1. Inadequate insurance coverage held by a policy holder where the limits may not be high enough to cover the full expenses of a claim is known as__________
A. Low-insurance
B. Under-insurance
C. Doubtful-insurance
D. Cheap-insurance
Answer: Option B
Explanation:
Underinsurance refers to inadequate insurance coverage held by a policyholder. In the event of a claim, underinsurance may result in economic losses to the policyholder, since the claim would exceed the maximum amount that can be paid out by the insurance policy.
2.____________ is where an insurer deposits premiums from policies it underwrites and from which it funds day-to-day operations of the business.
A. General Account
B. Insurance Account
C. Savings Account
D. Business Account
Answer: Option A
3. Which of these best defines the “maximum you have to pay for covered services in a plan year”?
A. actual cash value
B. up-to-date maximum
C. Gross premiums were written
D. out-of-pocket maximum
Answer: Option D
Explanation:
Your out-of-pocket maximum is the most you have to pay each year toward your medical services or prescription drugs before your insurance pays for all your care. This amount does not include what you pay in premiums.
4. What does EOB stands for in insurance?
A. Extra offer Benefits
B. Existence of Beneficiary
C. Explanation of Benefits
D. Emergence of Bancassurance
Answer: Option C
Explanation:
An explanation of benefits (EOB) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf.
5. The period during which claim is not admitted in health insurance is known as________
A. Waiting Period
B. Turning Period
C. Halt Period
D. Grace Period
Answer: Option A
Explanation:
The concept of waiting period in a health insurance policy is defined as the period of time specified which must pass before some or all of your health care coverage can begin.