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Kentucky Health & Life Insurance Exam | 180 Questions with Verified Answers | 100% Correct, Exams of Insurance law

Kentucky Health & Life Insurance Exam | 180 Questions with Verified Answers | 100% Correct | Latest 2025/2026.

Typology: Exams

2024/2025

Available from 07/02/2025

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Kentuckyi,-Healthi,-&i,-Lifei,-Insurancei,-Exami,-|i,-
180i,-Questionsi,-withi,-Verifiedi,-Answersi,-|i,-
100%i,-Correcti,-|i,-Latesti,-2025/2026.
Ani,-applicanti,-purchasedi,-ani,-A&Hi,-policyi,-oni,-hisi,-wifei,-thati,-includedi,-
ani,-Accidentali,-Deathi,-andi,-Dismembermenti,-benefit.i,-Hei,-namedi,-
himselfi,-asi,-beneficiaryi,-andi,-specifiedi,-thati,-thei,-Deathi,-benefitsi,-werei,-
toi,-bei,-payablei,-toi,-hisi,-soni,-ifi,-he,i,-thei,-applicant,i,-werei,-toi,-predeceasei,-
hisi,-wife.i,-Ini,-thisi,-situation,i,-thei,-applicant'si,-soni,-wouldi,-bei,-consideredi,-
thei,-i,- i,-contingenti,-beneficiary
Anyi,-deathi,-benefiti,-underi,-ani,-A&Hi,-insurancei,-contracti,-isi,-limitedi,-toi,-
deathsi,-causedi,-byi,-whichi,-ofi,-thei,-following?i,-i,- i,-accidentali,-injuryi,-
only
Whati,-isi,-thei,-differencei,-betweeni,-thei,-termsi,-accidenti,-andi,-sicknessi,-
asi,-usedi,-ini,-insurancei,-policies?i,-i,- i,--i,-ani,-accidenti,-occursi,-
accidentally,i,-
-i,-ai,-sicknessi,-isi,-ani,-illnessi,-ori,-diseasei,-isi,-noti,-thei,-resulti,-ofi,-ani,-accident.
Commoni,-accidenti,-benefitsi,-underi,-insurancei,-policiesi,-includei,-alli,-ofi,-
thei,-following:i,-i,- i,--i,-accidentali,-deathi,-benefit
-i,-accidentali,-dismemberment
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Download Kentucky Health & Life Insurance Exam | 180 Questions with Verified Answers | 100% Correct and more Exams Insurance law in PDF only on Docsity!

Kentuckyi,-Healthi,-&i,-Lifei,-Insurancei,-Exami,-|i,-

180 i,-Questionsi,-withi,-Verifiedi,-Answersi,-|i,-

100%i,-Correcti,-|i,-Latesti,-2025/2026.

Ani,-applicanti,-purchasedi,-ani,-A&Hi,-policyi,-oni,-hisi,-wifei,-thati,-includedi,-

ani,-Accidentali,-Deathi,-andi,-Dismembermenti,-benefit.i,-Hei,-namedi,-

himselfi,-asi,-beneficiaryi,-andi,-specifiedi,-thati,-thei,-Deathi,-benefitsi,-werei,-

toi,-bei,-payablei,-toi,-hisi,-soni,-ifi,-he,i,-thei,-applicant,i,-werei,-toi,-predeceasei,-

hisi,-wife.i,-Ini,-thisi,-situation,i,-thei,-applicant'si,-soni,-wouldi,-bei,-consideredi,-

thei,-i,- i,-contingenti,-beneficiary

Anyi,-deathi,-benefiti,-underi,-ani,-A&Hi,-insurancei,-contracti,-isi,-limitedi,-toi,-

deathsi,-causedi,-byi,-whichi,-ofi,-thei,-following?i,-i,- i,-accidentali,-injuryi,-

only

Whati,-isi,-thei,-differencei,-betweeni,-thei,-termsi,-accidenti,-andi,-sicknessi,-

asi,-usedi,-ini,-insurancei,-policies?i,-i,- i,--i,-ani,-accidenti,-occursi,-

accidentally,i,-

- i,-ai,-sicknessi,-isi,-ani,-illnessi,-ori,-diseasei,-isi,-noti,-thei,-resulti,-ofi,-ani,-accident.

