Free Accident and Health Insurance Basics Practice Questions
Florida Health (2-40) exam (series 2-40) — 78 practice questions.
Subtopics: HMO regulation, HMO certificate, HMO delivery model, HMO grievances, Outline of coverage timing, Florida Healthy Kids, HIV exclusions, HIV group coverage, HIV test results, Genetic information, Sickle-cell trait, Severe disability, Accidental injury, Sickness defined, Disability income benefit, Medical expense benefit, AD&D, Hospital indemnity, Critical illness, Limited policies, Self-inflicted exclusion, War exclusion, Cosmetic exclusion, Workers comp overlap, Field underwriting, Sources of information, Substandard risk, Statement of good health, Long-term care expense, Prescription benefit, Accidental means test, Total disability defined, Partial disability defined, Principal sum, Capital sum, Travel accident insurance, Accident-only policy, Blanket health insurance, Franchise health insurance, Medical Information Bureau, Attending Physician Statement, Preferred risk classification, Impairment exclusion rider, Basic hospital expense coverage, Basic surgical expense coverage, Basic physicians expense coverage, Surgical schedule, First-dollar coverage, Classes of policies, Types of losses, Exclusions, Premium receipts, Policy delivery, Disclosure, Underwriting sources, Risk classification, Replacement, Producer liability, Group vs. individual, Employee association
Read the Accident and Health Insurance Basics study guide
Sample questions & answers
1. In Florida, a health maintenance organization (HMO) is primarily governed by:
The Health Maintenance Organization Act, Chapter 641
Florida HMOs are regulated under the Health Maintenance Organization Act in Chapter 641 of the Florida Statutes.
2. Before an HMO may operate in Florida, it must obtain a certificate of authority from the Office of Insurance Regulation and a health care provider certificate from:
The Agency for Health Care Administration
A Florida HMO must hold a certificate of authority from the OIR and a health care provider certificate issued by the Agency for Health Care Administration.
3. A Florida health maintenance organization provides health care to its enrollees primarily on a:
Prepaid basis through contracted providers
An HMO arranges comprehensive health care services for enrollees on a prepaid basis through its network of contracted providers.
4. Florida requires each HMO to maintain:
A grievance procedure for subscriber complaints
Florida HMOs must maintain a grievance procedure so subscribers can have complaints reviewed and resolved.
Practice: Accident and Health Insurance Basics
Answer choices are shuffled every time, and every question comes with an explanation.
Practice questions are study aids generated for exam preparation and are not actual exam questions. Content is provided for educational purposes and is not legal advice. Verify current statutes, rules, and exam specifications with the Insurance Department and the exam administrator before relying on it.