Yes/No Indicate whether you
agree with the statement.
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1.
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I certify that as the agent enrolled in this continuing education
course, I will complete the final exam by myself without any assistance from anyone
else.
I understand that failure to comply with this requirement may
result in loss of continuing education credits, and possible administrative sanctions by the Florida
Department of Financial Services.
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Multiple Choice Identify the
choice that best completes the statement or answers the question.
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2.
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Which of the following is NOT an ADL?
a. | bathing | b. | taking medication | c. | transference | d. |
continence |
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3.
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An insured needs assistance with bathing and dressing, as well as help with
light housework and laundry, but is not in need of round-the-clock assistance. What level of
care does this insured need?
a. | custodial | b. | supervisory | c. | personal | d. | acute |
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4.
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Carla gives $30,000 to each of her three children. One year later, Carla
applies to Medicaid for assistance in paying for nursing home care. The state’s average
nursing home costs are $4,500 per month. Assuming Carla qualifies for Medicaid, Medicaid will
pay Carla’s long-term care costs:
a. | immediately | b. | beginning in 6 months | c. | beginning in 10
months | d. | beginning in 20 months |
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5.
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All state partnership LTC policies must be
a. | federally tax qualified | b. | non-tax qualified | c. | tax-qualified at the
option of the state | d. |
tax-qualified at the option of the
insured |
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6.
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Agents soliciting LTC policies must complete:
a. | 8 hours of initial LTC training and 8 hours of LTC Partnership training every
compliance period | b. | 4 hours of initial LTC training and 4 hours of
LTC Partnership training every compliance period | c. | 8 hours of initial LTC training, including LTC
Partnership training, and 4 hours of LTC training every compliance period
thereafter | d. | 8 hours of LTC training, including LTC Partnership training, every compliance
period |
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7.
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Which federal law clarified the tax-status of private LTC policies?
a. | OBRA | b. | COBRA | c. | HIPAA | d. | DRA |
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8.
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A partnership LTC policy will “shield” the insured from:
a. | Medicaid’s asset requirements | b. | Medicaid’s income
requirement | c. | Medicaid’s estate recovery rules | d. | a and c |
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9.
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Which of the following applicants must include “automatic inflation
protection” as part of his or her LTC Partnership policy?
a. | Chris, age 56 | b. | Pat, age 67 | c. | Lou, age
74 | d. | all partnership LTC plans must include automatic inflation
protection |
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10.
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Which of the following provisions is the main difference between partnership
qualified (PQ) LTC policies and non-PQ policies?
a. | inflation protection | b. | guaranteed renewability | c. | free look
provision | d. | tax free benefit payments |
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11.
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Abby Normal purchased a long-term care policy twenty years ago when she was
56. Today, she wishes to have the asset protection afforded by her state’s LTC partnership
program. Which of the following courses of action will NOT provide Abby with that protection?
a. | surrender the old policy for a new PQ policy | b. | request an
endorsement on the old policy for inflation protection and new issue date | c. | continue to hold the
old policy, as long as it has inflation protection, it is automatically partnership
qualified | d. | either a or b |
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12.
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In order to enjoy the benefits of a partnership qualified LTC policy, all of the
following are required EXCEPT:
a. | the policy must be tax-qualified under HIPAA | b. | the policy must
contain consumer protections based on the NAIC Model LTC Policy | c. | the insured must be
a resident of the state when he or she collects policy benefits | d. | the policy must be
issued after the date the state partnership plan becomes effective in the insured’s state
of residence |
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13.
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All of the following are ways to obtain cash from the insurer of a life
insurance policy EXCEPT:
a. | viatical settlements | b. | accelerated benefits
provisions | c. | cash surrender | d. | policy loans |
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14.
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In most LTC policies, benefits will be payable when:
a. |
a physician determines the insured needs long term care |
b. | family members can
no longer care for the insured | c. | the insured is discharged from the hospital and
needs follow-up care | d. | the insured is deemed “chronically
ill” |
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15.
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When issuing an individual LTC policy, the insurer may require which of the
following from the applicant?
a. | blood and urine sample | b. | an application requiring disclosure of medical
history | c. | attending physician’s statement (APS) | d. | all of the
above |
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16.
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Which of the following policy features will have the largest impact on the
premium the LTC policyholder pays?
a. | elimination period | b. | guaranteed renewability | c. | guaranteed
issue | d. | guaranteed purchase option |
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17.
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Which inflation protection provision will result in the lowest premium cost to the
policyholder?
a. | 5% simple rate | b. | 5% compound rate | c. | 5% guaranteed
purchase option | d. | there is no difference in the premium cost of these
options |
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18.