Commoni,-accidenti,-benefitsi,-underi,-insurancei,-policiesi,-includei,-alli,-ofi,-

thei,-following:i,-i,- i,--i,-accidentali,-deathi,-benefit

- i,-accidentali,-dismemberment

  • i,-lossi,-ofi,-incomei,-duei,-toi,-ani,-accidentali,-injury

Commoni,-accidenti,-benefitsi,-includei,-alli,-ofi,-thei,-following:i,-i,- i,--i,-

hospitali,-expensesi,-suchi,-asi,-roomi,-andi,-board

  • i,-surgicali,-proceduresi,-andi,-expenses
  • i,-medicali,-expenses

Thei,-followingi,-arei,-correcti,-statementsi,-abouti,-thei,-termi,-

"dismemberment"i,-i,- i,--i,-iti,-meansi,-actuali,-limbi,-severancei,-ati,-ori,-

abovei,-thei,-maini,-joint.

  • i,-iti,-mayi,-referi,-toi,-lossi,-ofi,-sighti,-ori,-hearing.
  • i,-lossi,-musti,-bei,-completei,-andi,-permanent

Underi,-ani,-accidenti,-policy,i,-wheni,-dismembermenti,-occurs,i,-thei,-

amounti,-paidi,-toi,-thei,-insuredi,-isi,-the:i,-i,- i,-capitali,-sum

Whichi,-ofi,-thei,-followingi,-statementsi,-abouti,-accidentali,-deathi,-andi,-

dismembermenti,-insurancei,-isi,-correct?i,-i,- i,-thei,-amounti,-payablei,-fori,-

thei,-lossi,-ofi,-onei,-memberi,-isi,-one-halfi,-ofi,-thei,-principlei,-sumi,-calledi,-

capitali,-sum.

Whichi,-ofi,-thei,-followingi,-disabilityi,-incomei,-policiesi,-combinesi,-bothi,-

thei,-"owni,-occupation"i,-andi,-"anyi,-occupation"i,-definitionsi,-ofi,-totali,-

disabilityi,-toi,-coveri,-separatei,-periodsi,-ofi,-ai,-singlei,-disability?i,-i,- i,-

long-termi,-policies

Whati,-isi,-thei,-termi,-fori,-ai,-condition,i,-fori,-example,i,-lossi,-ofi,-twoi,-limbs,i,-

totali,-andi,-permanenti,-blindness,i,-ori,-lossi,-ofi,-speechi,-andi,-hearing,i,-

thati,-automaticallyi,-qualifiesi,-ani,-insuredi,-fori,-totali,-disabilityi,-eveni,-ifi,-

thei,-insuredi,-isi,-ablei,-toi,-work?i,-i,- i,-presumptivei,-disability

Alli,-ofi,-thei,-followingi,-arei,-correcti,-statementsi,-abouti,-thei,-probationaryi,-

periodi,-underi,-disabilityi,-policies:i,-i,- i,--i,-noi,-benefitsi,-arei,-paidi,-duringi,-

thei,-probationaryi,-period.

  • i,-thei,-probationaryi,-periodi,-generallyi,-appliesi,-toi,-sicknessi,-buti,-noti,-toi,-

accidents.

  • i,-thei,-probationaryi,-periodi,-beginsi,-wheni,-thei,-policyi,-goesi,-intoi,-effect.

Whichi,-ofi,-thei,-followingi,-isi,-ai,-correcti,-statementi,-abouti,-thei,-

probationaryi,-periodi,-underi,-disabilityi,-policies?i,-i,- i,-itsi,-purposei,-isi,-

toi,-relievei,-thei,-insureri,-ofi,-payingi,-benefitsi,-fori,-preexistingi,-conditions.

Alli,-ofi,-thei,-followingi,-arei,-correcti,-statementsi,-abouti,-thei,-benefiti,-

periodi,-underi,-disabilityi,-policies:i,-i,- i,--i,-short-termi,-disabilityi,-

policiesi,-havei,-shorteri,-benefiti,-periodsi,-thani,-long-termi,-disabilityi,-

policies.

