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Test your basic knowledge |
CA Life Agent Exam
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Subject
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certifications
Instructions:
Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Dividends
Concealment exceptions
Cash value
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
2. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Time Limit on Certain Defenses provision
Considerations in replacing Health insurance
Medicare Part A & B "Gaps"
Insurer (as defined by CIC)
3. Death benefit determined by Insured's projected lost earnings potential.
Human Life Value approach
Tax implications of an Annuity (1 of 2)
Tax implications of Disability policy
Medicare
4. Same as WL but can be "paid-up" early by paying larger premium for shorter payment period (i.e. 10 Pay Life - 20 Pay Life).
Annuity surrender charges
Limited Pay Whole Life policy
Employee Retirement Income Security Act (ERISA)
Proof of Loss provision
5. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Premium modes
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Grace Period provision
Medicare Part A (aka Hospital Insurance or HI)
6. Federal program financed by payroll taxes provided equally by both employer & employee OR entirely by individual (if self-employed). Provides benefits for: Medicare @ age 65+; retirement; $255 lump sum death benefit; (limited) disability; survivors;
Considerations in replacing Health insurance
Insuring clause/provision (aka Insuring Agreement)
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Common Disability Exclusions
7. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Disability Income policy
Insurance contract characteristics (1 of 2)
Recurrent disability clause/provision
Errors & Omissions (E&O)
8. Expands individual WL policy to include Term Life for dependents (spouse - children - etc.).
Medicare Part A & B "Gaps"
Family or Dependents rider
Annuity
Tax implications of Disability policy
9. 'The inability to perform your OWN normal occupation or daily duties'.
Equity Index Whole Life policy
Basic Medical plan
Types of Accident & Health insurance
Total disability (as commonly defined)
10. Private sector (Commercial) - provides LA&H - P&C - & LTC; Public sector (Gov't) - provides flood - work. comp. - Medicare/Medicaid - Group Life (SGLI/FEGLI).
Fraud
Types of Insurers (by sector)
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Tax implications of an Annuity (1 of 2)
11. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Modified Endowment Contract (MEC)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Considerations in replacing Health insurance
Juvenile Life (aka Jumping Juvenile) policy
12. 'The inability to perform ANY gainful occupation'.
Tax implications of medical plans
Total disability (any-occupational definition)
Graded Premium Whole Life policy
Palliative vs. Curative care
13. If Insured & primary beneficiary die due to same act (w/in 14 days) - primary assumed 1st to die & contingent beneficiary paid death benefit.
Insurable interest
Common Disaster (Simultaneous Death Act) clause/provision
Accidental Death (aka Multiple Indemnity) rider
Risk management
14. War - 2 types; Suicide (1st 2 yrs.); Aviation (non-commercial); Hazardous hobbies; Criminal acts; Alcohol/Drug influenced.
Occupational Disability policy
Elimination (aka Waiting) period
Impairment (Exclusion) rider
Common Life Exclusions
15. Provides for continued operation of business if partner dies - by allowing surviving partner(s) to buy deceased partner's interest in business.
Business Continuation (aka Buy-Sell) policy
Spendthrift provision
Endowment Life policy
Types of Insurers (by ownership)
16. Provides for continued operation of business if partner becomes disabled - by allowing other partner(s) to buy disabled partner's interest in business.
Business Continuation (aka Buy-Sell) Disability policy
Insurable interest
CA Work. Comp. Statutes
Annuity Classifications (5 of 5): # of lives
17. Compensates business for loss due to disability of key employee; premiums not deductible but benefits tax-free.
Relation of Earnings to Insurance provision
Loss of Earnings Test
Key Employee Disability policy
COBRA Time Limitations
18. Provides benefit during Social Security "black-out" period - up to 1 yr.
Social Security Benefit (Supplement) rider
Doctrine of Comity
Long Term Care (LTC) policy
Trial Application (aka Request for Offer)
19. 1: Tax-free lump sum; 2: Monthly pay-outs for fixed time; 3: Fixed monthly payments until depleted.
Parole Pardon Rule
Settlement options for Life policy (1 of 2)
Medicare Part C (aka Medicare Advantage)
Non-Occupational Disability policy
20. Coverage for catastrophic loss w/ high limits - front end deductible; co-insurance (80/20%); blanket coverage; stop loss max.
Graded Premium Whole Life policy
Concealment
Major Medical plan
Types of Insurers (by ownership)
21. Actual/Expressed - written powers; Implied - unwritten but customary practices; Apparent - perceived powers.
Types of Agency Authority
Annuity Classifications (5 of 5): # of lives
Total disability (more restrictive definition)
Impairment (Exclusion) rider
22. Refund of 50-80% of premium (minus claims paid) every 5-10 yrs. OR age 65; expensive!
Law of Large Numbers
Return of Premium rider
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Waiver of Premium provision
23. Covers entire family w/ WL for breadwinner & (convertible) Level Term for spouse & children (until certain age).
Family policy
Exclusions to Work. Comp.
Key Employee policy
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
24. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Needs approach (most common)
Types of hazards
Relation of Earnings to Insurance provision
Types of Renewability provisions
25. Accumulation or "pay-in" - contributions & interest earned are tax-deferred; Annuity or "pay-out" - monthly annuity (taxable) paid.
Annuity Classifications (1 of 5): How premium is paid
Waiver of Premium provision
Phases of an annuity
Applicant Representations vs. Warranties
26. Temp. coverage for set duration w/ death benefit ONLY (no cash value) - offers largest $ for lowest premium; renewable; convertible.
