Health Insurance Florida 2-40 Practice Exam Questions #2 Practice Questions with Complete Solutions (Latest 2025) Which of the following is NOT a form of medical insurance?-Business overhead expense -Surgical expense -Hospital expense -Long term care - Correct Answers ✅Business overhead
expense (Explanation:Business Overhead Expense insurance
is designed to reimburse a business for overhead expenses in the event a business owner becomes disabled. Expenses such as rent, utilities, telephone, equipment, employees' salaries, etc.) All of the following are state or federal government programs that provide health insurance, EXCEPT?-Medicare -OASDI disability -Medicaid
-Medigap - Correct Answers ✅Medigap (Explanation:A
Medigap policy is a Medicare supplement insurance policy sold by private insurance companies to fill "gaps" in Medicare Parts A and B.) What type of health insurance is available to assist low- income individuals? - Correct Answers ✅Medicaid 1 / 4
Health Insurance Florida 2-40 Practice Exam Questions #2 Practice Questions with Complete Solutions (Latest 2025) What types of reserves are set aside and held by health insurance companies? - Correct Answers ✅Premium and
Claims reserves (Explanation:Reserves are set aside for the
payment of future claims.) Group health insurance is generally written on a basis that provides for dividends or experience rating. What is the basis called? - Correct Answers ✅Participating
(Explanation:Group plans written by mutual companies
provide for dividends while stock companies frequently issue experience-rated plans.) Which of the following is NOT TRUE regarding eligibility for subsidies for families under the new health care act?-For those who make between 100-400% of the Federal Poverty -Level -Cannot be covered by an employer -Cannot be eligible for Medicare -Can be eligible for Medicaid - Correct Answers ✅Can be eligible for Medicaid Which of the following operates as a corporation, society, or association to provide life insurance primarily for the mutual benefit of its members, has a lodge or social system with rituals and representative form of government?
- Mutual companies 2 / 4
Health Insurance Florida 2-40 Practice Exam Questions #2 Practice Questions with Complete Solutions (Latest 2025)
- Fraternal associations
- Stock companies
-Fraternal benefit society - Correct Answers ✅B) Fraternal associations What does each member pay in a typical HMO plan?-Fixed premium based on a deductible and copay -Fixed premium whether or not plan is used -Premium based on how often plan is used - Correct Answers ✅Fixed premium whether or not plan is used Which of the following is correct about those who are eligible for Medicare and wish to join an HMO?-They must have a current Medicare supplement policy -They must be told that'll be getting all the benefits from the Medicare Advantage plan -They must be age 70 and above -They must have been enrolled previously in an HMO - Correct Answers ✅They must be told that'll be getting all the benefits from the Medicare Advantage plan Joyce is totally disabled. Her HMO policy just terminated. All of the following are correct regarding "extension of benefits" for Joyce, EXCEPT? 3 / 4
Health Insurance Florida 2-40 Practice Exam Questions #2 Practice Questions with Complete Solutions (Latest 2025) -Coverage ends once maximum benefits have been exhausted -Coverage ends once another carrier assumes coverage -Coverage ends if no longer totally disabled -Coverage ends after 18 months - Correct Answers ✅Coverage ends after 18 months All of the following are correct regarding Florida regulation of HMOs, EXCEPT?-Must obtain a Certificate of Authority -Must file a report of its activities within 3 months of the end of each fiscal year -Must deposit $100,000 with the Rehabilitation Administration Expense Fund -Must be sold by agents licensed and appointed as health insurance agents - Correct Answers ✅Must deposit $100,000 with the Rehabilitation Administration Expense
Fund (Explanation:
They must deposit $10,000 with the Rehabilitation Administration Expense Fund.) What is "capitation" as it relates to an HMO?-Amount to be collected by the HMO from participating health care providers -Fixed amount paid by an HMO during a policy period
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