  • i,-thei,-benefiti,-periodi,-isi,-thei,-lengthi,-ofi,-timei,-thei,-policyi,-paysi,-benefits.
  • i,-long-termi,-policiesi,-mayi,-payi,-benefitsi,-asi,-longi,-asi,-toi,-agei,- 65

Whichi,-ofi,-thei,-followingi,-isi,-ani,-examplei,-ofi,-ai,-confiningi,-disability?i,-i,-

i,-suei,-hasi,-tuberculosisi,-andi,-cannoti,-goi,-outsidei,-heri,-homei,-duringi,-

recovery.

Wheni,-ai,-personi,-isi,-noti,-totallyi,-disabledi,-andi,-cani,-performi,-onei,-ori,-

morei,-importanti,-dutiesi,-ofi,-hisi,-ori,-heri,-occupation,i,-thei,-disabilityi,-isi,-

saidi,-toi,-be:i,-i,- i,-partial

Thei,-followingi,-arei,-correcti,-statementsi,-abouti,-paymenti,-fori,-

dismembermenti,-underi,-accidenti,-policies:i,-i,- i,--i,-fori,-lossi,-ofi,-sighti,-toi,-

bei,-consideredi,-dismemberment,i,-lossi,-musti,-bei,-completei,-andi,-

permanent.

  • i,-underi,-mosti,-policies,i,-thei,-fulli,-capitali,-sumi,-isi,-paidi,-fori,-ai,-doublei,-

loss,i,-fori,-example,i,-bothi,-feet,i,-whereasi,-onlyi,-ai,-portioni,-ofi,-thei,-capitali,-

lossi,-isi,-paidi,-fori,-ai,-singlei,-loss,i,-fori,-example,i,-onei,-foot.

  • i,-policiesi,-specifyi,-exactlyi,-thei,-typei,-ofi,-dismembermenti,-requiredi,-fori,-

paymenti,-fori,-alli,-ori,-parti,-ofi,-thei,-capitali,-sum

i,-thisi,-phrasei,-isi,-lessi,-restrictivei,-thani,-thei,-phrasei,-"accidentali,-

means."

samei,-asi,-lasti,-4.1.13i,-i,- i,-4.1.

Eachi,-ofi,-thei,-followingi,-isi,-ai,-functioni,-ofi,-Accidenti,-insurance:i,-i,- i,--i,-toi,-

providei,-benefitsi,-fori,-thei,-accidentali,-lossi,-ofi,-life,i,-limb,i,-ori,-sight

  • i,-toi,-providei,-benefitsi,-fori,-thei,-accidentali,-lossi,-ofi,-timei,-awayi,-fromi,-thei,-

jobi,-asi,-ai,-resulti,-ofi,-ani,-accident

  • i,-toi,-providei,-benefitsi,-fori,-thei,-paymenti,-ofi,-hospital,i,-surgical,i,-andi,-

medicali,-expensesi,-incurredi,-ini,-thei,-treatmenti,-ofi,-accidentali,-injuries

Thei,-"Principlei,-Sum"i,-ofi,-ai,-policyi,-ofi,-Healthi,-andi,-Accidenti,-insurancei,-i,-

i,-isi,-thei,-sumi,-specifiedi,-ini,-thei,-policyi,-payablei,-fori,-lossi,-ofi,-lifei,-

causedi,-byi,-accident

Whichi,-ofi,-thei,-followingi,-accidentali,-injuriesi,-wouldi,-bei,-eligiblei,-fori,-

dismembermenti,-benefitsi,-underi,-ani,-Accidenti,-&i,-Healthi,-Policy?i,-i,- i,-

lossi,-ofi,- 1 i,-foot

Whichi,-statementi,-besti,-definesi,-ani,-Accidenti,-Policy?i,-i,- i,-ani,-

insurancei,-policyi,-whichi,-providesi,-paymenti,-fori,-accidentali,-death,i,-

dismemberment,i,-ori,-lossi,-ofi,-time

Thei,-booki,-describesi,-ani,-accidenti,-as:i,-i,- i,-ani,-eventi,-whichi,-isi,-

unforeseeni,-ani,-unintended

Whichi,-ofi,-thei,-followingi,-phrasesi,-isi,-morei,-restrictive,i,-thati,-isi,-lessi,-

likelyi,-toi,-payi,-ai,-benefit?i,-i,- i,-accidentali,-bodilyi,-injuryi,-byi,-accidentali,-

means

Ini,-A&Si,-andi,-A&Hi,-insurancei,-policies,i,-ifi,-ai,-policyi,-isi,-"accident"i,-only,i,-

iti,-paysi,-onlyi,-wheni,-thei,-eventi,-isi,-i,- i,-fori,-lossi,-byi,-"accident"

principali,-sumi,-isi,-thei,-paymenti,-for:i,-i,- i,-lossi,-ofi,-lifei,-byi,-accident

thei,-followingi,-arei,-correcti,-statementsi,-abouti,-partiali,-disabilityi,-i,- i,--i,-

partiali,-disabilityi,-generallyi,-appliesi,-toi,-accidenti,-disability.

  • i,-thei,-typicali,-partiali,-disabilityi,-indemnityi,-isi,- 50 i,-percenti,-ofi,-thei,-totali,-

disabilityi,-indemnity.

  • i,-ai,-partiallyi,-disabledi,-personi,-cani,-stilli,-performi,-onei,-ori,-morei,-

importanti,-dutiesi,-ofi,-hisi,-ori,-heri,-occupation.

Mistyi,-isi,-ai,-receptionist.i,-Shei,-takesi,-ai,-tumblei,-oni,-thei,-skii,-slopesi,-andi,-

doesi,-noti,-appeari,-toi,-bei,-injured.i,-Ai,-weeki,-lateri,-shei,-beginsi,-havingi,-

headaches,i,-lateri,-dizzinessi,-andi,-slurredi,-speech.i,-Withini,-ai,-monthi,-

Alli,-ofi,-thei,-followingi,-arei,-correcti,-statementsi,-abouti,-keyi,-personi,-

disabilityi,-insurance:i,-i,- i,--i,-somei,-policiesi,-payi,-benefitsi,-directlyi,-toi,-

thei,-keyi,-personi,-asi,-income.

  • i,-somei,-policiesi,-payi,-benefitsi,-toi,-thei,-employeri,-toi,-traini,-andi,-hirei,-ai,-

replacement.

  • i,-benefitsi,-paidi,-toi,-ani,-employeri,-cani,-compensatei,-fori,-suddeni,-lossi,-ofi,-

businessi,-income.

Thei,-followingi,-expensesi,-wouldi,-bei,-coveredi,-byi,-ai,-businessi,-overheadi,-

expensei,-policy:i,-i,- i,--i,-employeei,-wages

  • i,-rent
  • i,-utilities

Thei,-followingi,-arei,-correcti,-statementsi,-regardingi,-partiali,-disabilityi,-

payments:i,-i,- i,--i,-Partiali,-Disabilityi,-paymentsi,-arei,-ofteni,-madei,-asi,-thei,-

resulti,-ofi,-accidenti,-disability

  • i,-Thei,-usuali,-partiali,-disabilityi,-benefiti,-isi,-50%i,-ofi,-thei,-totali,-disabilityi,-

benefit

Thei,-Eliminationi,-ori,-Waitingi,-Periodi,-refersi,-to:i,-i,- i,-thei,-periodi,-afteri,-ai,-

disabilityi,-commencesi,-andi,-beforei,-youi,-mayi,-begini,-receivingi,-

benefits.

Recurrenti,-Disabilityi,-isi,-ai,-i,- i,-disability,i,-whichi,-isi,-duei,-toi,-thei,-samei,-ori,-

ai,-relatedi,-causei,-ofi,-disability.

