17 Free Louisiana Life & Health Practice Questions: Group Health, Seniors and Health Tax (2026)
How to Use This Set
Group Health Insurance is 9% of the Health and Accident or Sickness exam and 3% of the combined exam. Health Insurance for Senior Citizens and Special Needs Individuals is 14% and 7%, and Federal Tax Considerations for Health Insurance is 5% of the Health exam. This set covers group underwriting, COBRA, Medicare parts, long-term care, tax treatment and health savings and spending accounts.
Practice Questions 1-6: Group Plans, Medicare, Long-Term Care Inflation and COBRA
Eligibility, group underwriting, Medicare Part C and what COBRA involves.
Question 1 (Chapter 8)
Sarah has been employed by a local accounting firm for 45 days. The firm's group health policy includes a 90-day probation period for new hires. If Sarah suffers an injury today, what is the status of her coverage?
- A) She is covered because she has already started working.
- B) She is covered under a 'grace period' provision of the master contract.
- C) She is covered, but only for emergency room visits until the 90 days expire.
- D) She is not yet eligible for coverage as she has not completed the probation period.
Show answer & explanation
Answer: D
A probation period is a waiting period that new employees must serve before becoming eligible for group coverage. Since Sarah is only at 45 days of a 90-day requirement, she is not yet eligible.
Question 2 (Chapter 8)
An individual is enrolled in Medicare Part A and Part B. They are now seeking a plan that integrates their hospital, medical, and often prescription drug coverage into a single private insurance alternative. Which Medicare Part are they seeking?
- A) Part A
- B) Part B
- C) Part D
- D) Part C
Show answer & explanation
Answer: D
Medicare Part C (Medicare Advantage) allows beneficiaries to receive their Medicare benefits through a private health plan instead of the traditional government-run system.
Question 3 (Chapter 8)
A producer is explaining a Long-Term Care (LTC) policy to a client. The client is worried that inflation will make the daily benefit amount insufficient in 10 years. Which rider should the producer suggest?
- A) Cost of Living Adjustment (COLA) Rider
- B) Guaranteed Insurability Rider
- C) Waiver of Premium Rider
- D) Accidental Death Benefit Rider
Show answer & explanation
Answer: A
A Cost of Living Adjustment (COLA) rider increases the daily benefit amount over time to keep pace with inflation.
Question 4 (Chapter 8)
An employee is leaving their job and is offered COBRA coverage. The employer notifies them that they have a specific window of time to elect this coverage. What is the primary characteristic of COBRA premiums?
- A) The former employee pays the full premium plus a small administrative fee.
- B) The employer must continue to pay at least 50% of the premium.
- C) The premium is subsidized by the state.
- D) The premium is free for the first 6 months.
Show answer & explanation
Answer: A
COBRA requires the former employee to pay the full premium (both the employee and employer portions) plus a small administrative fee.
Question 5 (Chapter 8)
An employer wants to set up a group health plan for its employees. The insurance company agrees to cover the group without requiring individual medical exams. This process is known as:
- A) Group Underwriting
- B) Individual Underwriting
- C) Adverse Selection
- D) Experience Rating
Show answer & explanation
Answer: A
In group insurance, underwriting is performed on the group as a whole (considering size, stability, and industry) rather than on each individual member.
Question 6 (Chapter 8)
A business owner pays the premiums for a group medical expense plan for their employees. How are the premiums and the benefits treated for federal tax purposes?
- A) Premiums are tax-deductible for the employer; benefits are generally tax-free to the employee.
- B) Premiums are taxable to the employee; benefits are tax-free.
- C) Both premiums and benefits are taxable as ordinary income.
- D) Premiums are tax-free; benefits are taxable as capital gains.
Show answer & explanation
Answer: A
For employer-sponsored group medical expense insurance, the employer can generally deduct the premiums, and the medical benefits received by the employee are typically tax-free.
Get the 25-question sample set by email
Want a full-exam practice set to study offline? Drop your email — we'll send 25 questions across every content area, each with the answer and explanation.
No spam. Just the questions and one optional follow-up.
Practice Questions 7-12: COBRA Premiums, Accounts, Exclusions and Business Disability Tax
HSA and FSA rules, a COBRA premium calculation, LTC exclusions and key person disability tax.
Question 7 (Chapter 8)
A Louisiana resident qualifies for COBRA continuation coverage after losing their job at a company with 25 employees. The employer's group health plan premium is $800 per month. What is the maximum premium the former employee can be charged for COBRA coverage?
