Mississippi Health Insurance Practice Exam Free - 2026

• A. 7 days
• B. 31 days
• C. 10 days
• D. 60 days

Correct answer: C. 10 days

Explanation: Mississippi's required grace period provision for accident and health policies is seven (7) days for weekly premium policies, ten (10) days for monthly premium policies, and thirty-one (31) days for all other policies. Because this policy is on a monthly mode, the grace period is 10 days; 7 days applies to weekly policies, 31 days to other modes, and 60 days is not a statutory grace period. See Miss. Code Ann. § 83-9-5(1)(c).

• A. 10 days
• B. 15 days
• C. 20 days
• D. 30 days

Correct answer: D. 30 days

Explanation: Mississippi's required provision states that written notice of claim must be given to the insurer within thirty (30) days after the occurrence or commencement of any loss covered by the policy, or as soon thereafter as is reasonably possible. Fifteen days is the period the insurer has to furnish claim forms; 20 days is the NAIC model figure, not Mississippi's; 10 days is not a statutory claim-notice period. See Miss. Code Ann. § 83-9-5(1)(e).

• A. The insurer cannot use the misstatement because more than two years have passed since the date of issue
• B. The insurer may void the policy because the misstatement was material
• C. The insurer may void the policy at any time within five years
• D. The insurer may only reduce benefits proportionally

Correct answer: A. The insurer cannot use the misstatement because more than two years have passed since the date of issue

Explanation: After two (2) years from the date of issue, no misstatements except fraudulent misstatements made in the application may be used to void the policy or deny a claim for loss incurred or disability commencing after that two-year period. Materiality does not extend the period, five years is not the Mississippi limit, and proportional reduction is the remedy for misstatement of age, not for other misstatements. See Miss. Code Ann. § 83-9-5(1)(b).

• A. Within 10 days of birth
• B. Within 31 days of birth
• C. Within 60 days of birth
• D. Within 90 days of birth

Correct answer: B. Within 31 days of birth

Explanation: Mississippi requires that children's health benefits be payable for a newly born child from the moment of birth, and notification of the birth must be furnished to the insurer within thirty-one (31) days after the date of birth for coverage to continue beyond that 31-day period. Ten, sixty and ninety days are not the statutory notice window. See Miss. Code Ann. § 83-9-33.

• A. A plan that reimburses any provider the member chooses on a fee-for-service basis
• B. A plan combining HMO and PPO features with a PCP who can refer out of network
• C. A plan that restricts coverage to network providers but does not require referrals
• D. A plan that combines a high deductible with a tax-favored health savings account

Correct answer: B. A plan combining HMO and PPO features with a PCP who can refer out of network

Explanation: A POS plan combines features of HMOs and PPOs. Members choose a primary care physician and need referrals for specialists, but can also go out-of-network for higher costs.

• A. Basic hospital, surgical, and medical coverage with low limits, first-dollar benefits, and no deductible
• B. Coverage that pays a scheduled cash benefit for each day the insured is confined to a hospital
• C. Comprehensive coverage for a wide range of healthcare expenses, subject to an out-of-pocket maximum
• D. Coverage limited to catastrophic illnesses such as cancer, stroke, or heart attack, paid as a lump sum

Correct answer: C. Comprehensive coverage for a wide range of healthcare expenses, subject to an out-of-pocket maximum

Explanation: Major medical provides broad coverage for hospitalization, surgery, physician services, and related care. An ACA-compliant plan may not place annual or lifetime dollar limits on essential health benefits, so the ceiling a student should associate with it is the annual out-of-pocket maximum rather than a benefit maximum. It is not the same as basic medical expense coverage, a hospital indemnity policy, or a limited dread-disease policy.

• A. An employer-owned account funded solely by the employer to reimburse medical costs
• B. An employer account whose unused balance is forfeited at the end of the plan year
• C. A savings account available to people enrolled in a PPO plan rather than an HDHP
• D. A tax-advantaged account for medical expenses, paired with an HDHP

Correct answer: D. A tax-advantaged account for medical expenses, paired with an HDHP

Explanation: An HSA is a tax-advantaged savings account for medical expenses available to individuals enrolled in a High Deductible Health Plan. Contributions are tax-deductible, growth is tax-free, and withdrawals for qualified medical expenses are tax-free.

• A. An employer-sponsored account for pre-tax medical expense savings with use-it-or-lose-it rules
• B. A portable, individually owned account whose unused balance rolls over from year to year
• C. An employer-funded reimbursement arrangement that employees cannot contribute to themselves
• D. An account for medical expenses that can be opened by someone enrolled in a high deductible health plan

Correct answer: A. An employer-sponsored account for pre-tax medical expense savings with use-it-or-lose-it rules

Explanation: An FSA is an employer-sponsored benefit that allows employees to set aside pre-tax dollars for medical expenses. Unlike HSAs, FSAs typically have 'use-it-or-lose-it' rules, though some carry-over is allowed.

• A. The period after issue during which sickness claims are not covered
• B. The waiting period before benefits begin after a covered event
• C. The period after a missed premium during which coverage stays in force
• D. The maximum length of time benefits are paid for a single disability

Correct answer: B. The waiting period before benefits begin after a covered event

Explanation: The elimination period (also called waiting period) is the time between when a covered event occurs (like disability) and when benefits begin. Longer elimination periods result in lower premiums.

• A. Rules requiring the insurer to be reimbursed by a third party who caused the loss
• B. Rules requiring an employer and employees to share the cost of group premiums
• C. Rules determining payment responsibility when the insured has multiple health plans
• D. Rules allowing the insurer to reduce benefits when the insured's earnings have changed

Correct answer: C. Rules determining payment responsibility when the insured has multiple health plans

Explanation: Coordination of benefits determines which insurance plan pays first (primary) and which pays second (secondary) when a person has coverage under more than one health plan, preventing duplicate payments.

• A. The time the insured must wait after a loss before benefits are paid
• B. The time after issue during which sickness is not covered
• C. The time after a premium due date during which coverage continues
• D. The time during which benefits are provided for a covered event

Correct answer: D. The time during which benefits are provided for a covered event

Explanation: The benefit period is the length of time during which benefits are provided for a covered event. For example, a hospital policy might have a 90-day benefit period per hospital stay.

• A. A policy the insurer must renew regardless of health changes
• B. A policy the insurer may cancel at any time by returning unearned premium
• C. A policy whose premium is locked in and cannot be raised by the insurer
• D. A policy the insurer may decline to renew for reasons stated in the contract

Correct answer: A. A policy the insurer must renew regardless of health changes

Explanation: A guaranteed renewable policy must be renewed by the insurer as long as premiums are paid, regardless of changes in the insured's health. However, the insurer may increase premiums for the entire class of policyholders.