Disabilityi,-duei,-toi,-thei,-samei,-ori,-relatedi,-causei,-ofi,-ai,-previousi,-disabilityi,-

isi,-knowni,-as:i,-i,- i,-recurrent

Followingi,-ani,-accident,i,-ani,-insuredi,-isi,-unablei,-toi,-performi,-anyi,-ofi,-thei,-

dutiesi,-ofi,-ani,-occupation.i,-Thisi,-conditioni,-isi,-called:i,-i,- i,-totali,-

disability

Whichi,-ofi,-thei,-followingi,-policy/iesi,-coveri,-ai,-lossi,-whichi,-isi,-classifiedi,-

asi,-thei,-livingi,-death?i,-i,- i,-d.i.i,-policyi,-(disabilityi,-income)

Whichi,-ofi,-thei,-followingi,-definitionsi,-ofi,-disabilityi,-isi,-morei,-likelyi,-toi,-

payi,-benefits?i,-i,- i,-anyi,-occupationali,-definition

Ini,-ani,-A&Hi,-policy,i,-ani,-Eliminationi,-(Waiting)i,-Periodi,-provisioni,-refersi,-

toi,-thei,-periodi,-i,- i,-betweeni,-thei,-firsti,-dayi,-ofi,-disabilityi,-andi,-thei,-dayi,-

toi,-whichi,-thei,-disabilityi,-musti,-continuei,-beforei,-iti,-cani,-resulti,-ini,-thei,-

insuredi,-receivingi,-benefits.

Whichi,-ofi,-thei,-followingi,-isi,-ai,-correcti,-statementi,-abouti,-medicali,-

expensei,-coverage?i,-i,- i,-iti,-mayi,-providei,-ai,-broadi,-rangei,-ofi,-benefitsi,-

ori,-onlyi,-onei,-ori,-twoi,-coverages.

5)i,-Whichi,-ofi,-thei,-followingi,-isi,-ai,-correcti,-statementi,-abouti,-thei,-

miscellaneousi,-medicali,-expensei,-benefit?i,-i,- i,--i,-itsi,-limiti,-isi,-usuallyi,-

separatei,-fromi,-thei,-roomi,-andi,-boardi,-benefiti,-andi,-expressedi,-asi,-ai,-

multiplei,-ofi,-thei,-per-dayi,-roomi,-andi,-boardi,-benefit.

Frank'si,-surgicali,-expensei,-policyi,-paysi,-fori,-surgeon'si,-feesi,-andi,-

relatedi,-costs.i,-Benefiti,-amountsi,-fori,-thei,-mosti,-commonlyi,-performedi,-

proceduresi,-arei,-listed.i,-Whati,-typei,-ofi,-plani,-doesi,-Franki,-have?i,-i,- i,-

scheduled

Gerry'si,-surgicali,-expensei,-policyi,-paysi,-fori,-surgeon'si,-feesi,-andi,-

relatedi,-costs.i,-Thei,-policyi,-paysi,-basedi,-oni,-whati,-isi,-consideredi,-usual,i,-

customary,i,-andi,-reasonablei,-ini,-hisi,-area.i,-Whati,-typei,-ofi,-plani,-doesi,-

Gerryi,-have?i,-i,- i,-nonscheduled

Hank'si,-policyi,-paysi,-fori,-physicians'i,-nonsurgicali,-expenses.i,-Alli,-ofi,-thei,-

followingi,-arei,-specifiedi,-ini,-thei,-policy:i,-i,- i,--i,-thei,-maximumi,-numberi,-

ofi,-physiciani,-visitsi,-peri,-day

  • i,-thei,-maximumi,-dollari,-amounti,-peri,-physiciani,-visit
  • i,-thei,-maximumi,-numberi,-ofi,-daysi,-ofi,-coverage

Thei,-followingi,-wouldi,-bei,-consideredi,-ani,-Otheri,-Medicali,-Expensei,-

Benefit:i,-i,- i,--i,-maternity

  • i,-emergencyi,-firsti,-aid
  • i,-mentali,-infirmity

Whichi,-ofi,-thei,-followingi,-isi,-ai,-correcti,-statementi,-abouti,-mentali,-

infirmityi,-coveragei,-asi,-providedi,-byi,-medicali,-expensei,-insurance?i,-i,-

i,--i,-benefitsi,-arei,-typicallyi,-loweri,-thani,-fori,-physicali,-infirmities.

