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Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT

A) Members pay higher monthly fees when out-of-network providers are utilized.
B) Members receive care from providers in the HMO network.
C) Members pay fixed monthly fees to the HMO.
D) Out-of-pocket expenses are limited as long as the network is utilized.

2. Written proof of loss must be furnished to the health insurer within how many days after the date of loss?

A) 45 days.
B) 90 days.
C) 30 days.
D) 15 days.

3. Which type of life insurance policy is characterized by premiums that are fully paid up within a stated period, after which no further premiums are REQUIRED?

A) Basic installment insurance.
B) Lump sum insurance.
C) Limited payment insurance.
D) Prepaid premium insurance.

4. An illness or disease which is first diagnosed and treated while the policy is in force is considered

A) an accidental injury.
B) an exclusion.
C) a sickness.
D) a preexisting condition.

5. The premium mode defines the

A) method of premium payment (cash or credit).
B) frequency of the premium payment.
C) premium limit. I
D) premium amount

Solutions: