Which Of The Following Applies To Partial Disability Benefits

Question:

Answer: A. Payment is limited to a certain period of time

The partial disability benefit is typically 50% of the total disability benefit, and is limited to a certain period of time.

Question:

Answer:

Question: Which type of hospital policy pays a fixed amount each day that the insured is in a hospital?

  1. Indemnity

  2. B. Surgical

  3. C. Blanket

  4. D. Medigap

  5. Answer: A. Indemnity

  6. A Hospital Indemnity policy pays a fixed amount each day the insured is hospitalized, unrelated to medical expenses

  7. Question: What is the purpose of coinsurance provisions?

  8. A. To share liability among different insurance companies

  9. B. To help the insurance company to prevent overutilization of the policy

  10. C. To have the insured pay premiums to more than one company

  11. D. To ensure payment to the doctors and hospitals

  12. Answer: B. To help the insurance company to prevent overutilization of the policy

  13. The purpose of the coinsurance provision is for the insurance company to control costs and discourage overutilization of the policy

  14. Question: In a relative value system of determining coverage for a given procedure what term describes the total amount payable per point?

  15. A. Relative value

  16. B. Translation factor

  17. C. Practical value

  18. D. Conversion factor

  19. Answer:

  20. Question:

  21. Answer: C. Cash to the owner’s business partner to accomplish a buyout

  22. If an owner dies or becomes disabled, the disability policy under the buy-sell agreement would provide enough cash to accomplish a buyout of the company.

  23. Question: The patient protection and affordable care act includes all of the following provisions EXCEPT:

  24. A. right to appeal

  25. B. no lifetime dollar limits

  26. C. coverage for preventive benefits

  27. D. individual tax deduction for premiums paid

  28. Answer: D. individual tax deduction for premiums paid

  29. The act does not offer tax deductions for health insurance premiums. The act does offer a tax credit, which is different from a tax deduction. All the other provisions are included in the Act.

  30. Question:

  31. Answer: C. Full benefits

  32. Presumptive Disability plans offer full benefits for specified conditions. These policies typically require the loss of at least two limbs, total and permanent blindness, or loss of speech or hearing. Benefits are paid, even if the insured is able to work.

  33. Question: Which of the following is NOT a metal level of coverage offered under the Patient Protection and Affordable Care Act?

  34. A. Bronze

  35. B. Iron

  36. C. Gold

  37. D. Silver

  38. Answer: B. Iron

  39. The metal tiers of coverage required under the PPACA includes platinum, gold, silver, and bronze

  40. Question:

  41. Answer: D. A cost of living

  42. The cost of living rider is usually tied to the Consumer Price Index (CPI) or another recognized measure of inflation.

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