Alli,-ofi,-thei,-followingi,-arei,-commoni,-exclusionsi,-ori,-limitationsi,-foundi,-ini,-

medicali,-expensei,-policies:i,-i,- i,--i,-preexistingi,-conditions

  • i,-suicide
  • i,-self-inflictedi,-injury

Alli,-ofi,-thei,-followingi,-arei,-commoni,-exclusionsi,-ori,-limitationsi,-foundi,-ini,-

medicali,-expensei,-policies:i,-i,- i,--i,-injuryi,-whilei,-committingi,-ai,-felony

  • i,-electivei,-cosmetici,-surgery
  • i,-self-inflictedi,-injury

Alli,-ofi,-thei,-followingi,-arei,-correcti,-statementsi,-abouti,-majori,-medicali,-

coverage:i,-i,- i,--i,-iti,-coversi,-ai,-broadi,-rangei,-ofi,-medicali,-expenses.

  • i,-iti,-hasi,-greateri,-individuali,-benefitsi,-andi,-higheri,-policyi,-maximumsi,-

thani,-basici,-expensei,-coverage.

  • i,-thei,-twoi,-groupsi,-makingi,-upi,-majori,-medicali,-arei,-comprehensivei,-

andi,-supplemental.

  • i,-alli,-expensesi,-arei,-accumulatedi,-toi,-reachi,-ani,-all-causei,-deductible.

Generallyi,-whichi,-ofi,-thei,-followingi,-isi,-truei,-ofi,-deductiblesi,-ini,-policiesi,-

thati,-insurei,-families?i,-i,- i,-therei,-isi,-ai,-singlei,-deductiblei,-ratheri,-thani,-

individuali,-deductibles.

Whichi,-ofi,-thei,-followingi,-arei,-benefitsi,-usuallyi,-providedi,-byi,-ai,-Hospitali,-

Policy?i,-i,- i,--i,-hospitali,-roomi,-andi,-board

  • i,-x-rays
  • i,-laboratoryi,-fees

Thei,-paymenti,-thei,-insuredi,-makesi,-betweeni,-thei,-Basici,-Policyi,-andi,-thei,-

Majori,-Medicali,-parti,-isi,-called:i,-i,- i,-corridori,-deductible

Eachi,-ofi,-thei,-followingi,-isi,-ai,-commoni,-exclusioni,-ofi,-Accidenti,-&i,-

Healthi,-Policies:i,-i,- i,--i,-wari,-ori,-anyi,-activityi,-ofi,-war

  • i,-pre-existingi,-illness
  • i,-injuriesi,-receivedi,-whilei,-committingi,-ori,-attemptingi,-toi,-commiti,-ai,-

felony

Whichi,-plani,-hasi,-ai,-"Corridor"i,-deductible?i,-i,- i,-supplementali,-majori,-

medicali,-policies

Ani,-insuredi,-hasi,-ai,-MAJORi,-MEDICALi,-policyi,-thati,-callsi,-fori,-ai,-flati,-

$2,000i,-deductiblei,-andi,-80%-20%i,-participation.i,-Ifi,-thei,-insuredi,-

incursi,-medicali,-expensesi,-ofi,-$6,000,i,-hei,-wouldi,-receivei,-benefitsi,-ofi,-i,-

i,-$3,

Thei,-paymenti,-thei,-insuredi,-makesi,-oni,-ai,-COMPREHENSIVEi,-MEDICALi,-

EXPENSEi,-Policy,i,-betweeni,-thei,-basici,-underlyingi,-COVERAGEi,-andi,-

MAJORi,-MEDICAL,i,-isi,-called:i,-i,- i,-corridori,-deductiblei,-(integrated)

Thei,-purposei,-ofi,-thei,-Coinsurancei,-Clausei,-ini,-MAJORi,-MEDICALi,-

policiesi,-isi,-toi,-i,- i,-motivatei,-thei,-insuredi,-toi,-minimizei,-unnecessaryi,-

care.

