Elevate your understanding of North Carolina health insurance through our comprehensive practice exam quiz. Navigate the intricacies of policies, coverage, and regulations in the state. Test your grasp of premium calculations, benefit structures, and key terminologies. Whether you're aiming for licensure or aiming to understand your coverage better, this quiz offers a diverse range of questions that mirror real-world scenarios. Challenge yourself by tackling questions on deductibles, copayments, and provider networks. Prepare to excel with this interactive tool that sharpens your knowledge and boosts your confidence in navigating the complex landscape of health insurance in North Carolina.
Entire contract provision
Grace period provision
Waiver of premium provision
time limit on certain defenses provision
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Selling variable life insurance
Comparing an existing policy with one that is being recommended.
Selling indeterminate premium whole life insurance (for example, universal life insurance).
Replacing an existing life insurance policy with one that is recommended by the producer.
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obtain a restricted agent's license
obtain a surplus lines license
become a licensed agent with a specialty in fraternal lines insurance comply with
comply with the same general licensing requirements that apply to resident agents
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If many insurers are insuring for the same risk, it limits the ability of the insured to seek damages if the claim is ever denied.
If many insurers are insuring for the same risk, the insured will receive duplicate benefits from multiple insureds.
If many insurers are insuring for the same risk, it limits the liability of any one insurer's policy to the proportion of the total benefits it assumes.
If many insurers are insuring for the same risk, the insured may end up receiving no benefits if all insurers cancel the coverage.
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Percentage limitation approach
incomeformula approach
flat-rate approach
specified benefit approach
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a basic medical expense policy
a major medical policy
a comprehensive policy
a hospital indemnity policy
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state insurance law
the plan or policy
the insured's age and health
the insurer's marketing of these services
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cosmetic surgery
mental health services
rural health clinic services
prescription drug services
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Ron tends to forget to wear his seat belt when he drives.
Sue is a heavy cigarette smoker.
John is taking medications to control his high blood pressure.
Jane, a business owner, refuses to fix a broken sidewalk in front of her shop because she and the town cannot agree on who must repair it.
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May 7
May 10
May 30
October 31
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insured or subscriber
patient
customer or client
risk
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A group health insurance policy is required to cover treatment for chemical dependency.
A group health insurance policy can provide different benefits for chemical dependency than for other illnesses.
A group health insurance policy cannot set limits on the amount of benefits payable for chemical dependency.
A group policyholder must have the option to purchase coverage for chemical dependency treatment.
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college degree
good reputation and character
licensing fee
18 years of age
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The business owner typically buys a policy to cover the term of a loan.
The policy pays off the loan balance if the business owner becomes disabled during the policy term.
The benefit payment under such policies increases over the policy's term.
Reducing term insurance is fairly inexpensive.
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age 19
Age 22
age 26
They become married.
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Inpatient hospital costs.
long-term care costs.
home health-care costs.
hospice costs.
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disability buy-out policy
business overhead policy
business overhead policy and key executive disability policy
disability buy-out policy, business overhead policy, and key executive disability policy
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an interim receipt
a temporary insurance receipt
a waiting period receipt
a grace period receipt
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concealment
collusion
twisting
waiver
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a basic medical expense policy
a restricted policy
a dread disease policy
a cancer policy
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the insurer's promise to renew the contract
the policy's benefits
the premium paid
any claims paid
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association group
neighborhood group
labor union
employer group
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travel home where she can see a network provider
see a nonnetwork provider
forego treatment
get approval from Medicare before seeing a nonnetwork provider
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a peril
A moral hazard
a morale hazard
a physical hazard
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Anita purchases health insurance to protect herself in the event of a serious illness.
Abigail refuses to buy a home and continues to rent because she thinks homeowners insurance is too expensive.
Anne refuses to venture out after dark, citing the fear of being assaulted.
Arlene decides not to purchase life insurance because she has no dependents and plenty of cash in her savings accounts to cover any final expenses.
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The relation of earnings to insurance provision assures the insured that complete coverage is being provided.
The relation of earnings to insurance provision avoids overinsurance.
The relation of earnings to insurance provision ensures overinsurance.
The relation of earnings to insurance provision protects the insurer from overcompensating an undeserving benefit recipient.
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acceptable marketing and underwriting practices
unfair and prohibited business practices
insurance fraud
false advertising
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domestic
foreign
alien
limited
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occupational disabilities
non-occupational disabilities
both occupational and non-occupational disabilities
sickness-related disabilities only
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The insurer can exclude coverage for up to six months.
The insurer can exclude coverage for up to one year.
The insurer may not exclude coverage for Abby's preexisting
The insurer may limit coverage only if Abby's pre-existing condition was specifically defined in the policy.
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6 months
12 months
18 months
24 months
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the state's attorney general
the IRS
the group's home state
the insurer underwriting the plan
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health savings accounts (HSAs)
medical savings accounts (MSAs)
individual retirement accounts (IRAs)
flexible spending accounts (FSAs)
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3 months
6 months
9 months
None of the above
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The relation-of-earnings to insurance provision
The change of occupation provision
The misstatement of age provision
Coordination of benefits
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30 days
45 days
60 days
90 days
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failing to promptly acknowledge communications about claims
failing to promptly settle a claim for which liability is uncertain
offering to settle claims for less than due to encourage litigation
raising policy defenses to reduce a claim
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the deductible
the policy's out-of-pocket maximum
the doctor visit limit
the co-payment
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buy additional benefits unavailable to those who buy non-qualified policies
exclude benefits from tax-qualified long-term care insurance policies from the recipient's income with no limits
deduct their premiums from their state income taxes
deduct their premium payments from their federal income taxes within certain specified limits
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flat-rate approach
income-formula approach
percentage limitation approach
specified benefit approach
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A business expense
a personal expense
a medical expense
a necessary expense
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hospital room and board beginning on the 31st day and costs above $3,000
hospital room and board and costs less than $3,000
hospital room and board beginning on the 30th day
hospital room and board beginning on the 15th day and costs above $6,000
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Business health insurance plans provide a number of benefits for the employers who offer them.
Business health insurance only benefits business owners.
A benefit of business health insurance is the plan owner's ability to receive favorable tax treatment.
The tax treatment of business health insurance contracts varies, based on the type of contract.
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a nonrenewable (cancelable or term) policy
a conditionally renewable policy
a guaranteed renewable policy
a health insurance policy rider
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She is not required to include any part of the benefits in her income.
She must include part of the benefits in her income.
She must include all of the benefits in her income.
She must include the benefits in her income to the extent they exceed a certain percentage of her adjusted gross income.
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Her previously diagnosed muscular dystrophy becomes debilitating.
Her alcoholism renders her chronically immobile.
She is severely injured while making deliveries at her job.
In a freak accident, she is struck by lightning and is paralyzed.
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insurance company
agency for which the agent works
agent
Department of Insurance
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Medicare Part A
Medicare Part B
Medicare Advantage
Medicaid
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estoppel
Concealment
waiver
breach of contract
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health savings accounts (HSAs)
medical savings accounts (MSAs)
individual retirement accounts (IRAs)
flexible spending accounts (FSAs)
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