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Test your basic knowledge |
CA Life Agent Exam
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Subject
:
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. Voiding an insurance contract based on fraud - concealment or material misrepresentation; premiums returned; policy treated as never existing.
Beneficiary provisions
Rescission
Renewability provision
1035 Exchange
2. Covers entire family w/ WL for breadwinner & (convertible) Level Term for spouse & children (until certain age).
Notice of Claim provision
Occupational Disability policy
Family policy
Trusts
3. Req. by CA statute & may provide workers coverage for action-over claims.
Employer Liability
Beneficiary provisions
Family policy
Needs approach (most common)
4. Insurer has right to adjust (+ or -) death benefit if age or sex is misstated but normally doesn't void policy.
Survivorship (aka "Last to die") policy
Misstatement of Age/Sex provision
Types of reinsurance
Entire Contract provision
5. Temp. coverage for set duration w/ death benefit ONLY (no cash value) - offers largest $ for lowest premium; renewable; convertible.
Health Insurance Portability and Accountability Act (HIPAA)
Term Life policy
Preferred Provider Organization (PPO)
Needs approach (most common)
6. Periodic return of premium to policy owners from Mutual (Par) Companies; not guaranteed & not taxable as income; may be used in 6 ways.
Dividends
Residual disability rider
AIDS/HIV discrimination
Parole Pardon Rule
7. Palliative - treatment to manage pain; Curative - treatment to cure illness/condition.
Underwriting risk categories
Reinsurance
Palliative vs. Curative care
Revocable vs. Irrevocable beneficiary
8. Agents - represent Insurer; Brokers - represent themselves & Insured; Solicitors - represent one agent to solicit leads.
Family policy
Medical Savings Account (MSA) & Health Savings Account (HSA)
Insurability Type Conditional receipt
Types of Licensed Producers
9. Taxable income (unlike individual plans); can be either short-term - 13-52 wks. max. or long-term - longer than 52 wks.
Cost of Living Adjustment (COLA) Disability rider
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Spendthrift provision
Group Disability plan
10. Term Life policy w/ decreasing death benefit; usually used to secure credit (loan) w/ lender as beneficiary & borrower as Insured.
Grace Period provision
Credit Life policy
Split Dollar Plan
Exclusions to Work. Comp.
11. Unintentional - up to $1 -000 + legal $; Intentional - $1 -000-5 -000 + legal $; If harmful - misdemeanor + up to 1 yr. prison + up to $10 -000.
Factors that determine premium
Graded Premium Whole Life policy
Penalties for violating AIDS/HIV privacy laws
Risk management
12. Guaranteed min. interest rate on cash value buildup but possible higher rate if short-term investment returns higher than expected.
Beneficiary provisions
Non-forfeiture options for WL policy
Reinsurance
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
13. Domestic - within home state; Foreign - outside home state; Alien - outside home country.
Permanent vs. Temporary disability
Risk management
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Types of Insurers (by domicile)
14. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Business Overhead Expense (BOE) Disability policy
Residual disability rider
Types of Accident & Health (A&H) providers
Claim Form (aka Proof of Loss Form) provision
15. Mathematical law stating the larger # of occurrences - the more predictable the losses; used to calculate premiums.
Family Income policy
Civil Rights/Pregnancy Discrimination Act
Law of Large Numbers
Human Life Value approach
16. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Common Disaster (Simultaneous Death Act) clause/provision
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Key Employee policy
Estoppel
17. Mortality is the statistical possibility of death @ each age. Morbidity is the statistical possibility & extent of disability @ each age.
Mortality vs. Morbidity tables
Peril vs. Hazard
Accidental Death & Dismemberment (AD&D) Life policy
Plans A-L of Medical Supplement or Medigap
18. Written contract that provides INCOME @ high interest rate for fixed period OR for annuitant's lifetime w/ possible death benefit.
Annuity
Payor (aka Waiver of Payor's Premium) rider
Variable Life policy (1 of 2)
Elements to contract
19. 'The inability to perform your OWN normal occupation or daily duties'.
Human Life Value approach
Concealment
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Total disability (as commonly defined)
20. Fixed premium w/ guaranteed min. death benefit that may increase due to higher than expected investment returns.
Loss exposure
Retrocession
Variable Life policy (2 of 2)
Indemnify
21. Multiple small employers w/ common affiliation (trade assoc. OR Chamber of Commerce) band together to purchase group plan.
Common Life Exclusions
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Legal Action provision
Workers' Compensation insurance
22. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
AIDS/HIV discrimination
Types of Accident & Health (A&H) providers
Variable Universal Life policy
Medicare Part A & B "Gaps"
23. War/Military; Intentional self-inflicted; Aviation (non-commercial); Foreign country; Loss of professional license; Illegal activity; Mental disorders (after 1-2 yrs.).
Annuity
Endowment Life policy
Common Disability Exclusions
Variable Universal Life policy
24. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Partial disability rider
Elements to contract
Transplant/Cosmetic Surgery rider
24 Hour Coverage (CA)
25. Revocable - changeable anytime w/ Change of Beneficiary Form; Irrevocable - not changeable w/out beneficiary permission.
