Finance

The purpose of a coordination-of-benefits provision in group health in

The purpose of a coordination-of-benefits provision in group health insurance plans is to A) determine which plan pays first if more than one plan covers a loss. B) determine which health care provider an insured may use for his or her care. C) determine if the calendar-year deductible has been satisfied by the insured. D) […]

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Date: September 19th, 2020

Connie has an individual medical expense policy with a $1,000 deductib

Connie has an individual medical expense policy with a $1,000 deductible. She is required to pay 20 percent of covered expenses in excess of the deductible. The insurer will pay 80 percent of expenses in excess of the deductible. If Connie has eligible medical expenses of $26,000, how much will be paid by her insurer? […]

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Date: September 19th, 2020

Helen and John both own automobiles on which they carry liability insu

Helen and John both own automobiles on which they carry liability insurance. If Helen is negligent and has an accident while driving John’s car with his permission, how will each insurer respond to any liability judgment against Helen? A) The insurers will pay the judgment on a pro rata basis. B) John’s insurer will pay […]

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Date: September 19th, 2020

Kevin has three liability policies which provide for contribution by e

Kevin has three liability policies which provide for contribution by equal shares if other insurance applies to a loss. How much will each policy pay for a $3,000,000 liability judgment if policy A provides $500,000 of coverage, policy B provides $1,000,000 of coverage, and policy C provides $3,000,000 of coverage? A) Each policy will pay […]

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Date: September 19th, 2020

Janet hit a wall causing a large dent in the fender of her car. She wa

Janet hit a wall causing a large dent in the fender of her car. She was busy at work and delayed reporting the damage to her insurer for 9 months. When she finally reported the claim, her insurer denied payment, stating, “Although such a loss is usually covered, you are required under the terms of […]

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Date: September 19th, 2020

Eric’s property was damaged in an accident. He phoned his agent to see

Eric’s property was damaged in an accident. He phoned his agent to see if the loss was covered under his property insurance policy. The agent said, “As long as the cause of loss is not specifically excluded in the policy, the loss is covered.” Based on the agent’s answer, what type of insuring agreement appears […]

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Date: September 19th, 2020