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Insursance 2
| Question | Answer |
|---|---|
| Which of these do NOT provide primary care to HIC members? | Surgeon |
| Which of these is NOT a legal reason for an HIC to release a subscriber's confidential health information? | Public interest |
| An insurer may refuse to renew an employer's small group health plan due to | nonpayment of premium |
| Coverage for newborns under an accident and health plan MUST include coverage for | birth abnormalities |
| Which of these is NOT considered a supplemental health insuring corporation (HIC) service? | outpatient medical service |
| The first payment for newborn accident and health coverage is due ___ days after the birth. | 31 |
| Which of these preventative care services is NOT provided by health insuring corporation (HIC) primary care physicians? | Adult hearing screenings |
| Unmarried children who are incapable of self support and have proof of incapacity are included under their parent's health coverage until | policy termination |
| Who provides all preventative and routine medical care given to a health insuring corporation (HIC) member? | Primary care physician |
| A life insurance policyowner is allowed ___ days upon policy delivery to return the policy for a full premium refund. | 10 |
| A minor may receive a life insurance policy's death benefit ONLY | if the minor has an appointed guardian |
| An insurance company has just received a request for verification from a viatical settlement provider. The insurer is required to respond within ___ calendar days to this request. | 30 |
| A medical provider that accepts Medicare Assignment must | accept payment based upon a defined Medicare schedule as payment in full |
| An accident and health policy that provides reimbursement benefits makes them payable to the | insured |
| XYZ insurance company took out billboard advertisements in Ohio indicating that it can transact business in this state. This insurer, however, is NOT approved in Ohio. XYZ may be found guilty of | false advertising |
| An individual covered under a Blue Cross Blue Shield plan is called a(n) | subscriber |
| An insurer may deny health insurance claims based on misstatements in the application for how long from the policy's date of issue? | 2 years |
| At what age will a person normally enroll with an insurance carrier under a Part C Medicare Advantage Plan? | Age 65 |
| A licensed agent MUST be _________ by an insurer to be eligible for soliciting insurance contracts. | appointed |
| A non-admitted insurer | is not afforded protection by the guaranty fund |
| How does one become eligible for Part D: Prescription Drug coverage? | Must have Medicare coverage |