QUESTIONS AND ANSWERS

FOR THE HEALTH EXAMINATION 240

1) IF AN APPLICANT MAKES AN INACCURATE STATEMENT THAT COULD ALTER THE

DECISION OF THE INSURANCE COMPANY

R. MATERIAL MISSTATEMENT (CH. 1 INACCURATE REPRESENTATIONS).

2) WHEN AN INSURER NEEDS TO PERFORM AN AUTOPSY, WHAT IS THE ONLY THING THAT
CAN PREVENT IT?

R. ONLY IF PROHIBITED BY LAW (CH. 3 DISP PHYSICAL EXAMINATION AND AUTOPSY).

3) WHO PAYS FOR THE REQUIRED MEDICAL EXAMINATIONS AND AUTOPSIES?

R. THE INSURANCE COMPANY AND IT IS DONE AS MANY TIMES AS NECESSARY.

4) T WAS INVOLVED IN A FIRE ON HIS PREMISES AND BECAME DISABLED. YOUR INSURANCE
COMPANY IS PAYING YOU FOR YOUR DISABILITY, AFTER THREE YEARS THE INSURANCE
COMPANY DISCOVERED THAT YOU HAD INTENTIONALLY SET THE FIRE. WHAT DOES THE
INSURANCE COMPANY DO IN THIS CASE?

R. THE INSURED WILL HAVE TO RETURN ALL THE MONEY TO THE COMPANY. (CAP 2
DISABILITY INCOME POLICIES, FRAUD HAS NO EXPIRATION).

5) A PATIENT HAS A $100.00 DEDUCTIBLE AND INCURS A HOSPITAL EXPENSE (LOSS) OF

$1200.00, TAKING INTO ACCOUNT A COINSURANCE OF 80/20. HOW MUCH IS THE EXPENSE
INCURRED BY THE INSURANCE COMPANY? (HOW MUCH WILL THE COMPANY PAY FOR THE
LOSS?).

R. 880.00 LOST 1200.00 MINUS DEDUCTIBLE 100.00 = 1100.00 AND 80% OF THAT
AMOUNT IS 1100 X 0.8 = 880.00 (CAP 2 AND 3 COINSURANCE).

6) A WORKER MOWING GRASS LOSES A FINGER, HE HAS A $50,000 DISABILITY INCOME

POLICY. HOW MUCH WILL THE COMPANY PAY YOU IN BENEFITS FOR THE ACCIDENT?

R. 0.00 (CAP 2 AND 3 DISABILITY INCOME POLICIES, PRESUMPTIVE DISABILITY PAYS FOR
BLIND, DEAF, MUTE OR TWO LIMBS, LOSS OF USE OR DISMEMBERMENT (SHAKIRA).

7) WHICH HEALTH CARE ORGANIZATION OFFERS THE LOWEST COST TO ITS MEMBERS?
R. HMO (HEALTH MAINTENANCE ORGANIZATIONS, CH. 2).

8) T BOUGHT A DISABILITY INCOME POLICY, BECOMES DISABLED ON MAY 1 AND RECOVERS

ON MAY 15, HAS A 30-DAY ELIMINATION PERIOD, BUT BECOMES DISABLED AGAIN ON JUNE
1. AS OF WHAT DATE WILL THE COMPANY PAY BENEFITS?

R. JULY 1 (CAP 2 DISABILITY INCOME POLICIES, RECURRENT DISABILITY).

9) T HAS A DISABILITY INCOME POLICY WITH A 30 DAY ELIMINATION PERIOD, AND A

BENEFIT OF $500.00 PER MONTH. AN ACCIDENT INCAPACITATES YOU FOR 3 AND A HALF
MONTHS, WHAT WILL BE THE TOTAL BENEFITS PAID BY THE INSURANCE COMPANY?

