Important Numbers Flashcards

1
Q

Investigative Consumer Reports - These reports cannot be made unless the consumer is advised in writing about the report within _____ days of the date the report was requested.

7 days
10 days
5 days
3 days

A

3 days

Investigative Consumer Reports - These reports cannot be made unless the consumer is advised in writing about the report within 3 days of the date the report was requested.

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2
Q

The consumers must be advised that they have a right to request additional information concerning the report, and the insurer or reporting agency has ___ days to provide the consumer with the additional information.

7 days
10 days
5 days
3 days

A

5 days

The consumers must be advised that they have a right to request additional information concerning the report, and the insurer or reporting agency has 5 days to provide the consumer with the additional information.

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3
Q

By means of the of the Health Maintenance Act of 1973, Congress strongly supported the growth of health maintenance organizations (HMOs) in this country. The act forced employers with more than ____ employees to offer the HMO as an alternative to their regular health plans.

100 employees
25 employees
20 employees
50 employees

A

25 employees

By means of the of the Health Maintenance Act of 1973, Congress strongly supported the growth of health maintenance organizations (HMOs) in this country. The act forced employers with more than 25 employees to offer the HMO as an alternative to their regular health plans.

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4
Q

Most policies will pay the accidental death benefit as long as the death is caused by the accident and occurs within ____ days.

20 days
30 days
60 days
90 days

A

90 days

Most policies will pay the accidental death benefit as long as the death is caused by the accident and occurs within 90 days.

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5
Q

How long must LTC policies provide coverage for?

6 consecutive months
12 consecutive months
18 consecutive months
24 consecutive months

A

12 consecutive months.

Long-term care policies can vary in the number of days confinement covered, the number of home health visits covered, the amount paid for nursing home care ,and other contract provisions. They also must provide coverage for at least 12 consecutive months in a setting other then an acute care unit of a hospital.

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6
Q

An association group (alumni or professional) can buy group insurance for its members. The group must have at least ____ members, be organized for a reason other than buying insurance, have been active for at least two years, have a constitution, by-laws and must hold at least annual meetings.

50 members
60 members
100 members
25 members

A

100 members

An association group (alumni or professional) can buy group insurance for its members. The group must have at least 100 members, be organized for a reason other than buying insurance, have been active for at least two years, have a constitution, by-laws and must hold at least annual meetings.

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7
Q

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires any employer with ____ or more employees to extend group health coverage to terminated employees and their families after qualifying event.

20
50
100
25

A

20 or more employees

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires any employer with 20 or more employees to extend group health coverage to terminated employees and their families after qualifying event.

Qualifying events include the following:

  • voluntary termination of employment;
  • termination of employment for reasons other than gross misconduct (e.g. company downsizing); and
  • Employment status change: from full time to part time.
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8
Q

COBRA covers employees for up to ____ months. The terminated employee must exercise extension of benefits under COBRA with in 60 days of separation from employment.

12 months
24 months
18 months
6 months

A

18 Months

COBRA covers employees for up to 18 months. The terminated employee must exercise extension of benefits under COBRA with in 60 days of separation from employment.

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9
Q

For events such as death of employee, divorce or legal separation, the period is ____ months for the dependents.

36 months
24 months
18 months
12 months

A

36 months

For events such as death of employee, divorce or legal separation, the period is 36 months for the dependents.

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