1. By 2020, the number of Americans over the age of 65 that require
long-term-care service will increase to how many?
1 million
12 million
2 million
100,000
2. Which degenerative disease is estimated to have an economic impact of $33 billion a year?
Leukemia
Muscular Dystrophy
Legionnaires' Disease
Alzheimer’s Disease
3. The number of days after which the policy holder qualifies for benefits, but before benefits are payable is called?
No-care period
U-pay period
Elimination period
Time to service
4. What is not considered Instrumental Activities of Daily Living (IADLs)?
Toileting
Transferring
Shopping
Continence maintenance
5. Most states require that policies covering long-term care services cannot contain a
pre-existing condition limitation of more than ______ after the effective date of coverage.
3 months
1 year
5 years
6 months
6. What is the name given to a family member or friend who provides informal, unpaid care?
Arbiter
Litigator
Nurse
Caregiver
7. How old was thhe average age of early Partnership Program respondents?
38 or 39 years old
28 or 29 years old
58 or 59 years old
78 or 79 years old
8.The Family and Medical Leave Act (FMLA), requires
employers to grant up to_____ unpaid leave per year?
1 week
4 weeks
12 weeks
52 weeks
9. The likelihood of receiving long-term care assistance increases with:
Height
Age
Wealth
Family Size
10. An example of a Community-based service is?
Adult day service
Senior centers
Care-giver support programs
All of the above
11. Which designates a person to make treatment decisions in the event that a patient cannot make decisions personally?
Advanced Directive
Non-Living Will
Living Will
Administrative Action
12. What is not a factor that influences the risk of needing long-term care services?
Height
Lifestyle
Gender
Marital Status
13. Where do most long-term care recipients receive their care?
Nursing Homes
Assisted Living Facilities
Home
Hospitals
14. What will lead to a sharp growth in federal entitlement spending?
Lower tax polices
Capital gains taxes
Aging baby boomers
Wealth inequality
15. Which type of care primarily provides assistance with Activities of daily living (ADLs)?
Intermediate Care
Custodial Care
Skilled Care
Foundation Care
16. What is the medical term for moving into or out of a bed, chair, or wheelchair?
Transferring
Toileting
Translating
Transforming
17. In what year were the Medicare and Medicaid programs created?
1985
1995
1965
1935
18. Public financing for long-term-care services and support comes primarily from what program?
Medicaid
Medicare
Social Security
FMLA
19. If certain conditions are met, Medicare will fully cover the first how many days of care
in a skilled nursing facility (SNF) during each benefit period?
1 week
1 month
90 days
20 days
20. The first long-term care insurance policies were of one type. Which one?
Home Based
Assisted Living
Nursing Home
Community Based
21. Which is considered a countable-asset to Medicaid?
Automobile
Household belongings
Personal possessions
Checking and Savings accounts
22. This type of long-term care policy is referred to as “Shared Care”?
Reimbursement benefit policies
Long-term benefit policies
Linked benefit policies
Shared benefit policies
23. Which would Medicaid consider non-countable income?
Salaries and wages
Food stamps
Veterans’ benefits
Interest earnings and dividends
24. This type of long term care is furnished by nurses, home aides, homemakers and other paid providers?
Driving care
Informal care
Friendly care
Formal care
25. States are required to permit the community spouse of nursing facility residents to retain
income sufficient for support to protect them form spousal impoverishment. What is this called?
Monthly Maintenance Allowance (MMA)
Minimum Money Maintenance Allowance (MMMA)
Money Needs Allowance (MNA)
Minimum Monthly Maintenance Needs Allowance (MMMNA)
26. What is a risk of self funding long term care?
Not being able to define future long-term health-care needs
Not knowing when long-term care may be needed
Sacrificing money toward care that is intended to be passed on to family members and dependents
All of the above
27. The policy’s_____ is the amount that the policy will pay, usually expressed as a dollar-per-day amount.
Dollar-for-Dollar
Per Diem
Benefit Amount
Deductible
28. Which is not considered a Home Based Care service?
Homemaker services
Valet services
Non-medical personal care
Home health care
29. Long-term care contracts include a grace period of
how many days before the policy lapses for nonpayment of premium?
7
14
100
31
30. Self-funding of long-term care is possible for who?
Individuals over 65
People who can't afford it
Individuals with above-average wealth
Married couples
31. A Partnership Program joins a state’s _____ program with ownership of private LTC insurance.
Social Security
Medicare
Welfare
Medicaid
32. The Long-Term Care Partnership Program was developed in the late 1980's by who?
The Robert Frost Foundation
FEMA
The LTC Project
The Robert Wood Johnson Foundation
33. What percent of people currently receiving long-term care are adults 18 to 64 years old.
65 percent
40 percent
10 percent
90 percent
34. Which of the following services would be paid by Medicare:
Custodial Care
Medical Supplies
Lab Tests
All of the above
35. Which is not a requirement for an LTC policy to qualify for use in a
state partnership program?