R. 1250.00 (CAP 2 DISABILITY INCOME POLICY, POLICY PAYS PER MONTH $500.00, 1st
MONTH $500.00 2nd MONTH $500.00 3rd MONTH $500.00 AND HALF MONTH $250.00,
BUT MINUS ONE MONTH ELIMINATION PERIOD $500.00 = 1250.00).

10) YOU WORK FOR A COMPANY AND YOU ARE TURNING 65 AND YOU DON'T KNOW
WHICH POLICY TO CHOOSE?

R. RENEWABLE WITH GUARANTEED

11) YOU BUY A POLICY BUT THE AGENT FORGETS TO BRING THE POLICY TO YOU AND
SHOWS UP 6 MONTHS LATER?

R. THE PREMIUM IS PAID BACK TO YOU (CHAPTER 3 FREE LOOK STARTS WHEN THE
POLICY IS DELIVERED TO YOU AND LASTS 10 DAYS).

12) THE GRACE PERIOD VARIES ACCORDING TO WHAT IN HEALTH POLICIES?

R. DEPENDING ON THE MODE OR MODE OF PREMIUM PAYMENT (CAP 3 MODE OR MODE

IS THE FREQUENCY WITH WHICH THE PREMIUM IS PAID (USUALLY ANNUALLY) MONTHLY,
QUARTERLY, SEMI-ANNUALLY, ANNUALLY. THE LONGER THE PERIOD, THE MORE YOU PAY
IN PREMIUMS. 7/10/31, 7 DAYS WEEKLY, 10 DAYS MONTHLY, AND 31 IF ANNUAL OR
OTHERWISE).

13) WHICH IS NOT A PREMIUM PAYMENT METHOD?

R. UNICA (CAP 3 UNICA IS NOT A PREMIUM MODE).

14) WHAT SHOULD AN AGENT EXPLAIN TO AN APPLICANT?

R. BENEFITS, MAIN PROVISIONS, ENDORSEMENTS AND ANNEXES. (CHAPTER 1
PROCEDURES AND DUTIES OF THE AGENT).

15) WHAT IS THE ELIMINATION PERIOD OF AN LTC?

R. 30 DAYS (CH 3 LTC).

16) HOME CARE COVERS EVERYTHING EXCEPT?

R. DR DE MEDICO CASERO (CH 2 LTC CARE)

17) WHERE CAN ADVANCED CARE BE PROVIDED?

R. IN AN ADVANCED CARE FACILITY OR SIMILAR INSTITUTION.

18) HOW LONG DOES IT TAKE TO CHANGE THE DSF ADDRESS ON THE LICENSE?

R. 30 DAYS. (CH. 6, DEPARTMENT COMMUNICATION LAWS) IF YOU DO NOT CHANGE IT,

FIRST OFFENSE FINE $250.00 AND SECOND OFFENSE $500.00 AND LICENSE SUSPENSION
OR REVOCATION.

19) WHO IS ELIGIBLE TO OBTAIN A LICENSE?

R. THE RESIDENTS OF LA FLORIDA.

20) IN A DENTAL INSURANCE POLICY, WHAT GUARANTEE DOES THE POLICY OFFER?

R. GUARANTEED INSURANCE/GUARANTEED RENEWAL.

21) THE AGENT SELLS A POLICY TO T, BUT SUGGESTS THAT HE NEEDS ANOTHER POLICY
THAT HE HAS TO BUY BECAUSE OTHERWISE IT WILL BE MORE EXPENSIVE, WHAT IS THIS?

R. SLIDING.

22) STATEMENTS ARE NOT WARRANTED, AND ARE INACCURATE, COVER WHAT IS AND
WHAT IS NOT.

R. MISREPRESENTATIONS

23) WITH AN EXAMPLE: YOU HAVE TO BUY THE POLICY FROM ME BY FORCE, WITH
THREATS.

