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19.5.17 Cleft Lip and Palate

Under Florida law, if any insurance policy covers a child under age 18, coverage must be provided for treatment of cleft lip and cleft palate for the child. If such services are deemed medically necessary and prescribed by a treating physician or surgeon, insurers must cover the following services.

In addition, a health insurance company may not refuse coverage or require a higher premium solely because the person to be insured has the sickle-cell trait or solely because of their sex or marital status. This would violate the Florida rules on discrimination.

1

Section 19.5 Review

Florida law prohibits individual health insurance policies (other than disability income) from excluding coverage for a preexisting condition for longer than 24 months following the effective date of coverage for a condition that had manifested 24 months prior to coverage.

a) True
b) False
CORRECTTRY AGAIN (Lesson 19.5.1)
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2

Florida law allows life insurance applicants 30 days (free look period) to inspect a policy that is delivered with the intent of issuing insurance coverage.

a) True
b) False
CORRECTTRY AGAIN (Lesson 19.5.2)
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3

The Lapse Notice required for policyowners age 64 years or older gives the policyowner an additional _______ in which to prevent the policy from lapse because of nonpayment.

a) 7 days
b) 14 days
c) 21 days
d) 30 days
CORRECTTRY AGAIN (Lesson 19.5.3)
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4

When a handicapped child has been afforded coverage under a family policy, when the child becomes ________ coverage is usually terminated.

a) age 15
b) age 16
c) age 17
d) an adult
CORRECTTRY AGAIN (Lesson 19.5.5)
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5

Health insurance coverage for any newborn child of an insured individual must be provided for a period of at least:

a) 6 months.
b) one year.
c) 18 months.
d) two years.
CORRECTTRY AGAIN (Lesson 19.5.6)
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