Register
Question 1
Before suing for nonpayment, the policyowner must wait at least how long after submitting proof of loss?
Correct Answer:
60 days
Explanation:
After proof of loss is submitted, the policy typically requires a waiting period before you can bring a lawsuit for nonpayment. This gap gives the insurer time to review, adjust, and pay claims if due. The standard minimum for health insurance policies is sixty days, which is why sixty days is the correct choice. A shorter period, like thirty days, usually isn’t enough time for the insurer to complete the claims process. Longer periods, such as ninety or one hundred twenty days, aren’t the usual minimum and aren’t the standard answer in most practice questions, even though some policies could vary.
Question 2
To be eligible for State Continuation, what condition must be met?
Correct Answer:
Employment for at least the previous 90 days prior to application for continuation
Explanation:
State Continuation lets an employee keep their employer-sponsored coverage for a limited time after leaving work, but eligibility hinges on having a minimum period of prior employment. You must have been employed for at least 90 days immediately before applying. That 90-day threshold ensures the program serves those with a stable relationship to the employer’s plan. Shorter periods (like 60 or 30 days) wouldn’t meet the requirement, and a longer period (like 180 days) would exclude some with legitimate need. So, the 90-day prior-employment rule is the qualifying condition.
Question 3
When may a CE extension be requested, and what fee applies?
Correct Answer:
Within 30 days before the end of the compliance period and pay $75
Explanation:
This question focuses on when a CE extension can be requested and the fee that applies. The correct rule is that you may request a CE extension only within the 30 days leading up to the end of the compliance period, and the fee is $75. This timing gives a last-minute grace window before the renewal deadline, allowing you to complete any remaining CE requirements while keeping the process within a defined deadline. Requests outside this window—such as after the period ends or well before it—aren’t addressed by this provision, and the associated fees in those scenarios don’t match the rule.
Question 4
When replacement of existing Group Health Insurance occurs, the liability for coverage must begin within how many days by the new insurer?
Correct Answer:
15 days
Explanation:
When a group health policy is replaced, the goal is seamless coverage so there’s no gap for employees. The standard requirement is that the new insurer assumes responsibility within 15 days after the replacement takes effect. This 15-day window protects employees during the transition and ensures claims processing starts promptly as the new policy begins. Shorter windows (like 5 or 10 days) can be impractical and risk gaps, while a longer window (such as 20 days) delays coverage unnecessarily.
Question 5
Which of the following is a criterion of a viable insurance contract?
Correct Answer:
Large number of similar exposures
Explanation:
In insurance, viability hinges on pooling a large number of similar exposures so the insurer can predict losses with reasonable accuracy. With many similar risks spreading across a broad base, the law of large numbers smooths out the individual loss variability, allowing actuarial methods to estimate expected losses, set premiums that cover claims and expenses, and keep the contract financially sustainable. The other factors listed—tax treatment of the policy, investment returns, and the ability to vary premium frequency—are not fundamental criteria for a contract’s viability. They may influence product design or profitability, but they don’t establish the insurer’s ability to predict losses and price risk across a population.
Question 1
Exam overview

About this Exam

Prepare with the North Caroline Health insurance – Accident and Sickness Practice Test practice quiz. This question bank includes 10 questions covering insurance, insurer, coverage, contract, and claims. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

More details

Additional Information

North Caroline Health insurance – Accident and Sickness Practice Test

This practice set contains 10 questions from the matching question bank and focuses on insurance, insurer, coverage, contract, and claims. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

Quiz information

Frequently Asked Questions

The complete question count is available after full access is unlocked.
No fixed duration is currently configured for this quiz.
Question explanations are included where they are available in the quiz content, helping you review the reasoning after answering.
Yes. You can retake the practice test again as you continue studying during your available access period.
After your access is confirmed, you can continue into the complete practice exam from this quiz flow.
Unless explicitly stated otherwise, this page provides independent practice material for study and exam preparation and is not the official examination itself.
Keep studying

Related Questions

Archer Child Health Cardio/Respiratory Practice Exam

5 min

Arizona Health Insurance Practice Exam

0 min

Arizona Insurance Laws and Rules Practice Exam

0 min

Arizona Life and Health Practice Exam

0 min

Certified in Healthcare Compliance (CHC) Practice Test

0 min

Certified in Healthcare Privacy Compliance (CHPC) Practice Exam

0 min