Question 1

What is the purpose of managed care?

Accepted Answer

A) To impose control on health care uses 
B) To impose taxes on health care 
C) To impose annual health checks 
D) To impose higher cost health care

Question 2

Which of the following is not a special health insurance policy providing limited coverage?

Accepted Answer

A) Travel accident 
B) Specified disease 
C) Credit insurance 
D) Workers compensation

Question 3

How are Blue Cross and Blue Shield different from traditional commercial insurance companies?

Accepted Answer

A) Majority of benefits are on a reimbursement plan 
B) Majority of benefits are on a service basis 
C) Insured can see any doctor 
D) Non-participatory doctors are subject to the same costs

Question 4

What is a multiple option plan?

Accepted Answer

A) Plan with multiple coverage options 
B) Plan with multiple providers 
C) Plan with services of multiple groups 
D) None of these

Question 5

When small businesses are part of specific industries, health insurance benefits are established through a series of trusts. Who provides this type of coverage?

Accepted Answer

A) 501(c)(9) trusts 
B) MET 
C) Cafeteria plan 
D) MEWA

Question 6

Which of the following is not a benefit of workers compensation?

Accepted Answer

A) Medical 
B) Dental 
C) Death 
D) Income

Question 7

What is an arrangement that allows very small groups to have some of the benefits of group insurance, specifically the lower costs?

Accepted Answer

A) 501(c)(9) trusts. 
B) MEWA 
C) Blanket policy 
D) Franchise policy

Question 8

What is the purpose of blanket insurance?

Accepted Answer

A) To provide coverage for a variety of circumstances 
B) To provide coverage for a variety of people 
C) To provide coverage for people and things in one policy 
D) To provide coverage for life, health, and dental combined

Question 9

What does accidental death and dismemberment pay?

Accepted Answer

A) Principal sum 
B) Medical expenses 
C) Burial expenses 
D) Survivor benefits

Question 10

Rebecca and Phil recently moved to a new town and have not established a family doctor. Phil gets sick and needs to see someone. Which of the following would be an option for Phil to see a physician after hours?

Accepted Answer

A) Surgi-centers 
B) Urgent care centers 
C) Skilled nursing facilities 
D) Home health care

Question 11

For an individual 65 or over, what is the supplemental option for covering additional expenses?

Accepted Answer

A) Medicare 
B) Medicaid 
C) Tricare Prime 
D) Tricare Extra

Question 12

Fred and Wilma are both over 65 and receive benefits from Medicare. If Wilma becomes terminally ill, what options will Fred likely use to help supplement his Medicare to cover Wilma's medical expenses?

Accepted Answer

A) Medicaid 
B) Medical expense insurance 
C) Hospital insurance 
D) TRICARE Ultra

Question 13

ABC Company funds claims in house but uses EFG Company as the liaison between the employees and ABC Company. EFG Company makes sure that the plan runs smoothly for ABC Company. What type of arrangement would this be?

Accepted Answer

A) HMO 
B) Multiple-party organization 
C) Multiple employer trust 
D) Third-party administrator

Question 14

Under a worker's compensation claim, which benefit is provided without limit?

Accepted Answer

A) Medical 
B) Dental 
C) Death 
D) Rehabilitation

Question 15

Which type of health care provider would provide care for individuals who cannot currently take care of themselves?

Accepted Answer

A) Home health care 
B) Urgent care centers 
C) Surgi-centers 
D) Hospitals

Exam 6: Health: Theory in Life Insurance