R. COERSION.

24) WITH AN EXAMPLE T IS WORRIED ABOUT HIS DISABILITY (HE DOES NOT WORK AND
CANNOT MAKE ENDS MEET).
R. RESIDUAL PROFIT. YOU GET PAID FOR WHAT YOU LOST DUE TO A DISABILITY.

25) WHAT DOES IT TAKE TO HAVE A LEGAL PURPOSE AND BE LEGAL AND NOT BE AGAINST
PUBLIC POLICY?

R. INSURABLE INTEREST AND CONSENT.

26) REPRESENTATIONS TO BE BELIEVED TRUE TO THE BEST OF ONE'S KNOWLEDGE ARE?

R. ARE NOT GUARANTEED, THEY ARE INACCURATE.

27) IN A CONTRACT IF YOU DIE EVERYTHING FOR ME AND IF I DIE EVERYTHING FOR YOU?

R. DISABILITY PURCHASE AND SALE CONTRACT, THE ENTIRE COMPANY IS PAID IN FULL.

28) AN ARCHITECT GETS SICK FOR 6 MONTHS AND MUST CONTINUE WITH HIS BUSINESS
EXPENSES; RENT, SALARIES, EQUIPMENT, ETC., WHAT TYPE OF POLICY WOULD HE NEED?

R. COMMERCIAL ADMINISTRATIVE EXPENSES (BOE), OR BASIC BUSINESS EXPENSES.

29) IS A COMPANY BOUGHT ON THE LIFE OR DISABILITY OF A KEY EMPLOYEE?

R. KEY PERSON OR PARTNER. (THE POLICY OWNER IS THE EMPLOYER, THE BENEFICIARY IS
THE EMPLOYER AND THE INSURED IS THE KEY EMPLOYEE, THESE ARE THIRD PARTY
INSURANCES.

30) IF THERE ARE PRE-EXISTING CONDITIONS?

R. PREMIUMS ARE HIGHER.

31) ELIMINATION PERIOD

R. BEGINS WHEN THE DISABILITY STARTS, THE LONGER IT LASTS THE LOWER THE
PREMIUM.

32) PROBATIONARY PERIOD

R. 15 TO 30 DAYS STARTS WHEN THE POLICY IS DELIVERED TO YOU, IT DOES NOT COVER
ILLNESS BUT DOES COVER ACCIDENTS.

33) AN AGENCY THAT RESIDES IN FLORIDA AND SELLS IN TAMPA.

R. DOMESTIC AGENCY.

34) AN AGENT DOMICILED IN FLORIDA, BUT PRACTICING IN NY(DIFFERENT STATES, PUERTO

RICO, GUAM, SOMOA)?
R. FOREIGN AGENT (FOREIGN NATIONAL).

35) AN AGENT LIVING IN FLORIDA AND WORKING IN MADRID?

R. OUTSIDE AGENT (ALLIEN).

36) ACRONYMS FOR PREFERRED SUPPLIER ORGANIZATIONS?

R. PPO.

37) A CHANGE IN THE POLICY CAN ONLY BE MADE BY YOU?

R. EXECUTIVE OFFICER OF THE INSURANCE COMPANY.

38) HOW DO YOU PROVE THAT A PERSON HAS A HOME OFFICE?

R. BECAUSE HE HAS A SIGN ON HIS HOUSE, BECAUSE OF THE AMOUNT OF PREMIUMS

THEY MAKE THERE.

39) WHEN DOES THE GRACE PERIOD BEGIN?

R. AFTER THE EXPIRATION OF THE PREMIUM.

40) HIPPA (HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT.

R. MEDICAL. (PROTECTS INDIVIDUALS' MEDICAL INFORMATION IN ANY FORM ON PAPER

OR ELECTRONICALLY).

41) T WANTS TO WORK FOR COMPANIES A,B, AND C HOW MANY APPOINTMENTS OR
APPOINTMENTS DO YOU NEED?

R. THREE ONE FOR EACH COMPANY, IF YOU CAN DO IT.

42) WHO MUST BE PRESENT AT THE TIME OF SALE ?

