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California Insurance Exam Q&A: Life, Accident, and Health, Exams of Insurance law

A series of questions and answers related to california life, accident, and health insurance. It covers a wide range of topics, including policy types, underwriting, claims settlement practices, and relevant regulations. The questions address key concepts such as adverse selection, fiduciary responsibilities, morbidity, and the law of large numbers. Additionally, the material explores various insurance products like medicare, ppos, and different types of life insurance policies, providing a comprehensive overview suitable for exam preparation or general knowledge enhancement. It also touches on ethical considerations and legal requirements within the insurance industry, making it a valuable resource for those studying for insurance licensing or seeking to understand insurance principles in california. Designed to test and reinforce understanding of insurance concepts and practices.

Typology: Exams

2024/2025

Available from 05/15/2025

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California Life, Accident,and Health
Insurance Final Exam Questions with
correct answers
What |is |considered |the |most |common |type |of |specified |disease |insurance |policy?
Cancer
Minimum |participation |standards |exist |for |a |group |health |insurance |plans |in |order |to
Prevent |Adverse |Selection
How |does |underwriting |differ |between |group |life |and |individual |life |insurance?
Medical |questions |must |be |answered |on |individual |life |insurance
when |handling |premiums |for |an |insured |an |agent |is |acting |in |which |capacity?
Fiduciary
what |is |the |term |used |to |describe |the |frequency |and |severity |of |certain |illnesses
|and |accidents?
Morbidity
Which |of |the |following |describes |the |statement |"The |more |times |an |event |is
|repeated, |the |more |predictable |the |outcome |becomes"?
Law |of |large |numbers
In |order |to |be |considered |"currently |insured" |under |Social |Security, |an |individual
|must |be |credited |with?
6 |quarters |of |coverage |during |the |last |13-quarter |period
How |long |must |a |policy |be |in |force |before |an |insurer |is |prohibited |from |denying
|claims |based |on |misstatements |made |on |the |health |policy |application?
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California Life, Accident,and Health

Insurance Final Exam Questions with

correct answers

What |is |considered |the |most |common |type |of |specified |disease |insurance |policy? Cancer Minimum |participation |standards |exist |for |a |group |health |insurance |plans |in |order |to Prevent |Adverse |Selection How |does |underwriting |differ |between |group |life |and |individual |life |insurance? Medical |questions |must |be |answered |on |individual |life |insurance when |handling |premiums |for |an |insured |an |agent |is |acting |in |which |capacity? Fiduciary what |is |the |term |used |to |describe |the |frequency |and |severity |of |certain |illnesses |and |accidents? Morbidity Which |of |the |following |describes |the |statement |"The |more |times |an |event |is |repeated, |the |more |predictable |the |outcome |becomes"? Law |of |large |numbers In |order |to |be |considered |"currently |insured" |under |Social |Security, |an |individual |must |be |credited |with? 6 |quarters |of |coverage |during |the |last | 13 - quarter |period How |long |must |a |policy |be |in |force |before |an |insurer |is |prohibited |from |denying |claims |based |on |misstatements |made |on |the |health |policy |application?

2 |Years Which |of |the |following |does |the |California |Insurance |Code |NOT |require |an |insurance |policy |to |specify? Insurer's |financial |rating Which |of |the |following |is |NOT |required |in |the |content |of |a |policy? Probability |of |loss Which |of |the |following |pieces |of |information |is |NOT |gathered |during |the |personal |financial |planning |process? An |individual's |civic |organization |memberships Which |of |the |following |is |not |considered |to |be |an |unfair |claims |settlement |practice? Advising |a |claimant |to |hire |an |attorney When |an |applicant |applies |for |insurance, |the |process |by |which |the |insurer |determines |whether |to |issue |a |policy |is |called? Underwriting How |is |a |Medicare |claim |submitted? Expenses |are |submitted |to |Medicare |by |the |health |provider According |to |the |PPACA, |the |medical |enrollment |tier |that |has |80% |actuarial |value |is |called: Gold Employer |contributions |to |qualified |plans |are Tax-deductible |by |the |employer Employee |participation |in |a |noncontributory |group |life |plan |must |be