Intentionali,-self-inflictedi,-injuriesi,-arei,-frequentlyi,-excludedi,-fromi,-

coveragei,-ini,-whichi,-ofi,-thei,-followingi,-typesi,-ofi,-policies?i,-i,- i,--i,-

medicali,-expensei,-

  • i,-disabilityi,-income

COMPREHENSIVEi,-MEDICALi,-EXPENSEi,-insurancei,-combinesi,-whichi,-

ofi,-thei,-followingi,-coveragesi,-ini,-onei,-policy?i,-i,- i,-basici,-

hospital/surgicali,-andi,-majori,-medical

Whichi,-ofi,-thei,-followingi,-preventivei,-measuresi,-isi,-paidi,-fori,-ini,-advancei,-

fori,-HMOi,-insureds?i,-i,- i,--i,-routinei,-physicals

  • i,-welli,-childi,-exams
  • i,-somei,-diagnostici,-screenings

HMOsi,-providei,-fori,-hospital,i,-surgical,i,-andi,-medicali,-treatment...i,-i,- i,-

wheni,-servicesi,-arei,-needed

Whichi,-ofi,-thei,-followingi,-isi,-ai,-correcti,-statementi,-abouti,-HMOsi,-andi,-

traditionali,-insurers?i,-i,- i,--i,-hmosi,-providei,-bothi,-coveragei,-andi,-

services;i,-traditionali,-arrangementsi,-requirei,-separatei,-providersi,-andi,-

payors.

Oncei,-ani,-HMO'si,-servicei,-areai,-hasi,-beeni,-established,i,-whichi,-ofi,-thei,-

followingi,-isi,-correct?i,-i,- i,-employersi,-ini,-thei,-servicei,-areai,-withi,-ati,-

leasti,- 25 i,-employeesi,-thati,-offeri,-healthcarei,-benefitsi,-musti,-offeri,-thei,-

hmoi,-asi,-ani,-alternativei,-toi,-traditionali,-plans.

Wheni,-employersi,-offeri,-bothi,-ani,-HMOi,-andi,-ai,-traditionali,-insurancei,-

plan,i,-thisi,-isi,-termed:i,-i,- i,-duali,-choice

Nedi,-belongsi,-toi,-ani,-HMOi,-thati,-contractsi,-withi,-ani,-individuali,-medicali,-

group.i,-Thei,-HMOi,-paysi,-thei,-group,i,-noti,-thei,-individuali,-servicei,-

providers.i,-Thei,-groupi,-determinesi,-howi,-toi,-compensatei,-thei,-

providers,i,-andi,-thei,-individuali,-providersi,-remaini,-entirelyi,-separatei,-

fromi,-thei,-HMO.i,-Whati,-kindi,-ofi,-HMOi,-doesi,-Nedi,-have?i,-i,- i,-group

Oliviai,-belongsi,-toi,-ani,-HMOi,-ini,-whichi,-physiciansi,-arei,-paidi,-employeesi,-

ofi,-thei,-HMO.i,-Thei,-HMOi,-ownsi,-thei,-facility.i,-Whati,-kindi,-ofi,-HMOi,-doesi,-

Oliviai,-have?i,-i,- i,-staff

Pauli,-belongsi,-toi,-ani,-HMOi,-thati,-contractsi,-withi,-severali,-medicali,-

groupsi,-andi,-mayi,-contracti,-withi,-individuali,-doctors,i,-therebyi,-

increasingi,-thei,-pooli,-ofi,-availablei,-providers.i,-Groupsi,-arei,-generallyi,-

paidi,-basedi,-oni,-ai,-monthlyi,-paymenti,-fori,-eachi,-member;i,-individuali,-

physiciansi,-arei,-eitheri,-paidi,-viai,-thisi,-capitationi,-arrangementi,-ori,-ai,-

discountedi,-fee.i,-Whati,-kindi,-ofi,-HMOi,-doesi,-Pauli,-have?i,-i,- i,-network

Quintoni,-belongsi,-toi,-ani,-HMOi,-ini,-whichi,-thei,-HMOi,-contractsi,-

separatelyi,-withi,-groupsi,-andi,-individuali,-servicei,-providers.i,-Whilei,-

providersi,-arei,-independent,i,-paymenti,-isi,-usuallyi,-oni,-ai,-fee-for-

servicei,-basisi,-negotiatedi,-ini,-advance.i,-Whati,-kindi,-ofi,-HMOi,-doesi,-

Quintoni,-have?i,-i,- i,-individuali,-practicei,-association