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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionObjectives
Topic 1: Government Health Insurance Programs- Medicaid and Other Programs
  • 1. Medicaid eligibility and coverage
    - Medicare
    • 1. Medicare parts and eligibility
      • 2. Medicare supplement insurance
        Topic 2: Health Insurance Policy Provisions- Mandatory and Optional Provisions
        • 1. Policy requirements and clauses
          • 2. Renewability provisions
            - Claims and Benefits
            • 1. Claim procedures
              • 2. Benefit determination and payment
                Topic 3: Producer Duties and Ethics- Ethical Responsibilities
                • 1. Consumer protection requirements
                  • 2. Fiduciary responsibilities
                    - Sales Practices
                    • 1. Unfair trade practices
                      • 2. Advertising and marketing rules
                        Topic 4: Accident and Health Insurance Fundamentals- Disability Income Insurance
                        • 1. Disability definitions and benefits
                          • 2. Elimination periods and benefit periods
                            - Medical Expense Insurance
                            • 1. Major medical plans
                              • 2. Hospital, surgical, and physician expense coverage
                                - Types of Health Insurance Policies
                                • 1. Group health insurance
                                  • 2. Managed care plans
                                    • 3. Individual health insurance
                                      Topic 5: Insurance Basics- Risk Management and Insurance Concepts
                                      • 1. Types of risk and methods of handling risk
                                        • 2. Insurance principles and contract characteristics
                                          - Insurance Contracts
                                          • 1. Policy provisions, riders, and exclusions
                                            • 2. Contract elements
                                              Topic 6: General Insurance Regulation- Nevada Insurance Department and Regulatory Authority
                                              • 1. Insurance laws, rules, and regulations
                                                • 2. Commissioner of Insurance powers and duties
                                                  - Licensing Requirements and Responsibilities
                                                  • 1. Producer licensing requirements
                                                    • 2. Continuing education and license maintenance

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      1. Which of the following is permitted by a licensee?

                                                      A) Buying the client a nominal gift at Christmas
                                                      B) Altering the client ' s application information to lower the premium rate
                                                      C) Returning the commission to the client to ensure policy renewal
                                                      D) Lowering the premium by rebating the commission


                                                      2. A corporation purchases life insurance on a highly valuable executive and is named as owner, premium payer, and beneficiary. What is the primary purpose of this arrangement?

                                                      A) Viatical settlement insurance
                                                      B) Key person insurance
                                                      C) Credit life insurance
                                                      D) Family maintenance insurance


                                                      3. A Long-Term Care policy provides coverage for:

                                                      A) Medicare Supplement coverage
                                                      B) custodial care in a nursing home
                                                      C) medical expenses
                                                      D) hospital expenses


                                                      4. What is the minimum age requirement for a natural person applying for a resident Nevada producer license?

                                                      A) 25 years old
                                                      B) 18 years old
                                                      C) 21 years old
                                                      D) 16 years old


                                                      5. Which person is generally eligible to establish and contribute to a health savings account (HSA)?

                                                      A) A person enrolled in Medicare Part A
                                                      B) A person covered by a qualified high-deductible health plan and meeting other eligibility requirements
                                                      C) A person enrolled in any health plan with no deductible
                                                      D) A person claimed as another taxpayer's dependent


                                                      Solutions:

                                                      Question # 1
                                                      Answer: A
                                                      Question # 2
                                                      Answer: B
                                                      Question # 3
                                                      Answer: B
                                                      Question # 4
                                                      Answer: B
                                                      Question # 5
                                                      Answer: B

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