- A) $800 per month (100% of the premium).
- B) $880 per month (110% of the premium).
- C) $816 per month (102% of the premium).
- D) $400 per month (50% of the premium, with the employer subsidizing the rest).
Show answer & explanation
Answer: C
Under federal COBRA, a qualified beneficiary may be charged up to 102% of the applicable premium (100% plus a 2% administrative fee), so $800 x 1.02 = $816. The rate may rise to 150% only for the additional months of a disability extension. A is incorrect because it omits the allowable 2% administrative charge. B is incorrect because 110% exceeds the standard 102% cap. D is incorrect because COBRA does not require employer subsidies; the former employee bears the full cost (plus admin fee).
Question 8 (Chapter 8)
A worker in Lafayette has a Health Savings Account (HSA) and a Flexible Spending Account (FSA). They decide to change employers. Which of the following statements is true regarding the portability of these accounts?
- A) Both the HSA and the FSA are fully portable to the new employer.
- B) Neither account is portable; both are forfeited upon termination.
- C) The HSA is portable and stays with the individual, while the FSA typically stays with the employer.
- D) The FSA is portable, but the HSA is 'use-it-or-lose-it'.
Show answer & explanation
Answer: C
HSAs are owned by the individual and are fully portable regardless of employment changes. FSAs are employer-sponsored and generally follow a 'use-it-or-lose-it' rule; they are not portable, though some plans offer a limited grace period or carryover for the current year.
Question 9 (Chapter 8)
A Long-Term Care policyholder in Alexandria is hospitalized after a self-inflicted injury. When they are moved to a custodial care facility for recovery, the insurer denies the claim. Which of the following is a standard LTC exclusion that justifies this denial?
- A) Alzheimer's Disease
- B) Organic cognitive disorders
- C) Senile dementia
- D) Intentionally self-inflicted injuries
Show answer & explanation
Answer: D
LTC policies typically exclude coverage for intentionally self-inflicted injuries, acts of war, and chemical dependency. However, they are generally prohibited from excluding Alzheimer's, senile dementia, or other organic cognitive disorders (A, B, C).
Question 10 (Chapter 8)
A retiree in Kenner wants to enroll in a plan that provides Medicare benefits through a private Managed Care Organization (HMO or PPO). This type of plan is known as:
- A) Medicare Part A
- B) Medicare Advantage
- C) Medicare Part B
- D) Medigap Plan A
Show answer & explanation
Answer: B
Medicare Part C, also known as Medicare Advantage, allows beneficiaries to receive their Medicare benefits through private insurance companies, often using HMO or PPO networks. It usually combines Part A, Part B, and often Part D coverage.
Question 11 (Chapter 8)
A corporation in Covington purchases a disability income policy on its CEO to protect the company's interests. The corporation pays the premiums and is the beneficiary. How are the premiums and benefits treated for tax purposes?
- A) Premiums are deductible; benefits are taxable.
- B) Premiums are not deductible; benefits are tax-free.
- C) Both premiums and benefits are deductible.
- D) The CEO must pay taxes on the premiums paid by the company.
Show answer & explanation
Answer: B
In 'Key Person' disability insurance, the premiums are not tax-deductible as a business expense. Consequently, the benefits received by the business are tax-free.
Question 12 (Chapter 8)
An employee in Crowley has $500 remaining in their Flexible Spending Account (FSA) at the end of the plan year. Their employer has adopted the maximum allowable carryover provision. What happens to that $500?
- A) It is paid out to the employee as a taxable bonus.
- B) It can be carried over to the next plan year.
- C) It is forfeited to the employer under the 'use-it-or-lose-it' rule.
- D) It must be transferred into an HSA.
Show answer & explanation
Answer: B
While FSAs are generally 'use-it-or-lose-it,' IRS rules allow employers to offer either a grace period of up to 2.5 months or a carryover of a limited, inflation-adjusted amount to the next plan year. Because this employer adopted the carryover, the $500 can be carried over.
Practice Questions 13-17: LTC Triggers, Care Levels, Buy-Sell Tax and HRAs
The last five test long-term care vocabulary, business disability tax and who funds an HRA.
Question 13 (Chapter 8)
An applicant in Metairie is applying for a Long-Term Care (LTC) policy. The producer explains that benefits are triggered when the insured cannot perform Activities of Daily Living (ADLs). Which of the following is typically considered a 'trigger' for LTC benefits?
