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Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:
1. An illness or disease which is first diagnosed and treated while the policy is in force is considered
A) a preexisting condition.
B) an exclusion.
C) an accidental injury.
D) a sickness.
2. Which of the following best describes how insurers predict the chance of loss?
A) the law of large numbers
B) current census table
C) insurable interest
D) average disability occurrences
3. All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT
A) Members pay fixed monthly fees to the HMO.
B) Members pay higher monthly fees when out-of-network providers are utilized.
C) Out-of-pocket expenses are limited as long as the network is utilized.
D) Members receive care from providers in the HMO network.
4. All of the following are features of a Preferred Provider Organization (PPO) EXCEPT
A) dependents do not need referrals to see a specialist.
B) primary care physicians act as gatekeepers.
C) providers are paid on a fee-for-service basis.
D) employees have a choice of practitioners.
5. A producer that spends insurance premiums received from the consumer for his own personal use. has committed all of the following, EXCEPT
A) redlining.
B) premium theft.
C) fraud.
D) misappropriation.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: A |
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