Revocable vs. Irrevocable beneficiary
Return of Premium rider
Types of Term Life policies
Loss of Earnings Test
26. Receipt whereby coverage incepts conditionally upon submission of full consideration and that all underwriting reqs. are met.
Insurability Type Conditional receipt
Doctrine of Comity
Family Income policy
Relation of Earnings to Insurance provision
27. Same as WL but w/ Level Term rider; upon death - pays monthly income for FULL term AFTER which pays full death benefit.
Accidental Death (aka Multiple Indemnity) rider
Dividends
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Family Maintenance policy
28. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Exclusions for Major Medical plan
Rescission
Joint Life (aka "First to die") policy
Employer-Administered plan
29. Preferred or Preferred Smoker; Standard or Standard Smoker; Substandard; Denied.
Exclusions to Work. Comp.
Underwriting risk categories
Preferred Provider Organization (PPO)
Health Maintenance Organization (HMO)
30. Mathematical calculation based on overall FICA contributions used to determine retirement/disability/survivorship benefit.
Workers' Compensation insurance
Endowment Life policy
Primary Insurance Amount (PIA)
Dental Plan
31. If 2 or more family members are injured in the same accident - only payment of a single deductible is required.
COBRA Time Limitations
Medicare Part C (aka Medicare Advantage)
Common Accident provision
Risk management
32. Upon death - death benefit is paid + the aggregate of premiums paid to date; add-on to Term policy ONLY.
Single Pay Whole Life policy
Return of Premium rider
Types of Insurers (by ownership)
Estoppel
33. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Accidental Death & Dismemberment (AD&D) Disability rider
Applicant Representations vs. Warranties
Credit Life policy
Legal Action provision
34. 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.
Rescission
Elements to contract
Small Employer Medical Expense plan
Medicare Part D
35. Conditional - coverage is conditional; Personal - parties are people; Good faith - honesty/integrity; Fiduciary - req's financial trust.
Dental Plan
Tax implications of medical plans
Insurance contract characteristics (2 of 2)
Renewability provision
36. Refund of 50-80% of premium (minus claims paid) every 5-10 yrs. OR age 65; expensive!
Return of Premium rider
Family policy
Types of Medical Plans
Dread Disease policy
37. Govt. organization providing health care benefits for dependents of military personnel.
Types of reinsurance
Trial Application (aka Request for Offer)
Medi-Cal Share Cost plan
CHAMPUS (aka TriCare)
38. Waives premium upon disability of Insured until return to work; disability must persist for 6 mths. or longer. Cash value & dividends not affected.
Insurance contract characteristics (1 of 2)
Waiver of Premium (Waiver of Cost of Insurance) rider
Health Maintenance Organization (HMO)
Total disability (as commonly defined)
39. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
Departments of an Insurer
Tax implications of medical plans
Insurability Type Conditional receipt
Pure risk vs. Speculative risk
40. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Convertibility provision
Types of hazards
Family Income policy
Family Maintenance policy
41. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Cash value
Equity Indexed annuity
Requirements to sell variable life products
Convertibility provision
42. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Non-Occupational Disability policy
Limited Pay Whole Life policy
Requirements to sell variable life products
Indemnify
43. Death benefit is NOT taxable. Cash value grows tax-deferred but cost basis (base premium) is not taxable - only interest is.
Single Pay Whole Life policy
Insuring clause/provision (aka Insuring Agreement)
Types of Licensed Producers
Tax implications of Death Benefit & Cash Value
44. Allows policy owner to w/draw set % of death benefit upon verification of terminal illness w/ expectancy 12-24 mths.; generally tax-free.
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Rescission
Retrocession
Modified Endowment Contract (MEC)
45. Same as WL but policy owner can adjust death benefit w/ corresponding premium adjustments; mostly obsolete.
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Types of Insurers (by authorization)
Change of Occupation provision
Adjustable Whole Life policy
46. Same as WL but premium low for 1st 5 yrs. - THEN has annual premium increases for set # yrs. - THEN level premium.
Renewability provision
Limited Pay Whole Life policy
Graded Premium Whole Life policy
Cost of Living Adjustment (COLA) Disability rider
47. 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.
Legal Action provision
Concealment exceptions
Common Disability Exclusions
COBRA Time Limitations
48. Excludes coverage for specific injury/illness either temporarily or permanently in order to eliminate pre-existing condition.
Impairment (Exclusion) rider
Survivorship (aka "Last to die") policy
Elements to contract
Medicaid/Medi-Cal
49. Provides usual & customary business expenses (rent - utilities - salaries - mortgage) if owner becomes disabled; premiums deductible - benefits taxable.
Elimination (aka Waiting) period
Business Overhead Expense (BOE) Disability policy
Market Value Adjusted (aka Modified Guaranteed) annuity
Free Look provision
50. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Dental Plan
Concealment
Partial disability rider
Premium modes
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