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Test your basic knowledge |
CA Life Agent Exam
Start Test
Study First
Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
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. Experience - rates impacted by actual prior claim experience of actual group; Community - identical rates used for entire community - regardless of experience.
Experience vs. Community rating in Group Health plan
Estoppel
Market Value Adjusted (aka Modified Guaranteed) annuity
Revocable vs. Irrevocable beneficiary
2. The state in which the contract is accepted or delivered is the state that possesses regulatory jurisdiction over Group plan.
Mortality vs. Morbidity tables
Total disability (any-occupational definition)
Doctrine of Comity
Tax implications of an Estate
3. Intentional OR unintentional failure to disclose material underwriting facts that should have been disclosed; grounds for policy rescission.
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Current Assumption (aka Interest-Sensitive) Whole Life policy
Concealment
Family Maintenance policy
4. Combination of Basic Medical & Major Medical in one policy; Basic pays 1st - then Major Medical w/ corridor deductible.
7 Pay Test
Types of Insurers (by sector)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Comprehensive Major Medical plan
5. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Pure risk vs. Speculative risk
Presumptive disability
Types of Accident & Health (A&H) providers
Life insurance policy
6. 1: parties to contract; 2: insured party or life; 3: insurable interest - if 3rd party; 4: risks insured against; 5: policy period (term); 6: premium & mode.
Valid life insurance contracts must identify...
Dread Disease policy
Indemnify
Comprehensive Major Medical plan
7. Waives premium upon disability of Insured until return to work; disability must persist for 90 days or longer; 1st 90 day premiums refunded after 90 days.
Long Term Care (LTC) policy
Dental Plan
Waiver of Premium provision
Premium modes
8. Employer w/ 25 or less employees must offer all eligible employees @ least 2 medical plan options where pre-existing conditions can't be excluded more than 1 yr.
Types of Insurers (by ownership)
Blue Cross/Blue Shield
Types of Medical Plans
Small Employer Medical Expense plan
9. Death benefits & premium automatically increase annually based on inflationary index (i.e. Consumer Price Index).
Business Overhead Expense (BOE) Disability policy
Annuity Classifications (2 of 5): When benefits begin
Indeterminate Premium Whole Life policy
Cost of Living Adjustment (COLA) Life rider
10. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Endowment Life policy
Return of Premium rider
Pure risk vs. Speculative risk
Viatical Settlement Provider (VSP)
11. Disability policy rider covering "the inability to perform some - but not all of your duties"; pays max. 50% of disability benefit for up to 6 mths.
Occupational Disability policy
Partial disability rider
Preferred Provider Organization (PPO)
Small Employer Medical Expense plan
12. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Recurrent disability clause/provision
Tax implications of an Annuity (1 of 2)
Elements to contract
Free Look provision
13. Excludes coverage for suicide during 1st 2 yrs. ONLY but - if it does - all premiums must be returned to beneficiary.
Concealment exceptions
Suicide clause/provision
Reinsurance
Workers' Compensation insurance
14. Govt. organization providing health care benefits for dependents of military personnel.
Automatic Premium Loan (APL) provision
Medical cost containment (aka Managed care)
CHAMPUS (aka TriCare)
Law of Large Numbers
15. Policyholders - Mutual (participating) co. - may pay dividends; Stockholders - Stock (non-participating) co. - no dividends.
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Dividend options
Workers' Compensation insurance
Types of Insurers (by ownership)
16. Actual/Expressed - written powers; Implied - unwritten but customary practices; Apparent - perceived powers.
Types of Agency Authority
Health Reimbursement Account (HRA)
Life insurance policy
Rescission
17. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Insurance contract characteristics (1 of 2)
Parole Pardon Rule
Types of Insurers (miscellaneous)
Loss of Earnings Test
18. Covers entire family w/ WL for breadwinner & (convertible) Level Term for spouse & children (until certain age).
Family policy
Change of Occupation provision
Equity Index Whole Life policy
Plans A-L of Medical Supplement or Medigap
19. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Recurrent disability clause/provision
Key Employee Disability policy
Accidental Death & Dismemberment (AD&D) Disability rider
Tax implications of an Estate
20. Federal law which allows health coverage portability when changing jobs - so long as previous coverage was in effect 63+ days; allows some tax deductibility for LTC.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Health Insurance Portability and Accountability Act (HIPAA)
Plans A-L of Medical Supplement or Medigap
Waiver of Premium (Waiver of Cost of Insurance) rider
21. Same as WL but cash value put in investment vehicles chosen by policy owner (stocks - bonds - munis.); cash value NOT guaranteed.
Variable Life policy (1 of 2)
Free Look provision
Underwriting risk categories
Policy delivery
22. Taxable income (unlike individual plans); can be either short-term - 13-52 wks. max. or long-term - longer than 52 wks.
Business Overhead Expense (BOE) Disability policy
Group Disability plan
Equity Index Whole Life policy
Modified Endowment Contract (MEC)
23. 1: Cash (tax-free); 2: Apply to future premiums; 3: Retained by Insurer @ interest; 4: Buy Paid-up WL policy add-ons; 5: Pay-up existing policy; 6: Buy 1-yr. Term policy.
Indeterminate Premium Whole Life policy
Tax implications of medical plans
Family Income policy
Dividend options
24. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Presumptive disability
Premium modes
Variable Life policy (2 of 2)
Requirements to sell variable life products
25. Level - fixed death benefit - premium fixed until renewal; Decreasing - death benefit decreases over term - premium fixed until renewal; Increasing - death benefit increases over term - premium fixed until renewal.
