CH 11/12/13 Flashcards

1
Q

Which of the following provides for the availability of health care insurance benefits for small companies with common employments that band together.

A

multiple employer trust

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2
Q

A waiting period in a disability income is refereed to

A

Elimination period

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3
Q

Direct writers employ

A

Captive agents

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4
Q

Each of the following are supplements or optional coverages that may be added to HMO coverage

A

Emergency Treatment

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5
Q

A legal relationship between two parties were when one of the parties acts on behalf of another

A

Agency

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6
Q

Which of the following is the purpose of an accident and health policy probation period

A

Allows the insurer to deny small pre existing claims

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7
Q

Each of the following is excluded from Blue Cross/ Blue Shield Coverage EXCEPT.

A

Dental Care resulting from a accident

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8
Q

If a person covered under a PPO seeks treatment outside the plan, what action may the organization take

A

May reduce benefits

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9
Q

Which of the following is not an advantage of using a third party administrator.

A

Provides information about coverages and benefits

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10
Q

All of the following are correct in regards to a split dollar plan EXCEPT:

A

The split dollar plan is a specific type of life insurance policy

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11
Q

Which of thee following policy’s will assist a business in paying expenses and other necessary bills should a manager or director die

A

Key employee insurance

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12
Q

Which of the following best describes a business buys a policy covering each partner

A

Entity Plan

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13
Q

A buy sell agreement is designed to protect which of the following

A

Firm

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14
Q

If an employee covered under a group medical expense plan dies, his family his family may continue coverage under the group plan for

A

36 months

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15
Q

Which of the following types of disability income polices excludes losses arising out of the occupation of the insured for which the insured is entitled to receive workers compensation benefits

A

Non Occupational

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16
Q

Under the definition accidental means, the result in which of the following must be accidental

A

The Cause

17
Q

All the following are types of presumptive disability accept

A

Loss of Income

18
Q

Joan is covered by a disability income policy as a clerical worker. One of her hobbies is hang gliding. She later leaves her job to become a instructor at the hang gliding school. How will this change affect her previous purchased disability.

A

The monthly benefits will be reduced

19
Q

Which of the following is offset by benefits payable social insurance

A

Short term disability income