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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      For which of the following losses would an insurance company MOST likely pay benefits under an Accidental Death and Dismemberment policy?

                                                      • A. Loss of life due to a heart attack
                                                      • B. Loss of the spleen due to an accidental injury
                                                      • C. Partial paralysis due to a stroke
                                                      • D. Loss of eyesight due to an accidental injury
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: D  🗳️

                                                      Explanation: Only visible for PassTestking members. You can sign-up / login (it's free).

                                                      Which of the following benefits are usually EXCLUDED or limited under a Long Term Care policy?

                                                      • A. Skilled nursing
                                                      • B. Home health care
                                                      • C. Addictive behavior rehabilitation
                                                      • D. Hospice care
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: C  🗳️

                                                      Explanation: Only visible for PassTestking members. You can sign-up / login (it's free).

                                                      The commission for the placement of nonadmitted insurance is paid by the insurer to the:

                                                      • A. policyholder
                                                      • B. surplus lines broker
                                                      • C. third-party claimant
                                                      • D. Division of Insurance
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: B  🗳️

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                                                      A doctor who is receiving Disability Income benefits is not able to return to work full-time but continues practicing on a part-time basis. Which of the following policy features would allow the doctor to continue receiving benefits?

                                                      • A. A Concurrent Benefit clause
                                                      • B. A Guaranteed Insurability rider
                                                      • C. A Residual Benefit clause
                                                      • D. A Contingent Benefit clause
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: C  🗳️

                                                      Explanation: Only visible for PassTestking members. You can sign-up / login (it's free).

                                                      Which of the following groups is NOT eligible to purchase blanket health insurance to cover its members for a specific event or activity?

                                                      • A. A newspaper corporation
                                                      • B. A volunteer fire department
                                                      • C. A family
                                                      • D. A church
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: C  🗳️

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