Term

c)

Whole

d)

Universal

33.

Factors that affect life insurance premiums include age, health, sex, health history, lifestyle, occupation, and _______.

a)

amount of coverage

b)

favorite color

c)

number of pets

d)

car brand

34.

The person or organization that receives the payout from a life insurance policy is called the _______.

a)

beneficiary

b)

policyholder

c)

insurer

d)

underwriter

35.

Disability insurance provides income if you are unable to work due to _______ or _______.

a)

illness; injury

b)

vacation; travel

c)

retirement; old age

d)

education; training

36.

_______ Compensation covers work-related injuries and illnesses.

a)

Workers'

b)

Life

c)

Travel

d)

Auto

37.

The federal government provides disability benefits through _______ and _______ programs.

a)

Social Security; Medicare

b)

Medicaid; CHIP

c)

Unemployment; SNAP

d)

TANF; WIC

38.

Private disability income insurance typically replaces between _______% and _______% of a worker’s previous income.

a)

50; 70

b)

30; 50

c)

70; 90

d)

10; 30

39.

_______ disability insurance covers shorter periods, while _______ disability insurance provides income replacement for several years or until retirement age.

a)

Short-term; long-term

b)

Long-term; short-term

c)

Medical; accidental

d)

Temporary; permanent

40.

What is the main purpose of insurance?

a)

to follow the law

b)

to get weathly

c)

For investment purposes

d)

To reduce risk