- A) Inability to perform at least one ADL
- B) Cognitive impairment requiring substantial supervision
- C) Inability to drive a motor vehicle
- D) Total disability as defined by Social Security
Show answer & explanation
Answer: B
LTC benefits are triggered by either the inability to perform a specific number of ADLs (usually two or more) or by cognitive impairment (such as Alzheimer's) that requires supervision for safety. Driving (C) is not a standard ADL. Social Security disability (D) is a different standard entirely.
Question 14 (Chapter 8)
A Long-Term Care policyholder in Monroe receives 'Respite Care' benefits. What is the primary purpose of this type of care?
- A) To provide 24-hour skilled nursing care in a hospital setting.
- B) To provide physical therapy to help the insured return to work.
- C) To provide temporary relief for the insured's primary unpaid caregiver.
- D) To pay for the insured's funeral and final expenses.
Show answer & explanation
Answer: C
Respite care is designed to provide short-term relief for the primary caregiver (usually a family member) by bringing in a substitute or placing the insured in a facility for a few days.
Question 15 (Chapter 8)
Two partners in a Gretna engineering firm enter into a Disability Buy-Sell agreement. The firm purchases disability insurance on each partner to fund the buyout. How are the premiums and benefits treated for tax purposes?
- A) Premiums are not deductible; benefits are tax-free.
- B) Premiums are deductible; benefits are taxable.
- C) Premiums are deductible; benefits are tax-free.
- D) Premiums are not deductible; benefits are taxable.
Show answer & explanation
Answer: A
For Disability Buy-Sell and Key Person Disability insurance, the premiums paid by the business are not tax-deductible as a business expense. Consequently, the benefits received by the business are tax-free.
Question 16 (Chapter 8)
An insured in Opelousas requires 'Intermediate Care' under their LTC policy. How does this differ from 'Skilled Care'?
- A) Intermediate care is provided by unlicensed volunteers.
- B) Intermediate care only covers assistance with eating and dressing.
- C) Intermediate care is occasional nursing or rehabilitative care, rather than daily care.
- D) Intermediate care is only provided in the insured's home.
Show answer & explanation
Answer: C
Skilled care is daily nursing and rehabilitative care performed by medical professionals. Intermediate care is the same type of professional care but is required only occasionally (not daily).
Question 17 (Chapter 8)
A company in Houma offers a Health Reimbursement Account (HRA) to its employees. Who is allowed to contribute money to the HRA?
- A) The employee only
- B) The employer only
- C) Both the employer and the employee
- D) The federal government via tax credits
Show answer & explanation
Answer: B
HRAs are entirely employer-funded. Employees are not permitted to contribute to an HRA. This is a key difference between HRAs and HSAs or FSAs.
The Mistakes That Cost Marks
Charging the wrong COBRA amount. The cap is the premium plus a 2% administrative charge, not the premium plus 10%.
Mixing up HSAs, FSAs and HRAs. HSAs are portable; FSAs generally are not; HRAs are employer-funded only.
Reversing business disability tax rules. Key person and buy-sell premiums are not deductible, so benefits are tax-free; business overhead expense is the opposite.
Treating an LTC exclusion as a cognitive exception. Self-inflicted injuries are a standard exclusion; cognitive disorders generally may not be excluded.
Forgetting the probation period. A new hire in a waiting period is not yet eligible.
Your Next Step
Work through all 17 questions once untimed, then again timed, and keep a list of the ones you miss. Our free Louisiana practice question hub collects every topic set, and the course preview lets you hear a lesson before you commit.
If you want the format and weights first, read how many questions are on the exam.
Free: 25 Louisiana L&H practice questions
Liked this article? Get 25 exam-style questions emailed to you — with full answer explanations, no credit card. Closest thing to studying offline.
No spam. Just the questions and one optional follow-up.
Study this topic with LanePrep
Listen to these audio chapters on your commute — no screen required.
Related Articles
How to Pass the Louisiana Life, Health and Accident Insurance Exam on the First Try (2026)
10 min read
About $194 All-In: Louisiana Life & Health License Cost 2026
7 min read
25 Free Louisiana Life & Health Exam Practice Questions (2026)
25 min read
Is the Louisiana Life & Health Exam Hard? Pass Rates and Difficulty (2026)
4 min read
17 Free Louisiana Life & Health Practice Questions: Louisiana Regulation II (2026)
14 min read
17 Free Louisiana Life & Health Practice Questions: General Insurance Concepts (2026)
10 min read
17 Free Louisiana Life & Health Practice Questions: Application and Underwriting (2026)
10 min read