NMLAHIP New Mexico Life Accident and Health Insurance Producer - Set 5 - Part 3
Test your knowledge of technical writing concepts with these practice questions. Each question includes detailed explanations to help you understand the correct answers.
Question 41: An insured purchases a policy that helps pay for routine cleanings, fillings, and more extensive procedures like crowns and root canals performed by a licensed dentist, subject to the plan's schedule of covered services. What type of specialized coverage is being described?
Question 42: A federal health reform law generally prohibits health insurers from denying an individual policy or charging higher premiums to an applicant because that applicant has a prior medical condition, requiring insurers to accept eligible applicants for coverage during appropriate enrollment periods regardless of health history. What rule is this?
Question 43: A new employee is hired on the first day of the month but the group health plan states that coverage will not begin until she has worked continuously for a set number of days after her hire date. What is this delay before eligibility called?
Question 44: A retiree delays signing up for Medicare's medical insurance portion well past his initial enrollment window with no employer coverage excusing the delay, so when he finally enrolls during a later general enrollment period, his monthly premium is permanently higher. What caused this higher premium going forward?
Question 45: A younger buyer purchasing a long-term care policy today is concerned that the fixed daily benefit amount she selects now will not be enough to cover the cost of care decades from now. Which optional policy feature addresses this concern by increasing the benefit amount over time?
Question 46: A long-term care policyholder begins receiving qualifying custodial care at home, but the policy requires her to pay for a set number of days of that care out of her own pocket before the insurer's daily benefit payments begin. What is this initial waiting period called?
Question 47: An employer sets up a benefit arrangement, funds it entirely with its own money, credits a notional amount to each employee's account, and retains the right to decide whether any unused balance carries forward or is instead forfeited when an employee leaves the company. Which arrangement is this?
Question 48: An employer signs a single contract with an insurer that spells out the terms, benefit schedule, and premium rates covering an entire workforce, while each covered worker later receives a shorter summary document. Which contract did the employer itself sign and hold on behalf of the group?
Question 49: A covered employee, that employee's spouse, and that employee's dependent children were all enrolled under the employer's group health plan on the day before a qualifying event occurred, and each of them may independently elect to continue that same group coverage afterward. What are these individuals called?
Question 50: A producer is asked to explain the feature that most distinguishes a preferred provider organization from a health maintenance organization for a client who wants freedom to see any specialist without first obtaining a referral, while still keeping some network discount pricing available. Which plan best fits that stated preference?
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