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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      1. In a variable annuity, who bears the investment risk associated with the separate-account investment performance?

                                                      A) The beneficiary
                                                      B) The insurer
                                                      C) The contract owner
                                                      D) The producer


                                                      2. Which rider allows a terminally ill insured to receive part of the death benefit while still alive, subject to the policy terms?

                                                      A) Accidental death rider
                                                      B) Accelerated death benefit rider
                                                      C) Payor benefit rider
                                                      D) Guaranteed insurability rider


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


                                                      4. Under a typical coordination-of-benefits rule, a child is covered under both parents' group health plans.
                                                      Which plan is generally primary when the parents are married and neither plan contains an exception?

                                                      A) The plan selected by the child each year
                                                      B) The plan with the highest deductible
                                                      C) The plan that began most recently
                                                      D) The plan of the parent whose birthday falls earlier in the calendar year


                                                      5. A whole life policyowner stops paying premiums and chooses to use the policy's cash value to purchase the same face amount of insurance for as long as that cash value will buy. Which nonforfeiture option was selected?

                                                      A) Reduced paid-up insurance
                                                      B) Cash surrender
                                                      C) Extended term insurance
                                                      D) Automatic premium loan


                                                      Solutions:

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

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