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California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

1. When medical expense policies do not state specific dollar benefit amounts, but instead base payments upon the charges for like services in the same geographical area, benefits are designated as

A) designated charges.
B) stated charges.
C) usual, customary, and reasonable charges.
D) a percentage of stated charges.

2. Insureds are entitled to recover an amount NOT greater than the amount of their loss under the principle of

A) indemnity.
B) adhesion.
C) utmost good faith.
D) warranty.

3. What rights do individuals have if they disagree with a decision on the amount Medicare will pay?

A) They can terminate making premium payments until the claim is resolved.
B) They can request a second opinion by the state medical examiner.
C) They can change Medicare carriers.
D) They can ask the Medicare carrier to review the decision.

4. What is the limit of liability in a term life insurance policy?

A) The face amount plus the premiums paid.
B) The total amount of premiums paid.
C) The face amount of the policy.
D) The total cash value.

5. What Medicare coverage automatically begins at age 65?

A) Part B
B) Part A
C) Part D
D) Part C

Solutions: