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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Nevada Statutes, Rules and Regulations~32%- Nevada Health-Specific Regulations
  • 1. Replacement and Free-Look Provisions
  • 2. Group and Credit Health Rules
  • 3. Advertising and Disclosure Rules
- General State Insurance Regulations
  • 1. Insurance Commissioner Authority
  • 2. Definitions and General Provisions
  • 3. Marketing Practices and Unfair Trade
  • 4. Agent Licensing Requirements
  • 5. Insurance Guaranty Associations
Topic 2: Accident and Health — General Knowledge~68%- Social Insurance / Government Plans
  • 1. Social Security Disability Benefits
  • 2. Medicare (Parts A, B, C, D)
  • 3. Medicaid
- Insurance Concepts and Underwriting
  • 1. Premiums and Renewal
  • 2. Application and Underwriting
  • 3. Insurance Basics and Risk
- Types of Health Insurance Policies
  • 1. Long-Term Care (LTC) Insurance
  • 2. Group Health Insurance
  • 3. Disability Income Insurance
  • 4. Accidental Death & Dismemberment
  • 5. Medicare Supplement Policies
  • 6. Medical Expense / Major Medical Insurance
  • 7. Limited Benefit Plans
- Policy Provisions, Clauses & Riders
  • 1. Common Riders
  • 2. Mandatory Uniform Provisions
  • 3. Other Provisions and Clauses
  • 4. Optional Provisions

Insurance Licensing NV Accident and Health Sample Questions:

1. Which of the following statements is generally CORRECT about a major medical policy?

A) It contains a 30-day Elimination period for losses due to sickness.
B) It provides benefits for in-hospital expenses only, subject to policy limits.
C) It contains more limitations than a Basic Hospital, Medical, or Surgical policy.
D) It provides benefits for reasonable and necessary medical expenses, subject to policy limits.


2. Which of the following persons is NOT required to be licensed by the Nevada Insurance Commissioner?

A) A salaried insurance company employee who performs clerical and administrative work
B) An adjuster's employee who assists in the investigation and settlement of insurance claims
C) A person who procures insurance for an insured
D) A salaried insurance agency clerk who also receives commissions on applications the clerk processes


3. Which of the following policies provides a specified income benefit when the insured person becomes unable to work because of illness or accident?

A) Temporary Income
B) Emergency Income
C) Supplemental Income
D) Disability Income


4. A producer receives a phone call from an insured who already has health insurance and now wants to buy an Accidental Death and Dismemberment (AD & D) policy. In this situation, the producer should take which of the following actions?

A) Fill out the application by phone interview with the prospect, and obtain the prospect ' s signature after the company approves the application.
B) Mail the application to the prospect and request that the prospect complete it, sign it, and return it to the insurance company.
C) Meet with the prospect, ask the prospect to complete the application, and have the prospect sign the application.
D) Answer the routine application questions, meet with the prospect to obtain any additional information, and have the prospect sign the application.


5. A life policy lapses because a premium was not paid. To reinstate the policy, the insurer will generally require all of the following EXCEPT:

A) Evidence of insurability
B) Payment of overdue premiums with interest
C) A new medical examination in every case
D) Reinstatement within the policy's permitted time limit


Solutions:

Question # 1
Answer: D
Question # 2
Answer: A
Question # 3
Answer: D
Question # 4
Answer: C
Question # 5
Answer: C

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