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Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. I Which of the following documents describes the coverage, conditions, and limitations found in the master policy of a group contract?

A) administrative services agreement
B) certificate of coverage and benefits
C) certificate of authority
D) consumer brochure

2. In Pennsylvania, the Time Limit on Certain Defenses Provision provides that no statement can be used to deny a claim on an accident and health policy after

A) 3 years.
B) 7 years.
C) 1 year.
D) 5 years.

3. Which one of the following type of calls is NOT exempt from the Do-Not-Call Registry?

A) insurance sales calls.
B) telephone surveys.
C) calls on behalf of political organizations.
D) calls from charities.

4. All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT

A) Out-of-pocket expenses are limited as long as the network is utilized.
B) Members receive care from providers in the HMO network.
C) Members pay higher monthly fees when out-of-network providers are utilized.
D) Members pay fixed monthly fees to the HMO.

5. All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT

A) Out-of-pocket expenses are limited as long as the network is utilized.
B) Members receive care from providers in the HMO network.
C) Members pay higher monthly fees when out-of-network providers are utilized.
D) Members pay fixed monthly fees to the HMO.

Solutions: