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California Department of Insurance CA-Life-Accident-and-Health Practice Q&A's

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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

SectionObjectives
Accident and Health Insurance- Policy Provisions
  • 1. Eligibility and Renewability
  • 2. Managed Care Plans
  • 3. Coordination of Benefits
  • 4. Claims Procedures
- Health Insurance Policies
  • 1. Disability Income Insurance
  • 2. Long-Term Care Insurance
  • 3. Medicare and Medicaid
  • 4. Medical Expense Plans
Basic Insurance Concepts and Principles- Insurance Fundamentals
  • 1. Indemnity
  • 2. Utmost Good Faith
  • 3. Insurable Interest
  • 4. Risk Management
California Insurance Laws and Regulations- State Regulatory Framework
  • 1. California Insurance Code
  • 2. Producer Responsibilities
  • 3. Licensing Requirements
  • 4. Consumer Protection Regulations
Ethics and Professional Conduct- Agent Responsibilities
  • 1. Privacy and Confidentiality
  • 2. Ethical Sales Practices
  • 3. Unfair Trade Practices
  • 4. Replacement Regulations
Life Insurance- Policy Provisions and Riders
  • 1. Policy Loans
  • 2. Beneficiary Designations
  • 3. Nonforfeiture Options
  • 4. Settlement Options
- Life Insurance Policies
  • 1. Variable Life Insurance
  • 2. Term Life Insurance
  • 3. Universal Life Insurance
  • 4. Whole Life Insurance

California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

Question 1

Which program is designed to provide medical assistance to people with low incomes?

A. Social Security.
B. Medicare.
C. Medical.
D. Workers' Compensation.


Question 2

A situation in which there is a possibility of a loss or a gain is a

A. particular risk.
B. speculative risk.
C. fundamental risk.
D. pure risk.


Question 3

Which nonforferture option uses cash surrender values to select paid-up term insurance for the full face amount of the policy?

A. Reduced paid-up insurance.
B. Extended term insurance.
C. Extended paid-up insurance.
D. Reduced term insurance.


Question 4

Who submits Medicare Part A claims?

A. Hospitals
B. Patients
C. Pharmacies
D. Physicians


Question 5

In the absence of a coordination of benefits clause, all of the following circumstances might result in recovery of more than 100% of actual health care expenses EXCEPT

A. a worker's group medical plan includes a carryover deductible provision.
B. an executive has additional coverage through an association policy.
C. a person working for two employers has insurance through both.
D. spouses are both employed and eligible for group medical benefits.


Solutions:

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

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