The policy must include some measure of inflation protection for purchasers younger than 76 and the
offer to purchase inflation protection for those who are 76 and older
The policy must meet the definition of a tax-qualified LTCI policy
The policy holder must be a resident of the partnership state when the policy is issued
The policy holder must have assets over $100,000
36.In which Partnership Program Model are all assets protected when a state-defined
minimum benefit package is purchased by the consumer?
Total Asset Protection
Dollar-for-Dollar
Flood & Body
Dwelling & Property
37. If an asset is improperly transferred, a state can consider the asset countable. States can “look back”
how many months to find improper transfers of assets?
6 months
12 months
60 months
24 months
38. What is not considered Activities of daily living (ADLs)?
Bathing
Driving
Eating
Dressing
39.There are several ways that benefits may be reduced to save on premiums. Which is not one of them?
Lower the deductible
Reduce the daily benefit amount
Reduce the length of benefit payments
Discontinue some benefits, such as home health care options
40. What is an example of a deceptive trade practice or act?
Representing that consumer goods or services have a
sponsorship, approval, use, or benefit that they do not have
The use of any plan or scheme in soliciting sales or services over the telephone that misrepresents the solicitor’s true status or mission
Disparaging the goods or services or business of another
by a false or misleading representation of a material fact
All of the above
41. What is it called when an agency misrepresents a material fact in selling
or offering to sell a long-term care insurance policy?
Misrepresentation
Twisting
Defamation
Suitability
42. What is the total amount the insurance company will pay during the insured's lifetime for all benefits covered by the policy?
Maximum Lifetime Benefit
Total Deductible
Endorsement Payback
Risk Benefit Amount
43. This condition of an individual requires frequent monitoring by medical professionals, such as physicians and
registered nurses, in order to maintain the patient’s health status:
Re-action
Continence
Acute
Ambulation
44. Of the total costs of long-term care services,how much are covered by private insurance?
Less than 1 percent
5 percent
20 percent
50 percent
45. The Robert Wood Johnson Foundation (RWJF) had specific goals when creating the Partnership
Program, which is not one of them?
Assurance of equity and affordability in the long-term-care-insurance program for lower-income individuals
Assisting in raising deductibles along with inflation
Providing coverage for a full range of home and community-based services
Avoiding impoverishment for elderly individuals by guaranteeing some measure of asset protection
46. Partnership Program long-term care policies offer three asset protection models. Dollar-for-Dollar, Total Asset Protection, and what else?
Indemnity Model
Partner Model
Deductible Model
Hybrid Model
47. Partnership policies have specific______ requirements under the Deficit Reduction Act of 2005:
Discrimination
Age
Inflation Protection
Height
48. Under Medicare,what must have occurred for the same or related condition in order to receive
Medicare’s skilled care benefits?
Hospitalization
Medical Condition
Referral
Depletion of Benefits
49. In Florida, The Agency for Health Care Administration, in consultation with the Office of Insurance Regulation and the____ is directed to establish
a qualified state Long-Term Care Insurance Partnership Program.
Division of Funeral, Cemetery, and Consumer Services
Division of Investigative & Forensic Services
Department of Insurance
Department of Children and Families
50. LTC Medicaid recipients are limited to no more than how much in assets?
$30,000
$10,000
$3,000
$50,000
51. Which is not an unfair claim practices defined under the NAIC?
Failing to adopt and implement reasonable standards for the prompt investigation and settlement of claims
Not attempting in good faith to settle claims promptly, fairly, and equitably when it is reasonably clear the insurer is liable to pay such claims
Representing to claimants or insureds relevant
facts or policy provisions that relate to the coverages at issue
Failing to provide forms necessary to present claims within 15 calendar days of a request for such forms
52. Which is a non-countable asset to Medicaid?
Burial plot
IRAs and other retirement investments
Nonresident property
Certificates of deposit and money market accounts
53. It is often possible to obtain both nursing home benefits and home care benefits in the same policy.
In such a case, home care is typically covered at what percentage of the nursing home rate?
100 percent
75 percent
50 percent
25 percent
54. _____ is when all of used benefits renew after a specific length of time and under specific
circumstances. During this period of time, the policyholder must be claim free.
Business Output Policy
Restoration of Policy Benefits
Motor Truck Policy
Non Standard Policy
55. Citizens who elect to enroll in Original Medicare may augment their coverage with:
Old Age Supplement Insurance
Disability Supplement Insurance
Medicaid Supplement Insurance
Medicare Supplement Insurance
56. What is the average age of the long-term care insurance policyholder at the time of purchase?
63
83
30
47
57. Part D of Medicare covers what?
Hospital Insurance
Prescription Drugs
Medical Insurance
Long-Term-Care Insurance
58. What is the daily benefit called that will be paid by the insurer if confinement in a nursing home occurs?
Inclusion amount
Daily benefit amount
Dollar-for-Dollar
Personal property amount
59. The foundation for the Medicaid program, created by Roosevelt in 1935, was called?
Medical Assistance (MA)
Old Age Assistance (OAA)
Social Assistance (SA)
Long Term Assistance (LTA)
60. There are two main kinds of Advance Directives: the Living Will and what else?
Durable Power of Attorney for Health Care
Non-Living Will
Health Directive
Administrative Will