R. THE AGENT AND THE APPLICANT (FACE TO FACE).

43) WHEN CAN A DISABLED CHILD'S PREMIUM BE SUSPENDED?

R. WHEN YOU STOP PAYING THE PREMIUM.

44) IN A HEALTH POLICY WHAT TYPE OF CONTRACT STATES THAT ONLY ONE PARTY IS
OBLIGATED TO PERFORM?

R. UNILATERAL (THE OTHER ANSWERS ARE INCORRECT COLLATERAL, BILATERAL, ETC.).

45) IN PARTNERSHIP GROUP COMPANIES, WHAT IS ONE OF THE REQUIREMENTS?

R. 100 PEOPLE, 2 YEARS ACTIVE AND MEET ONCE A YEAR.

46) WHAT IS GIVEN TO THE APPLICANT BEFORE SUBMITTING THE

APPLICATION/APPLICATION?

R. A BUYER'S GUIDE AND SUMMARY OF COVERAGE.

47) MEDICARE COVERS...EXCEPT?

R. PRIVATE NURSE

48) SOCIAL SECURITY COVERS EVERYTHING EXCEPT.

R. DISMEMBERMENT

49) WORKER'S COMPENSATION IS REGULATED BY?

R. STATES AND VARIES FROM STATE TO STATE.

50) WHEN AN AGENT WITHHOLDS INFORMATION IS?

R. FALSE REPRESENTATION, FRAUD.

51) WHEN IS A POLICY ACCEPTED?

R. WHEN THE PREMIUM IS PAID AND ACCEPTED BY THE INSURER'S UNDERWRITER.

52) THERE IS A QUESTION THAT TALKS ABOUT WHEN THE PREMIUM IS RETURNED (FREE
LOOK 10 DAYS)

R. AUGUST 24.

53) ON A HEALTH POLICY THAT STOPPED PAYING T AND PAYS ITS MONTHLY PREMIUM,
HOW LONG DOES THE COVERAGE LAST BEFORE IT EXPIRES?

R. 31 DAYS.

54) TWO TWINS OF THE SAME AGE AND THEY HAVE THE SAME AGE AND DIFFERENT SEXES
AND THE POLICIES CHARGE DIFFERENT PREMIUMS, WHAT IS THAT?

R. DISCRIMINATION.

55) TWO PEOPLE TAKE A TRIP AND BUY A POLO SHIRT FOR DISABILITY?

R. (EXCLUDED) , SHORT-TERM POLICY.

56) AN ACCIDENT CAUSED OUTSIDE OF WORK BY A PERSON IS COVERED BY COVERAGE.

R. NON-OCCUPATIONAL.

57) A POLICY MUST INCLUDE ALL OF THE FOLLOWING EXCEPT?

R. THE SPOUSE'S OCCUPATION.

58) FLORIDA HEALTHY CHILDREN'S ORGANIZATIONS.

R. MEDIKIDS (ABOVE 200 % FPL), AND HEALTHY KIDS (BELOW 200 % FPL).

59) IF TWO SMALL COMPANIES JOIN TOGETHER WHY DON'T THEY QUALIFY FOR GROUP
INSURANCE?

R. MET.(MULTIEMPLOYER TRUST FUND, A SMALL NUMBER OF PEOPLE JOIN TOGETHER

TO QUALIFY FOR GROUP INSURANCE AT A REASONABLE PRICE.

60) PREVENTIVE HEALTH CARE?

R. HMO. (HEALTH MAINTENANCE ORGANIZATIONS)

61) ACCIDENT DEATH AND DISMEMBERMENT POLICIES PAY THE PRINCIPAL SUM?

R. DEATH OR DISMEMBERMENT OF 2 LIMBS OR LOSS OF 2 EYES.

CAPITAL SUM, SIGHT OR DISMEMBERMENT OF A LIMB.