Mutual |Insurer Medicare |Part |B |Covers? Physician |Expenses Which |of |these |is |NOT |a |relevant |factor |in |the |health |insurance |principle |of |morbidity? Intelligence Which |of |these |factors |do |not |affect |the |rates |of |medical |insurance? Race Which |of |the |following |types |of |life |insurance |is |normally |associated |with |a |mortgage |loan? Decreasing |term which |of |the |following |is |not |included |in |comprehensive |major |medical |plans? First-Dollar |Coverage Moral |hazard |is |described |as |the Increased |chance |of |a |loss |because |of |an |insured's |dishonest |tendencies Which |principle |is |accurately |described |with |the |statement |"Insureds |are |entitled |to |recover |an |amount |NOT |greater |than |the |amount |of |their |loss"? Indemnity What |time |period |allows |an |insured's |life |insurance |policy |to |remain |in |force |even |if |the |premium |was |not |paid |on |the |due |date? Grace |Period

How |long |must |life |agents |keep |their |transaction |records? 5 |Years

1729.2 |of |the |California |insurance |code |could |subject |a |license |or |applicant |to? All |of |these Why |is |a |life |insurance |policy's |delivery |date |important? The |free-look |period |begins |on |the |policy |delivery |date The |Human |Life |Value |concept |is |based |on? Income Which |of |the |following |is |a |characteristic |of |the |disability |elimination |period? Benefits |are |not |payable In |California, |the |elderly |can |receive |information |about |health |related |issues |from? The |Health |Insurance |Counseling |and |Advocacy |Program |(HiCAP)" In |what |situation |does |a |waiver |of |premium |provision |keep |a |health |insurance |policy |in |force |without |premium |payments? When |an |insured |becomes |totally |disabled At |age |65, |which |of |the |following |is |available |at |no |cost |to |all |individuals? Medicare |Part |A which |of |these |statements |correctly |describes |risk? Pure |risk |is |the |only |insurable |risk non-deductible |contributions |are |typically |associated |with |a? Roth |IRA Which |type |of |worker |has |Social |Security |benefits |available |to |them?

Fully |insured Which |of |the |following |describes |the |number |of |deaths |in |a |year |compared |to |the |number |of |people |in |a |select |group?

How |are |acts |of |war |and |aviation |treated |under |a |group |life |insurance |policy? Policy |Exclusion A|creditor |would |be |allowed |rights |to |life |insurance |policy |proceeds |if |which |of |the |following |beneficiaries |is |chosen? The |insured's |estate. According |to |section |1729.2 |of |the |California |Insurance |Code, |which |of |these |does |NOT |qualify |as |"background |information"? Misdemeanor |charges |filed, |not |resulting |in |a |conviction The |California |Insurance |Code |allows |an |individual |how |many |days |to |cancel |a |life |policy |for |a |full-refund? Between | 10 |to | 30 |Days The |California |Insurance |Code |defines |"policy" |as |a(n)? Written |Contract According |to |the |California |code |governing |claim |settlement |practices, |which |of |the |following |is |NOT |considered |to |be |an |act |of |unfair |discrimination? Denial |of |a |claim |based |on |reckless |behavior Kimberly |is |an |employee |on |leave |under |the |Family |and |Medical |Leave |Act |(FMLA). |What |will |happen |to |her |group |health |coverage? She |continues |to |be |enrolled |during |the |leave Which |of |the |following |is |NOT |a |feature |of |equity-indexed |annuities? Offers |a |maximum |interest |rate |that |increases |annually A|terminated |employee |that |has |exercised |the |conversion |privilege |is |able |to

