California Department of Insurance CA Life, Accident and Health or Sickness Examination : CA-Life-Accident-and-Health exam

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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

1. All of the following types of insurance pay benefits in addition to those paid by other insurance policies held by the insured EXCEPT

A) specified disease.
B) hospital indemnity.
C) critical illness.
D) medical expense.

2. In the absence of a coordination of benefits clause, all of the following circumstances might result in recovery of more than 100% of actual health care expenses EXCEPT

A) spouses are both employed and eligible for group medical benefits.
B) a worker's group medical plan includes a carryover deductible provision.
C) a person working for two employers has insurance through both.
D) an executive has additional coverage through an association policy.

3. Insureds are entitled to recover an amount NOT greater than the amount of their loss under the principle of

A) adhesion.
B) utmost good faith.
C) warranty.
D) indemnity.

4. Which of the following is NOT a characteristic of a contributory group insurance plan?

A) The policy owner pays all of the cost.
B) The member pays all of the cost.
C) The member pays a portion of the cost.
D) The employer pays a portion of the cost.

5. Under PPACA, what is a health benefits exchange?

A) PPACA creates new entities called American Health Benefits Exchanges through which individuals, small businesses, and those who do not have access to affordable employer coverage, can purchase coverage.
B) A health benefits exchange is created by health insurers to allow individuals to access benefits in other insurers' plans.
C) PPACA creates new entities called American Health Benefits Exchanges through which low-income individuals can access public health care programs.
D) A health benefits exchange is created by employers to relieve them of having to provide health benefits to employees.

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