62) FL HEALTHY CHILDREN COVERAGE IS UP TO AGE ¿

R. 19 YEARS.

63) AN APPLICANT FOR A LICENSE HAS TO BE?

R. QUALIFIED.

64) AN AGENT OF AN INSURANCE COMPANY HAS TO BE?

R. CERTIFICATE.

65) A POLICY CONTRACT INCLUDES THE FOLLOWING, EXCEPT.

R. EXCLUSIONS.

66) MEDICAID IS A PROGRAM

R. STATE AND FEDERAL.

67) WHAT IS NOT COVERED BY HMO?

R. DISEASES OUTSIDE THE GEOGRAPHICAL AREA.

68) WHO CAN MAKE CHANGES OF BENEFICIARIES IN THE POLICY.

R. THE OWNER OF THE POLICY.

69) AN AGENT DELIVERS A POLICY BUT THE CHECK WAS MADE OUT TO THE AGENT AND
NOT THE COMPANY, WHAT SHOULD HE DO?

R. MUST RETURN IT TO THE APPLICANT AND HE MUST MAKE A NEW ONE IN THE NAME
OF THE COMPANY.

70) T IS IN A HOSPITAL AND IS GOING TO HAVE GALLBLADDER SURGERY, SHE WANTS TO

KNOW HOW MUCH HER POLICY WILL PAY?

R. WHAT IS ASSIGNED IN THE POLICY.

71) IF A PERSON LIES AT THE TIME OF APPLICATION REGARDING AGE AND HAS AN
ACCIDENT, HOW MUCH WILL HE/SHE BE COVERED?

R. IS ADJUSTED TO THE CORRECT AGE AND PAID WHAT IT SHOULD BE AT THE AGE AT THE
TIME OF APPLICATION.

72) DOES MEDICARE PART A AND B COVER?

R. PART A HOSPITAL AND PART B PHYSICIANS.

73) WHO IS LIABLE ON AN ADMINISTRATIVE EXPENSE POLICY?

R. THE EMPLOYER.

74) WHAT IS REQUIRED FOR A GROUP POLICY?

R. REGISTRATION.

75) CANCER POLICY COVERS EVERYTHING EXCEPT

R. APPENDICITIS.
76) A POLICY IS ISSUED AND THE INSURED GIVES YOU A CHECK, WHAT DID THE AGENT
FORGET TO GIVE TO THE INSURED?

R. A CONDITIONAL RECEIPT.

77) P E O IS AN ORGANIZATION THAT COVERS?

R. ADMINISTRATIVE FUNCTIONS (HIRING AND FIRING PERSONNEL).

78) WHAT IS THE MINIMUM TIME A CHILD MUST BE COVERED AT BIRTH?

R. 18 MONTHS.

79) A NEWBORN BABY IS COVERED FROM:

R. HIS BIRTH.

80) MINIMUM NUMBER OF EMPLOYEES TO CHARGE?

R. 20 EMPLOYEES.

81) WHAT DOES A POLICYHOLDER GIVE TO A COMPANY AFTER A LOSS?

R. NOTIFICATION OF LOSS.

82) TO WHOM IS THE CONTROLLED BUSINESS PROVIDED?

R. TO FAMILIARS.

83) WHAT DOES A MEDICAL EXPENSE POLICY COVER?

R. HOSPITAL, SURGICAL AND MEDICAL.

84) WHAT IS P O S?

R. HMO OPEN-ENDED PLANS ARE POINT-OF-SERVICE PLANS.

85) THE BASIC MEDICAL EXPENSE POLICIES ARE?

R. FIRST DOLLAR.

86) MEDICAID

R. UNEMPLOYED PEOPLE, POOR PEOPLE IN NEED.

87) ON THE FIRST PAGE OF THE POLICY GOES EVERYTHING EXCEPT?

