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Lesson 18 Quiz

The following quiz is provided for your information to help you measure your retention level on the material covered within this lesson. It is not graded. Only the final examination is graded.

Answer or complete each question to the best of your knowledge and click on the "Check your answer" button. If your answer is incorrect, you will be instructed where to find the correct answer. It is not necessary to repeat the quiz if you exit this page; however, your answers will not be saved once you exit. This feature is provided for future practice purposes.

1
Major Risk Factors

Match the following risk classifications with their respective definitions.

a) Lower premiums (better than average risk)
b) Normal premiums (standard terms and rates)
c) Higher premiums (higher than average risk)
a) Preferred

b) Standard

c) Substandard

(Lesson 18.1.1)
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2

The three most important factors analyzed when classifying risks are:

a) morbidity, interest and expenses.
b) physical condition, moral hazards and occupation.
c) age, gender and health history.
d) health history, age and occupation.
CORRECTTRY AGAIN (Lesson 18.1.1)
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3
Premium Factors

Which of the following is NOT a factor in determining health insurance premiums?

a) Morbidity
b) Mortality
c) Interest
d) Expenses
CORRECTTRY AGAIN (Lesson 18.2)
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4
Tax Treatment of Premiums and Benefits

In individual plans, premiums paid for personal disability income insurance by an individual are nontaxable.

a) True
b) False
CORRECTTRY AGAIN (Lesson 18.3.1)
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5

If an insurance company reimburses the insured for medical expenses, the insured can deduct that amount from their federal income tax.

a) True
b) False
CORRECTTRY AGAIN (Lesson 18.3.2)
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6

All medical care including premiums is fully tax deductible if a person is self-employed.

a) True
b) False
CORRECTTRY AGAIN (Lesson 18.3.2)
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7
Managed Care

Medical cost management is a means of controlling claims expenses. Which answer contains all four of the general approaches plans utilize?

a) Optional second opinions, precertification, ambulatory surgery, and case management
b) Mandatory second opinions, precertification review, ambulatory surgery, and case management
c) Precertification review, ambulatory surgery, mandatory second opinions, and customer service
d) Case management review, optional second opinions, precertification, and ambulatory surgery
CORRECTTRY AGAIN (Lesson 18.4.1)
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8

Match the following with their respective descriptions.

a) When an insured must obtain permission from the insurer before seeking nonlife-threatening hospital care.
b) Provides insureds with the choice of outpatient or inpatient surgery.
c) The process of reviewing cases that may potentially become large claims.
a) Precertification Review

b) Ambulatory Surgery

c) Case Management

(Lesson 18.4.1)
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9

In case of an emergency, most plans will waive precertification if the insurer is notified within _______ hours of admission.

a) 12
b) 18
c) 24
d) 48
CORRECTTRY AGAIN (Lesson 18.4.1)
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10

Mandatory second opinions are not necessary before an insured undergoes any nonlife-threatening surgery.

a) True
b) False
CORRECT - CONGRATULATIONS on completing Lesson 18. Now complete the Florida study manual Chapter 23 Questions for Review.TRY AGAIN (Lesson 18.4.1)
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