Types of Term Life policies
Annuity
Rate (as defined by CIC)
Proof of Loss provision
26. Physical - slippery floor; Moral - dishonest acts; Morale - carelessness or recklessness.
Legal Action provision
Business Continuation (aka Buy-Sell) Disability policy
Types of hazards
Automatic Premium Loan (APL) provision
27. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Concealment exceptions
Equity Index Whole Life policy
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
28. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Plans A-L of Medical Supplement or Medigap
Convertibility provision
Levels of Long Term Care provided
Insurer (as defined by CIC)
29. Prohibited w/ regard to testing for people of same class; test results must remain confidential; coverage may be declined (once discovered).
Employer-Administered plan
Blue Cross/Blue Shield
Common Disability Exclusions
AIDS/HIV discrimination
30. Business continuation funding plan whereby each partner agrees to buy Life policies on each other - but not themselves.
Medical Savings Account (MSA) & Health Savings Account (HSA)
Levels of Long Term Care provided
Cross Purchase Plan
Exclusions to Work. Comp.
31. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Medicaid/Medi-Cal
Payment of Premium provision
Doctrine of Comity
Dental Plan
32. Fixed premium w/ guaranteed min. death benefit that may increase due to higher than expected investment returns.
Legal Action provision
Joint Life (aka "First to die") policy
Total disability (as commonly defined)
Variable Life policy (2 of 2)
33. 1: Individual; 2: Joint - multiple annuitants paid until 1st dies; 3: Joint & Survivor - multiple annuitants paid until 1st dies THEN survivors paid but @ reduced $.
Waiver of Premium provision
Elements to contract
Underwriting risk categories
Annuity Classifications (5 of 5): # of lives
34. Price of insurance per exposure unit.
Common Disaster (Simultaneous Death Act) clause/provision
Endowment Life policy
Rate (as defined by CIC)
Exclusions for Major Medical plan
35. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
24 Hour Coverage (CA)
Applicant Representations vs. Warranties
Employee Retirement Income Security Act (ERISA)
Incontestability clause/provision
36. Coverage remains in effect for 31 days past premium due date; benefits paid during grace period would be deducted from sum.
Group Disability plan
Grace Period provision
Tax implications of Dividends - Loans & Interest
Types of Insurers (by authorization)
37. Time extension of benefits based on "qualifying" event. 18 mth. extension if laid off or fired; 36 mth. extension if death - divorce or child leaves home.
Annuity Classifications (1 of 5): How premium is paid
COBRA Time Limitations
Return of Cash Value rider
Types of Accident & Health insurance
38. Allows policy owner to w/draw set % of death benefit upon verification of terminal illness w/ expectancy 12-24 mths.; generally tax-free.
Settlement options for Life policy (1 of 2)
Key Employee Disability policy
Cost of Living Adjustment (COLA) Disability rider
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
39. Pays death benefit until age 100 or death; builds equity (cash value); may be transferred or sold; generally level premium.
Underwriting risk categories
Types of hazards
Automatic Premium Loan (APL) provision
Whole (aka Permanent or Straight) Life policy
40. 1: Immediate benefits rec'd w/in 30 days but premium must be paid by lump sum; 2: Deferred - usually until retirement.
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Rate (as defined by CIC)
Annuity Classifications (2 of 5): When benefits begin
Employee Retirement Income Security Act (ERISA)
41. Prepaid med. benefits for members ONLY w/ approved primary care M.D. (HMO employee); focus on preventative care; low co-pay.
Health Maintenance Organization (HMO)
Types of Medical Plans
Estoppel
Family Maintenance policy
42. Req. by CA statute & may provide workers coverage for action-over claims.
Joint Life (aka "First to die") policy
Levels of Long Term Care provided
Employer Liability
Relation of Earnings to Insurance provision
43. No coverage for injuries while: 1: @ voluntary social event; 2: self-inflicted (intentional); 3: under alcohol/drug influence; 4: committing criminal act; 5: aggressor in workplace fight; 6: participating in athletic event (non-pro. athletes) 7: par
Insurer (as defined by CIC)
Dental Plan
Trial Application (aka Request for Offer)
Exclusions to Work. Comp.
44. Compensates business for loss due to disability of key employee; premiums not deductible but benefits tax-free.
Considerations in replacing Health insurance
Approval Type Conditional receipt
Types of Medical Plans
Key Employee Disability policy
45. Conditional - coverage is conditional; Personal - parties are people; Good faith - honesty/integrity; Fiduciary - req's financial trust.
Business Continuation (aka Buy-Sell) policy
Insurance contract characteristics (2 of 2)
Common Life Exclusions
Survivorship (aka "Last to die") policy
46. If Insured & primary beneficiary die due to same act (w/in 14 days) - primary assumed 1st to die & contingent beneficiary paid death benefit.
Cost of Living Adjustment (COLA) Disability rider
Elements to contract
Common Disaster (Simultaneous Death Act) clause/provision
Retrocession
47. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Flexible Spending Account (FSA)
Variable Life policy (1 of 2)
Automatic Premium Loan (APL) provision
Modified Premium Whole Life policy
48. Expands individual WL policy to include Term Life for dependents (spouse - children - etc.).
Employee Retirement Income Security Act (ERISA)
Family or Dependents rider
Medical cost containment (aka Managed care)
Key Employee policy
49. Dividends are NOT taxable but interest is. Loan interest is NOT tax-deductible. Interest paid by Insurer on retained funds is taxable.
Settlement options for Life policy (1 of 2)
Insurance contract characteristics (1 of 2)
Insurer (as defined by CIC)
Tax implications of Dividends - Loans & Interest
50. 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;
Long Term Care (LTC) policy
Accidental Death & Dismemberment (AD&D) Disability rider
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Phases of an annuity