R. AGENT'S NAME AND ADDRESS.

88) MAXIMUM PERIOD FOR A COMPLAINT

R. 90 DAYS.

89) NAIC?

R. NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS.

90) INVESTIGATIVE CONSUMER REPORT

R. THE CONSUMER MUST BE NOTIFIED IN WRITING OF THE INVESTIGATION 3 DAYS IN

WRITING FROM THE DATE THE REPORT WAS REQUESTED.

91) HOW MANY DAYS DOES THE INSURER HAVE TO INFORM YOU OF THE RESULTS OF THE
INVESTIGATIVE REPORT IN ORDER TO COMPLY?

R. THE CONSUMER MUST BE NOTIFIED WITHIN 5 DAYS BY THE INSURER AFTER THE
REPORT IS MADE.

92) HOW IS INFORMATION COLLECTED IN AN INVESTIGATIVE CONSUMER REPORT?

R. ARE OBTAINED THROUGH NEIGHBORS, FAMILY FRIENDS AND ASSOCIATES OF THE

CONSUMER.

93) WHO IS RESPONSIBLE FOR THE COSTS OF A MEDICAL EXAMINATION ORDERED BY THE
INSURER?

R. THE INSURER.

94) WHO IS A MUTUAL COMPANY OWNED BY?

R. BY THE POLICYHOLDERS.

95) WHICH IS THE CORPORATION THAT COBER CHILDREN THAT NEED HEALTH COBERAGE IN
FLORIDA?

R. FLORIDA HEALTHY KIDS CORPORATION.

96) KEY PERSON POLICY

R. IS PURCHASED BY THE EMPLOYER OVER THE LIFE OF A KEY EMPLOYEE.

97) WHAT SHOULD THE AGENT EXPLAIN TO AN APPLICANT?

R. BENEFITS, MAIN PROVISIONS, ENDORSEMENTS AND ANNEXES.

98) HOW MANY FREE LOOK DAYS DO MEDIGAPS HAVE?

R. 30 DAYS.

99) HOW MANY FREE LOOK DAYS DO LTC'S HAVE?

R. 10 DAYS.

100) LTC COVERS ¿

R. HOME CARE.

101) WHO IS ELIGIBLE TO OBTAIN A LICENSE?

R. RESIDENTS.

102) AN INSURED HAS AN ACCIDENT AND DISMEMBERMENT POLICY, HOW CAN HE KEEP
HIS POLICY IN FORCE AND ACTIVE?

R. INSURANCE GUARANTEED.

103) WORKER'S COMPENSATION IS REGULATED BY?

R. STATES AND VARIES FROM STATE TO STATE (IT IS STATEWIDE).

104) CAN AN AGENT WHO IS IN CHARGE OF AN AGENCY BE IN CHARGE OF A BRANCH

OFFICE?

R. YES, AND MUST BE PRESENT AT THE TIME OF THE ACTIVITY.

105) T BOUGHT A SERIES OF MEDICATIONS FOR ALLERGIES AND THEN CHANGES JOBS AND
ENTERS THE COMPANY'S GROUP HEALTH INSURANCE, WITH A $100.00 DEDUCTIBLE AND
AN 80/20 COINSURANCE, AND AFTER THREE YEARS HE MAKES A PRESCRIPTION CLAIM TO
THE COMPANY, WHAT WILL THE COMPANY DO?

R. THE COMPANY WILL PAY THE CLAIM, LESS THE DEDUCTIBLE AND CO-PAYMENTS.

106) DO THESE COMPANIES PROVIDE APPLICANT INFORMATION EXCEPT?

R. ACTUARIAL COMPANIES.

107) EVERY EMPLOYER IS OBLIGED TO PROVIDE A HMO, WHEN HE HAS AT LEAST A

NUMBER OF EMPLOYEES OF?
R. 25 EMPLOYEES.

108) THE PROVISION OF LEGAL ACTIONS HAS ALL OF THE FOLLOWING EXCEPT?