convert? Term |insurance |into |permanent |insurance

Which |policy |provision |protects |the |policyowner |from |unintentional |lapse |of |the |contract? Grace |period Under |the |misstatement |of |age |provision |in |a |health |insurance |policy, |what |can |a |company |do |if |it |discovers |that |an |insured |gave |a |wrong |age |at |the |time |of |application? Benefits |can |be |adjusted which |of |the |following |is |not |covered |by |the |family |and |medical |leave |act |(fmla)? Traveling |overseas |with |a |spouse An |insurer |enters |into |a |contract |with |a |third |party |to |insure |itself |against |losses |from |insurance |policies |it |issues. |What |is |this |agreement |called? Reinsurance What |does |a |Hospital |Confinement |indemnity |policy |pay |for? Pays |a |specified |daily |amount |while |the |insured |is |confined |to |a |hospital Allen |has |a |disability |income |policy |with |a |$2,500 |monthly |benefit |and |a |30-day |elimination |period. |He |is |unable |to |work | 90 |days |following |an |automobile |accident. |What |will |the |policy |pay? 90 |days |- | 30 |day |elimination |period |is | 60 |days |(2 |months). | 2 |months |X |$2,500/month |benefit |= |$5,000 |total |benefit |paid. Which |of |the |following |would |be |considered |an |activity |of |daily |living |under |a |long |term |care |policy? Bathing the |elimination |period |in |a |disability |income |policy |serves |the |same |purpose |as

a?

Equal |consideration |is |required |between |the |involved |parties Which |of |the |following |does |the |California |Department |of |Insurance |(CDI) |have |NO |jurisdiction |over? Medicare Which |provision |will |pay |a |portion |of |the |death |benefit |prior |to |the |insured's |death |due |to |a |serious |illness? Accelerated |death |benefit Under |the |California |Insurance |Code, |a |licensee's |license |number |must |be |printed |at |what |size |on |all |price |quotes, |business |cards, |and |printed |material? The |same |size |print |as |the |licensee's |phone |number, |fax |number |or |address How |are |Roth |IRA's |treated |for |tax |purposes? Non-deductible |contributions |and |tax-free |distributions An |insurance |company |entitled |to |transact |business |in |California |is |called |a(n)? Admitted |carrier Which |of |the |following |contracts |is |defined |as |"one |that |restores |an |injured |party |to |the |condition |that |was |present |before |the |loss"? Indemnity |Contract Which |word |implies |permissiveness |according |to |the |California |Insurance |Code? May Which |of |the |following |statements |do |NOT |apply |to |child |coverage |in |a |family |policy? Only |children |born |prior |to |policy's |issue |date |may |be |included

What |does |the |guaranteed |insurability |option |allow |an |insured |to |do?

Interest |Option What |is |the |proper |order |of |initial |life |insurance |premiums, |from |lowest |to |highest? Modified |premium, |ordinary |life, |single |premium Which |of |the |following |services |are |health |maintenance |organizations |(HMO's) |NOT |required |to |provide? Prescription |Drugs Life |insurance |creates |an |immediate |estate". |This |phrase |means? When |the |insured |dies, |a |death |benefit |is |paid. Which |statement |is |true |regarding |policy |dividends? A |Dividend |Option |is |selected |by |the |Insured |at |the |time |of |Policy |purchase Which |of |the |following |is |considered |to |be |a |situation |that |has |the |potential |for |loss? Loss |exposure A|person |who |asserts |a |right |of |recovery |under |an |insurance |policy |is |called? Claimant All |of |the |following |are |considered |characteristics |of |group |life |insurance |EXCEPT? Individual |policies An |annuitant |would |like |to |determine |the |current |value |of |her |annuity. |To |do |this, |she |multiplies |the |number |of |"accumulation |units" |she |owns |times |the |unit |value |of |the |"separate |account". |What |kind |of |annuity |BEST |matches |this |description? |Variable |Annuity

A|life |insurance |policy |where |the |insured |can |choose |where |the |cash |value |can |be |invested |is |called? Variable |Life In |a |Life |Insurance |Policy, |the |entire |contract |consists |of |the? Policy |and |Attached |Application When |a |mutual |insurer |becomes |a |stock |company, |the |process |is |called Demutualization In |California, |an |insurer |organized |under |the |state |laws |of |Oregon |is |called |a(n)? Foreign |Insurer All |of |the |these |are |examples |of |cost |sharing |in |a |health |insurance |policy |EXCEPT? Coordination Premiums |are |best |described |as? The |amount |an |insured |pays |per |unit |of |coverage which |of |the |following |is |not |typically |covered |under |vision |care |insurance? Eye |Surgery Which |of |the |following |terms |is |NOT |associated |with |a |Major |Medical |policy? Capitation All |of |these |statements |concerning |Medicare |are |true |EXCEPT? Long-term |care |is |covered |by |Medicare |Part |C Medicare |Part |A |covers |what |type |of |care?