Kentucky Health Insurance Exam New Update

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Kentucky Health Insurance Exam (New Update) Questions and Verified ANSWERs| 100 % Correct| Grade A

Question: Under the mandatory uniform provision Notice of

Claim, the first notice of injury or sickness covered under an

accident and health policy must contain:

Options:

• A statement that is sufficiently clear to identify the insured

and the nature of the claim

• A statement from the insured employer showing that the

insured was unable to work

• An estimate of the total amount of medical and hospital

expense for the loss

• A complete physicians statement

ANSWER: A) A statement that is sufficiently clear to identify

the insured and the nature of the claim

Question: The provision in a health insurance policy that ensures

that the insurer cannot refer to any document that is not

contained in the contract is the:

Options:

• Time limit on certain defenses clause

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• Incontestability clause
• Legal action against us clause
• Entire contract clause

ANSWER: D) Entire contract clause

Question: An insured misstated her age on an application for an

individual health insurance policy. The insurance company found the mistake after the contestable period had expired. The insurance company will take which of the following actions regarding any claim that has been issued?

Options:

• Adjust the claim benefit to reflect the insureds true age
• Deny any claims and cancel the policy
• Deny paying a claim based on misrepresentation
• Pay the full amount of a claim because the contestable period

has ended

ANSWER: A) Adjust the claim benefit to reflect the insureds

true age

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Question: Manny has been injured in an accident. Although she

is still receiving benefits from her policy, she does not have to

pay premiums. Her policy includes:

Options:

• Benefit of payment clause
• Waiver of benefit rider
• Waiver of premium rider
• Return of premium rider

ANSWER: C) Waiver of premium rider

Question: How soon following the occurrence of a covered loss

must an insured submit written proof of such loss to the insurance company?

Options:

• As soon as possible
• Within 20 days
• Within 60 days
• Within 90 days or as soon as reasonably possible but not to

exceed 1 year

ANSWER: D) Within 90 days or as soon as reasonably possible

but not to exceed 1 year

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Question: What type of policy allows the insurance company to

cancel a policy at any time:

Options:

• Cancellable
• Renewable
• Guaranteed renewable
• Noncancellable

ANSWER: A) Cancellable

Question: The free-look provision allows for which of the

following:

Options:

• A right to return the policy for a full premium refund
• Immediate coverage when the application is submitted
• A guarantee that the policy will not lapse if the premium is

overdue

• A guarantee that the policy will be issued

ANSWER: A) A right to return the policy for a full premium

refund [Note: Corrected typo "rerun" to "return."]