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A free look provision on a long-term care policy must be at least
a. | 10 days | b. | 30 days | c. | 60
days | d. | 10 days but can vary from state to state |
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19.
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What is the minimum benefit period allowable under a NAIC Model Act
policy?
a. | one year | b. | three years | c. | five
years | d. | unlimited |
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20.
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Which of the following properly lists levels of care from most to least
intensive?
a. | acute, supervisory, skilled, personal | b. | supervisory, acute, skilled ,
personal | c. | skilled, acute, personal, supervisory | d. | personal, supervisory, skilled,
acute |
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21.
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Joann has been caring for her aged parents and has become exhausted. Her
physician recommends that she take a break from caregiving. What type of care is most
appropriate?
a. | custodial care | b. | personal care | c. | respite
care | d. | assisted living facilities |
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22.
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All of the following are true regarding tax treatment of LTC policies
EXCEPT:
a. | individuals may include LTC premiums in their itemized medical
deductions | b. | benefits can be received tax free | c. |
there are age limits on the deductibility of
individual LTC premiums |
d. | all LTC policies qualify for federal tax
deduction |
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23.
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Approved nursing home expenses will be paid by Medicare:
a. | 0% for the first 20 days, all except $100 for the next 80 days, 100% of the last 20
days | b. | 100% for the first 20 days, all except copay for the next 80 days, 0% beyond 100
days | c. | all except the daily copay for the first 20 days, 100% of the next 80
days | d. | all except the daily copay for the first 80 days, 100% of remaining
days |
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24.
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Which of the following is NOT a required disclosure when selling LTC
policies?
a. | Outline of Coverage | b. | Buyer’s Guide | c. | History of Rate
Increases | d. | A.M. Best’s rating of the insurer |
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25.
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Post-claims underwriting is:
a. | required under NAIC Model legislation | b. | a method to deny payment of
claims | c. | only used when issuing group policies | d. | none of the
above |
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26.
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All of the following are customer protections afforded by the NAIC Model
legislation on LTC policies EXCEPT
a. | guaranteed renewability | b. | no pre-existing condition
exclusions | c. | third party notification of policy lapse | d. | incontestability
clause |
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27.
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Your client has the option of selecting a “service day” or
“calendar day” methods to count the elimination period. Which method will result in
a higher premium?
a. | service day | b. | calendar day | c. | both will result in
the same premium | d. | it depends on other policy provisions |
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28.
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The expense-incurred model of benefit payments is another name for the:
a. | reimbursement model | b. | disability model | c. | cash
model | d. | indemnity model |
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29.
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The most commonly issued LTC policies cover:
a. | comprehensive services | b. | services provided in nursing homes
only | c. | home health care service only | d. | community-based health care services
only |
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30.
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The 90-day certification period:
a. |
requires the inability to perform ADLs for at least 90 days to trigger
benefits |
b. | is the maximum elimination period allowed on LTC group
certificates | c. | is the NAIC mandated waiting period on partnership policies | d. | none of the
above |
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31.
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Assisted living facilities provide all of the following EXCEPT:
a. | meal preparation | b. | personal care | c. | help with
medication | d. | on-staff physical therapist |
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32.
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An agent has an ethical duty to inform prospects of which of the
following?
a. | nature of long-term care | b. | cost of long-term care | c. | levels of long-term
care service | d. | all of the above |
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33.
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What documents should an agent retain as evidence of his or her ethical
conduct?
a. | completed fact-finding forms | b. | customer correspondence | c. | notes on
conversations with clients | d. | all of the
above |
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34.
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Prospects with low incomes and few assets should:
a. | always buy LTC insurance | b. | generally buy LTC insurance | c. | generally not buy
LTC insurance | d. | never buy LTC insurance |
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35.
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Which of the following is typically NOT a factor to consider when recommending
replacement of an existing LTC policy?
a. | the identity of the existing policy’s insurer | b. | whether the existing
policy is tax-qualified or partnership-qualified | c. | the length of time the client has owned the
existing policy | d. | the policy language of the existing policy |
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36.
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All of the following are true regarding a personal residence in Medicaid
eligibility rules EXCEPT:
a. | if the Medicaid applicant is not applying for LTC benefits, the value of the home
does not count as an asset | b. | if the applicant moves out of the home into LTC
facilities the value of the home is counted regardless of value | c. | if the Medicaid
applicant is applying for LTC benefits, any home equity in excess of $100,000 counts as an
asset | d. | Medicaid can place a lien against the home, even if the home is not deemed
“countable” |
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37.
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In most states, Medicaid allows a long-term benefit applicant who is unmarried
to retain countable assets totaling:
a. | $1,500 | b. | $2,000 | c. | $3,000 | d. | $5,000 |
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