Question
Based on recent Department of Health and Human Services data, approximately what percent of individuals age 65 or older are expected to require long-term care
Based on recent Department of Health and Human Services data, approximately what percent of individuals age 65 or older are expected to require long-term care at some time during their life?
o 25%
o 45%
o 70%
o 85%
2. According to U.S. Census Bureau projections, what segment of the U.S. population is expected to grow at the fastest rate over the next 40 years?
o The segment of individuals age 55 and over
o The segment of individuals age 65 and over
o The segment of individuals age 75 and over
o The segment of individuals age 85 and over
3. In approximately what percent of married couples having at least one employed member are both spouses employed outside the home?
o 25%
o 38%
o 60%
o 75%
4. In order to be eligible for hospice care in the U.S., a terminally-ill individual must have a life expectancy of no more than
o 6 months
o 12 months
o 24 months
o 48 months
5. Short-term care provided to a long-term care recipient that enables a full-time caregiver to take a vacation from performing such care is known as
o Hospice care
o Custodial care
o Skilled care
o Respite care
6. Which of the following is a facility designed for individuals who are unable to live independently but who do not require the 24-hour care characteristic of a nursing home?
o An adult day care facility
o A residential care facility for the elderly
o A custodial care facility
o A continuing care retirement community
7. What is a continuing care retirement community (CCRC) that provides independent living, assisted living and nursing home care within the same facility generally known as?
o A life care community
o A retirement home
o A bed and board facility
o A residential care facility for the elderly
8. What is generally the youngest age at which an individual may take a reverse mortgage?
o Age 59
o Age 62
o Age 65
o Age 70
9. For what maximum period may an individual be confined in a nursing home before a reverse mortgage the care recipient had taken must be repaid?
o 6 consecutive months
o 12 consecutive months
o 18 consecutive months
o A reverse mortgage is due and payable only when the owner dies
10. How long must a person who is otherwise eligible for Medi-Cal wait for eligibility for Medi-Cal nursing home benefits if he transfers a primary residence worth $241,568 to another person?
o 32 months
o 30 months
o 12 months
o No wait is necessary
11. Medicare pays for any costs associated with care delivered in a skilled nursing facility at 100% for a Medicare beneficiary for up to ______ days.
o 20 days
o 30 days
o 100 days
o 365 days
12. For what minimum period must a person be certified as being unable to perform at least two ADLs in order to be deemed chronically ill?
o 45 days
o 90 days
o 6 months
o 12 months
13. Re-certification in order to qualify for long-term care benefits must occur
o Every 12 months
o Every 18 months
o Every 24 months
o Every 36 months
14. The independent long-term care insurance benefit in a long-term care hybrid product is paid only after all cash value has been depleted in
o An annuity/long-term care hybrid product using a tail design
o An annuity/long-term care hybrid product with a coinsurance design
o An annuity/long-term care hybrid product employing a pool design
o A life insurance/long-term care hybrid product
15. What monthly long-term care benefit normally would be payable under a tail-designed annuity/long-term care hybrid product if the total maximum long-term care benefit is 3 times the cash value at first claim, the cash value was $100,000 when the first claim was made and the benefit period is 36 months?
o $5,000
o $6,250
o $8,333
o $12,500
16. Which of the following is generally considered the principal additional benefit of true-group long-term care insurance when compared to individual long-term care insurance?
o Group long-term care insurance premiums are always lower than for individual long-term care insurance
o Group long-term care coverage may be extended to individuals uninsurable for individual long-term care insurance
o Group long-term care coverage provides higher benefits than individual long-term care insurance
o Premiums for group long-term care coverage are deductible for the insured regardless of the amount while premiums for individual coverage are subject to tax-deductibility limits
17. How many members must a non-California association have before it can offer group long-term care insurance coverage in California?
o No minimum number of members applies
o 50
o 100
o 250
18. Which one of the following coverages must be included in any long-term care insurance policy in California that provides coverage for care in a nursing facility?
o Care in an adult day care facility
o Care in a residential care facility
o Respite care
o Hospice care
19. Which one of the following types of care is described as "assistance with the activities of daily living, including the instrumental activities of daily living, provided by a skilled or unskilled person under a plan of care developed by a physician or a multidisciplinary team under medical direction"?
o Personal care
o Skilled care
o Adult day care
o Hospice care
20. Assistance with shopping, light housekeeping and menu planning is generally considered part of long-term care provided as
o Personal care
o Homemaker services
o Hospice services
o Home health care
21. Providing temporary relief to an uncompensated caregiver is referred to as
o hospice care
o custodial care
o personal care
o respite care
22. Who must determine that an individual is chronically ill under California law in order for an insured to receive benefits under a tax-qualified long-term care insurance policy?
o The insurer
o A licensed healthcare provider independent of the insurer
o The California partnership for long-term care agency
o Medi-Cal
23. How frequently will an insurer normally restore long-term care insurance benefits under a restoration of benefits provision?
o Once only
o Annually
o Every five years
o Every ten years
24. MegaMutual imposes a pre-existing condition exclusion under its long-term care insurance policies. What is the maximum period of time under California law it may look back to the proposed insured's receipt of medical advice or treatment for purposes of the exclusion?
o 3 months
o 6 months
o 12 months
o 36 months
25. What is the duration of the contestable period that must be used on long-term care insurance policies in California?
o No contestable period is permitted under long-term care insurance policies in California
o One year
o Two years
o Three years
26. What is the minimum period of time that must pass after notification of the impending termination before an insurer may terminate a long-term care insurance policy in California for nonpayment of premium?
o 7 days
o 30 days
o 45 days
o 60 days
27. When is an insurance agent selling a long-term care insurance policy in California required to provide the consumer with a shopper's guide?
o Before presenting an application or enrollment form for coverage
o Upon delivery of the policy
o Before the application is sent to the insurer
o Only when requested by the consumer
28. How frequently must an insurer submit reports to the California insurance commissioner concerning each agent's long-term care insurance replacement and lapse records?
o Annually
o Every two years
o Every five years
o Only when requested by the commissioner
29. If an insurance agent timely requests a hearing on allegations of California Insurance Code violations, how soon following receipt of the notice containing the allegations must a public hearing be held?
o Within 7 days
o Within 14 days
o Within 30 days
o Within 60 days
30. An insurer is required to submit to the commissioner a copy of any long-term care insurance advertisement used in California at least ________ before first use.
o 5 days
o 10 days
o 30 days
o 60 days
31. If the daily cost for long-term care exceeds the daily benefit under a California partnership long-term care insurance policy, how is the balance paid?
o The balance of long-term care costs are paid under Medi-Cal
o The balance of long-term care costs are paid under Medicare
o The balance of the cost is paid by the care recipient
o The provider of the long-term care is required to write off any amounts in excess of the required minimum partnership benefit
32. What is a continuing care retirement community (CCRC) that provides independent living, assisted living and nursing home care within the same facility generally known as?
o A life care community
o A retirement home
o A bed and board facility
o A residential care facility for the elderly
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started