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California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

1. Beginning January 1, 2014, a health insurance issuer that offers health insurance coverage in the individual market must cover 10 essential health benefits. All of the following benefits are essential health benefits EXCEPT

A) adult dental coverage
B) laboratory services.
C) prescription drugs.
D) maternity and newborn care.

2. California long-term care policies may be identified as any of the following EXCEPT

A) Nursing Facility and Residential Care Facility only.
B) Home Care only.
C) Acute Hospital Care only.
D) Comprehensive Long-Term Care.

3. The group medical plan provision that applies when a claimant has coverage under more than one plan is known as

A) coinsurance.
B) maximum benefits.
C) integration.
D) coordination of benefits.

4. As established by PPACA, an adult child may be covered by a parent's health insurance plan until what age?

A) 19 years old
B) 23 years old
C) 26 years old
D) 25 years old

5. A worker is entitled to Social Security disability benefits if all of the following are true EXCEPT the

A) worker cannot perform his or her current job, but is actively seeking other employment.
B) worker is under age 65.
C) worker is insured for disability benefits.
D) disability is expected to continue for 12 months or result in death.

Solutions: