Which of the following actions will an insurance company most likely not take?

What plan normally includes hospice benefits?

Medicare-certified hospice care is usually given in your home or other facility where you live, like a nursing home. Original Medicare will still pay for covered benefits for any health problems that aren't part of your terminal illness and related conditions, but hospice should cover most of your care.

Which type of plan normally includes hospice care?

Most private insurance plans cover hospice care and other end-of-life care services. These insurance plans typically cover the full cost of hospice services. However, each health insurance company may have its own unique requirements a patient must meet before they can begin hospice care.

Which of the following actions will an insurance company most likely?

Which of the following actions will an insurance company most likely NOT take if an applicant, who has diabetes, applies for a Disability Income policy? The correct answer is "Issue the policy with an altered Time of Payment of Claims provision".

What best describes how pre admission certification is used?

Pre-admission certification – also called pre-certification review, or pre-admission review – refers to approval by a case manager or insurance company representative (usually a nurse) for a person to be admitted to a hospital or in-patient facility, granted prior to the admittance.

Which of the following life insurance policies combine term insurance with an investment element?

Universal life is a type of permanent insurance policy that combines term insurance with a money market-type investment that pays a market rate of return. To get a higher return, these policies generally don't guarantee a certain rate.

What are the factors to be considered for underwriting of insurance?

What is insurance underwriting process?

Underwriting is the process insurers use to determine the risks of insuring your small business. It involves the insurance company determining whether your firm poses an acceptable risk and, if it does, calculating a fair price for your coverage.

What is the most important factor in underwriting?

In the insurance industry, each type of insurance deals with its own types of insurance risk.

Which of the following is the reimbursement of benefits for the treatment of a beneficiaries injuries caused by a third party?

Which of the following is the reimbursement of benefits for the treatment of a beneficiary's injuries caused by a third party? "Subrogation". Subrogation is the right for an insurer to pursue a third party that caused an insurance loss to the insured.

Which of the following is not a required provision in group life policies?

Which provision is NOT a requirement in a group life policy? An AD&D provision is not required in a group life policy. The correct answer is "the entire cost of the plan is paid for by the employer". When an employer provides noncontributory group term life insurance, the employer pays the entire cost of the plan.

Which of the following statements describes the purpose of the insuring clause in health and accident policies?

Which of the following statements describes the purpose of the Insuring clause in Health and Accident policies? States the scope and limits of the coverage.

Which of these is not required when an insurance company requests an inspection report on an applicant?

Which of these is NOT required when an insurance company requests a consumer report on an applicant? The consent of the agent is not needed when requesting a consumer report on an applicant.

What is admission certification?

A method of assuring that only those patients who need hospital care are admitted. Length-of-stay for the patient's diagnosed problem is usually assigned upon admission under a certification program. ...

Which of the following would not be an eligible group for group life insurance?

Which of the following is NOT an eligible group to obtain group life insurance? Group life insurance is limited to employer groups, multiple employer trusts, labor unions, group credit life insurance, and association plans.

Under which of the following circumstances will the benefits under Cobra continuation coverage end?

Under which of the following circumstances will the benefits under COBRA continuation coverage end? One of the disqualifying events that can result in the termination of continuing coverage under COBRA is when the employer terminates all group health plans.

Which of the following statements best describes a disability elimination period?

What is the elimination period of an individual disability policy? The correct answer is "Time period a disabled person must wait before benefits are paid". The elimination period of an individual disability insurance policy refers to the amount of time a disabled person must wait before benefits are paid.

Which of the following statements best describes what the legal actions provision of an accident?

Which of the following statements BEST describes what the Legal Actions provision of an Accident and Health policy requires? "An insured must wait at least 60 days after Proof of Loss has been submitted before a lawsuit can be filed".

Is hospice covered by insurance?

Hospice care: Health insurance usually covers hospice care. It's also covered by Medicare and Medicaid. You are eligible for hospice care regardless of your ability to pay.

What is adverse selection in insurance?

Adverse selection refers to a situation in which the buyers and sellers of an insurance product do not have the same information available. A common example with health insurance occurs when a person waits until he knows he is sick and in need of health care before applying for a health insurance policy.

Which mode of payment is not used by health insurance policies quizlet?

Which mode of payment is NOT used by health insurance policies? Single premium is not used when paying for health insurance policies.