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Accident & Health Concepts Practice Questions

61 free accident & health concepts questions for the California Life & Health insurance license exam. Pick any question — answer it and get the full 3-part explanation, no signup required.

  1. 1.In an accident and health policy, which statement best distinguishes an accident from a sickness for purpos…
    Difficulty 2/5
  2. 2.A policyholder files a claim after being hospitalized for pneumonia. How does an accident and sickness poli…
    Difficulty 2/5
  3. 3.Health insurance policies commonly include a preexisting condition exclusion period primarily to:
    Difficulty 2/5
  4. 4.In a managed care plan that uses a gatekeeper, what is the gatekeeper's primary function?
    Difficulty 1/5
  5. 5.Which statement correctly describes a cancellable disability insurance policy?
    Difficulty 2/5
  6. 6.Under a noncancelable disability income policy, the premium is best described as:
    Difficulty 1/5
  7. 7.Under a conditionally renewable health policy, the insurer may decline to renew:
    Difficulty 2/5
  8. 8.Which statement correctly describes a travel accident insurance policy?
    Difficulty 1/5
  9. 9.A specified disease policy that covers only cancer would pay benefits when:
    Difficulty 2/5
  10. 10.Credit disability insurance is designed primarily to:
    Difficulty 2/5
  11. 11.How are limited-benefit health plans best described for classification purposes?
    Difficulty 1/5
  12. 12.A critical illness insurance policy generally pays:
    Difficulty 2/5
  13. 13.Under federal COBRA, a dependent child who loses coverage because he or she exceeds the plan's maximum age …
    Difficulty 2/5
  14. 14.Under HIPAA's portability rules, how is an individual's prior creditable group coverage treated when the in…
    Difficulty 3/5
  15. 15.Under the federal mental health parity rules, a group health plan's mental health benefits must be:
    Difficulty 2/5
  16. 16.In a health plan with 80/20 coinsurance after the deductible is met, the insured's 20 percent share represe…
    Difficulty 1/5
  17. 17.A copayment (copay) is best defined as:
    Difficulty 1/5
  18. 18.When an insured is covered under two group health plans, coordination of benefits (COB) is designed to:
    Difficulty 3/5
  19. 19.A disability income policy that covers only nonoccupational disabilities will pay benefits when the insured:
    Difficulty 2/5
  20. 20.An 'own occupation' disability income policy pays benefits when the insured:
    Difficulty 2/5
  21. 21.In a disability income policy, the elimination period is best described as:
    Difficulty 2/5
  22. 22.In a disability income policy, the benefit period is the:
    Difficulty 1/5
  23. 23.A disability income policy has a 30-day elimination period and also refers to a probationary period. How do…
    Difficulty 2/5
  24. 24.What is a pre-existing condition, as the term is typically used in individual health insurance?
    Difficulty 1/5
  25. 25.Under a cancellable health insurance policy, which right does the insurer typically retain?
    Difficulty 1/5
  26. 26.A conditionally renewable health policy permits the insurer to decline to renew coverage. Under what circum…
    Difficulty 2/5
  27. 27.Which statement about a guaranteed renewable health insurance policy is correct?
    Difficulty 2/5
  28. 28.A travel accident policy is best characterized as which of the following?
    Difficulty 1/5
  29. 29.A specified disease policy, such as a cancer policy, typically pays benefits in what manner?
    Difficulty 2/5
  30. 30.What is the purpose of a credit disability insurance policy?
    Difficulty 2/5
  31. 31.Which of the following is a limited-benefit health policy?
    Difficulty 2/5
  32. 32.A characteristic of an accident-only policy is that it:
    Difficulty 1/5
  33. 33.In the individual insurance market, limited-benefit policies such as accident-only and specified disease pl…
    Difficulty 1/5
  34. 34.Under COBRA, when a dependent child ages out of eligibility under a parent's group health plan, the child m…
    Difficulty 3/5
  35. 35.What is the primary purpose of the portability provisions of HIPAA, the Health Insurance Portability and Ac…
    Difficulty 3/5
  36. 36.In a health insurance policy, how does an annual deductible typically operate?
    Difficulty 1/5
  37. 37.Which statement correctly distinguishes coinsurance from a copayment?
    Difficulty 2/5
  38. 38.What is the purpose of a coordination of benefits (COB) provision in group health insurance?
    Difficulty 2/5
  39. 39.How do disability income policies typically distinguish total disability from partial disability?
    Difficulty 1/5
  40. 40.A disability policy defines disability as the insured's inability to perform the duties of any occupation f…
    Difficulty 2/5
  41. 41.An individual disability policy covers only nonoccupational disabilities. What does this mean?
    Difficulty 2/5
  42. 42.An insured slips on ice and fractures a wrist. Which statement correctly distinguishes 'accidental means' f…
    Difficulty 2/5
  43. 43.Which of the following renewability provisions gives the insured the MOST protection against cancellation o…
    Difficulty 2/5
  44. 44.A residual disability benefit in a disability income policy is designed to pay benefits when the insured:
    Difficulty 3/5
  45. 45.In a disability income policy, what does a recurrent disability clause provide?
    Difficulty 2/5
  46. 46.Which statement correctly describes a limited (or limited-benefit) health insurance policy, such as a hospi…
    Difficulty 2/5
  47. 47.What is the purpose of a rehabilitation benefit in a disability income policy?
    Difficulty 1/5
  48. 48.What does a business overhead expense (BOE) disability policy cover?
    Difficulty 1/5
  49. 49.Under a key person disability policy purchased by a business on a key employee, the beneficiary of the disa…
    Difficulty 2/5
  50. 50.Which factor is typically considered in the underwriting and rating of an individual disability income policy?
    Difficulty 1/5