R. LIMIT THE TIME OF THE COMPANY'S CLAIMS.

109) WHICH OF THE FOLLOWING IS A BENEFIT FEATURE OF A HOSPITALIZATION AND

SURGICAL POLICY?

R. EXPENSES ARE LOWER THAN THE EXPENSES INCURRED.

110) WHEN AN AGENT MAKES A STATEMENT AGAINST ANOTHER INSURER MAKING

MALICIOUS NOTIFICATIONS IS?

R. DEFAMATION.

111) WHEN CAN A COMPANY CANCEL A POLICY?

R. IF THERE ARE NO OUTSTANDING CLAIMS.

112) WHICH ORGANIZATION HAS THE LOWEST COST?

R. HMO

113) THAT IS NOT COVERED IN HOME CARE?

R. THE FAMILY DOCTOR.

113) CARLA IS DISABLED IN AN ACCIDENT AND WANTS TO MAKE A CLAIM FOR HER LOSSES,
HOW LONG DOES SHE HAVE TO GIVE NOTICE?

R. 20 DAYS.

114) SLIDING?

R. THE AGENT SELLS SOMEONE A POLICY BUT SUGGESTS THAT THEY BUY ANOTHER ONE
AND THAT IT IS REQUIRED BY LAW WHEN IT IS NOT NECESSARY.

115) UNAUTHORIZED COMPANIES?

R. NEVER WORK FOR AN UNAUTHORIZED COMPANY, 3RD DEGREE FELONY.

116) IN A POLICY OR CONTRACT THERE MUST BE ALL EXCEPT?

R. EXCLUSIONS.

117) WHO CAN OBTAIN A LICENSE?

R. THE RESIDENTS OF LA FLORIDA.

118) T WORKS FOR A COMPANY AND IS TURNING 65 AND DOESN'T KNOW WHICH POLICY
TO CHOOSE?

R. GUARANTEED RENEWABLE ENERGY.

119) THE MINIMUM TIME A PERSON MUST BE INELIGIBLE TO RETURN

R. 5 MONTHS

120) WHAT MUST A MEDICARE SUPPLEMENT (MEDIGAP) POLICY PROVIDE?

R. PAYS MEDICARE DEDUCTIBLES AND COPAYMENTS.

121) MEWA

R. 2 OR MORE EMPLOYERS JOIN TOGETHER TO MAKE INSURANCE MORE ECONOMICAL

AND SELF-INSURE.

122) IF YOU TAKE OUT A HEALTH POLICY AND YOU HAVE NOT PAID THE PREMIUM BUT YOU
HAVE NOT TAKEN THE MEDICAL EXAMINATION AND YOU HAVE AN ACCIDENT, WHAT DOES
THE COMPANY DO?

R. DOES NOT PAY AND CANCELS

123) WHAT IS THE MINIMUM NUMBER OF EMPLOYEES TO APPLY FOR COBRA?

R. 20 EMPLOYEES.

124) WHICH CLAUSE STATES THAT THE COPY OF THE APPLICATION IS PART OF THE
CONTRACT?

R. ENTIRE CONTRACT.

125) THE MAIN REASON SOMEONE IS GIVEN MEDICAID?

R. NEED.

126) WHAT IS A PROBATIONARY OR WAITING PERIOD?

R. IS THE WAITING PERIOD FOR PRE-EXISTING CONDITIONS OF 15 TO 30 DAYS, IT DOES

NOT COVER ILLNESSES BUT DOES COVER ACCIDENTS FROM THE TIME THE POLICY IS
ISSUED.

127) WHAT IS A CONTROLLED BUSINESS?

R. SELL TO HIS OWN FAMILY AND IS ALLOWED ONLY 50% OF HIS PRODUCTION.

128) IF THE AGENT MAKES A MISTAKE IN AN APPLICATION, WHAT SHOULD BE DONE?

R. START A NEW APPLICATION.