Permanent vs. Temporary disability
Term Life policy
Automatic Premium Loan (APL) provision
Misstatement of Age/Sex provision
27. Provides medical & personal services for people needing extended assistance w/ Activities of Daily Living (ADL). Other benefits include: assisted living care; respite care; hospice care; adult day care.
Guaranteed Insurability Life rider
Incontestability clause/provision
Requirements to sell variable life products
Long Term Care (LTC) policy
28. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Payor (aka Waiver of Payor's Premium) rider
Types of Accident & Health (A&H) providers
Major Medical plan
Estoppel
29. Pre-existing illness/injury; Waiting period; Elimination period; Probationary period; Benefits - Exclusions - Limitations; Underwriting reqs.
Annuity
Considerations in replacing Health insurance
Tax implications of Dividends - Loans & Interest
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
30. Provides hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay.
Types of Accident & Health (A&H) providers
Medicare Part A (aka Hospital Insurance or HI)
Annuity Classifications (1 of 5): How premium is paid
Current Assumption (aka Interest-Sensitive) Whole Life policy
31. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Proof of Loss provision
Joint Life (aka "First to die") policy
Doctrine of Comity
Loss of Earnings Test
32. Same as WL but cash value put in investment vehicles chosen by policy owner (stocks - bonds - munis.); cash value NOT guaranteed.
Insurable interest
Occupational Disability policy
Tax implications of Dividends - Loans & Interest
Variable Life policy (1 of 2)
33. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Modified Endowment Contract (MEC)
Accidental Death & Dismemberment (AD&D) Life policy
Applicant Representations vs. Warranties
Variable Life policy (2 of 2)
34. Disability income is based on "earned income" (salary - bonus - commission) - not unearned income (interest - investment - rents).
Loss of Earnings Test
Premium modes
Accidental Death & Dismemberment (AD&D) Disability rider
Basic Medical plan
35. Process whereby a reinsurer reinsures w/ another reinsurer.
Medicare
Guaranteed Insurability Life rider
Retrocession
Point of Service plan
36. Prepaid med. benefits for members w/ approved primary care M.D. (independent); low co-pay; non-PPO M.D. can be used at higher cost.
Term Life policy
Binding receipt (aka Temporary Insurance Agreement)
Preferred Provider Organization (PPO)
Current Assumption (aka Interest-Sensitive) Whole Life policy
37. Mandatory 100% employer-funded coverage for injuries/illnesses occurring "on" job; full-time employees only; exclusive remedy. Provides: 1: unlimited medical benefit; 2: survivor income replacement & funeral ($5 -000 max.); 3: disability benefit @ 66
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38. Unintentional - up to $1 -000 + legal $; Intentional - $1 -000-5 -000 + legal $; If harmful - misdemeanor + up to 1 yr. prison + up to $10 -000.
Incontestability clause/provision
Penalties for violating AIDS/HIV privacy laws
Elimination (aka Waiting) period
Dividends
39. Allows for use of HMO/PPO or other private carrier to provide expanded benefits @ additional premium & if enrolled in BOTH Parts A & B.
Medicare Part C (aka Medicare Advantage)
Concealment exceptions
Types of Insurers (by sector)
Split Dollar Plan
40. Written contract that provides INCOME @ high interest rate for fixed period OR for annuitant's lifetime w/ possible death benefit.
Loss exposure
Grace Period provision
Annuity
Beneficiary provisions
41. Federal law allows employees/their dependents to continue group benefits w/in 60 days after termination (if employer has 20+ employees); Insured pays premium @ 102% of group cost.
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Whole (aka Permanent or Straight) Life policy
Types of Medical Plans
Revocable vs. Irrevocable beneficiary
42. 1: Single (lump sum) premium; 2: Periodic premiums - can be level (fixed $) OR flexible from mth. to mth. (w/ req. min.)
Rescission
Annuity Classifications (1 of 5): How premium is paid
Medicare Part A (aka Hospital Insurance or HI)
Earned vs. Unearned premium
43. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Policy delivery
Single Pay Whole Life policy
Insurability Type Conditional receipt
Survivorship (aka "Last to die") policy
44. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Indemnify
Medicare Part A (aka Hospital Insurance or HI)
Pure risk vs. Speculative risk
Loss of Earnings Test
45. Dependent children are covered until 19 or 23 (full-time student only) or until self-sufficient (if handicapped).
Dependent coverage
Dividends
Non-forfeiture options for WL policy
Common Accident provision
46. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Equity Index Whole Life policy
Social Security Benefit (Supplement) rider
Considerations in replacing Health insurance
Age Discrimination in Employment Act (ADEA)
47. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Binding receipt (aka Temporary Insurance Agreement)
Payment of Premium provision
Employer Liability
Current Assumption (aka Interest-Sensitive) Whole Life policy
48. 1: Fixed - guaranteed fixed monthly income & fixed interest rate; 2: Variable - unguaranteed; monthly income varies based on stocks/bond returns.
Market Value Adjusted (aka Modified Guaranteed) annuity
Term Life policy
Legal Action provision
Annuity Classifications (3 of 5): Source of income
49. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Penalties for violating AIDS/HIV privacy laws
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Point of Service plan
Employer Liability
50. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Accidental Death & Dismemberment (AD&D) Disability rider
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Graded Premium Whole Life policy
Types of Insurers (by authorization)
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