EXAMFX Study Guide 2026
Everything you need to pass the EXAMFX exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 EXAMFX Exam Format at a Glance
📚 EXAMFX Topics to Study (69)
✍️ Sample EXAMFX Questions & Answers
1. A 'gatekeeper' in a managed care plan refers to:
In HMO-style plans, the primary care physician acts as a gatekeeper, coordinating care and providing referrals before the member sees a specialist.
2. A real estate developer is sued for discrimination in the rental of units. The claimant alleges the developer violated fair housing laws. Under Coverage B of the CGL, is this covered?
Coverage B covers only specifically listed offenses (e.g., libel, slander, false arrest), and housing discrimination is not an enumerated offense in the standard ISO CGL form.
3. Under personal auto policy physical damage coverage, 'comprehensive' coverage would pay for which of the following losses?
Hitting an animal is considered a comprehensive (other-than-collision) loss, not a collision loss.
4. An insurer that charges different premiums to insureds with the same expected loss costs is guilty of:
Unfair discrimination occurs when an insurer charges different premiums to insureds who present the same risk without actuarial justification, which is prohibited by state insurance regulations.
5. Which underwriting source provides information directly from the applicant's own physician?
An APS is a statement from the applicant's treating physician providing details about diagnoses, treatments, and prognosis.
6. What is a pre-existing condition in the context of health insurance?
A pre-existing condition is any medical condition diagnosed or treated before the health insurance policy started. The Affordable Care Act prohibits insurers from denying coverage or charging higher premiums due to pre-existing conditions.
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