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CA Life Agent Exam
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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. 'The inability to perform ANY gainful occupation'.
Palliative vs. Curative care
Variable Life policy (1 of 2)
Adjustable Whole Life policy
Total disability (any-occupational definition)
2. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Beneficiary provisions
Medicare Part A & B "Gaps"
Human Life Value approach
Phases of an annuity
3. Provides professional services - rehabilitation - training/re-training & related costs to assist Insured in returning to work.
Suicide clause/provision
Rehabilitation rider
Business Overhead Expense (BOE) Disability policy
Types of hazards
4. Upon death - death benefit is paid + the aggregate of premiums paid to date; add-on to Term policy ONLY.
Return of Premium rider
Medical cost containment (aka Managed care)
Occupational Disability policy
Types of Accident & Health (A&H) providers
5. Pre-existing illness/injury; Waiting period; Elimination period; Probationary period; Benefits - Exclusions - Limitations; Underwriting reqs.
Considerations in replacing Health insurance
Equity Index Whole Life policy
COBRA Time Limitations
Reinsurance
6. Financial interest in insured party that must exist @ time of application OR policy issuance. Requires consent (except minors).
Limited Pay Whole Life policy
Tax implications of an Estate
Insurable interest
Dread Disease policy
7. Allows for use of HMO/PPO or other private carrier to provide expanded benefits @ additional premium & if enrolled in BOTH Parts A & B.
Policy loans
Exclusions for Major Medical plan
Tax implications of an Estate
Medicare Part C (aka Medicare Advantage)
8. Policy covering minor child; premium fixed but death benefit increases by 5 times @ age 18 or 21.
Earned vs. Unearned premium
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Parole Pardon Rule
Juvenile Life (aka Jumping Juvenile) policy
9. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
Settlement options for Life policy (2 of 2)
Concealment exceptions
Modified Premium Whole Life policy
Rehabilitation rider
10. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Types of Insurers (by domicile)
Employer-Administered plan
Payment of Premium provision
Claim Form (aka Proof of Loss Form) provision
11. Plan A is the CORE benefit & is least expensive; All other plans include Plan A + additional benefits. Plans F & J are high deductible. K & L are both deductible & co-pay plans.
Parole Pardon Rule
Indeterminate Premium Whole Life policy
Plans A-L of Medical Supplement or Medigap
Rescission
12. Potential circumstance that could cause a loss; measured in dollars.
Loss exposure
Departments of an Insurer
Variable Universal Life policy
Binding receipt (aka Temporary Insurance Agreement)
13. Allows Insured to increase benefit w/out medical exam (subject to age max.) w/ additional premium rate determined @ attained age; must prove income increase.
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Factors that determine premium
Dental Plan
14. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
Common Disability Exclusions
Medical Savings Account (MSA) & Health Savings Account (HSA)
Conformity with State Statute provision
Employee Retirement Income Security Act (ERISA)
15. Same as WL but premium low for 1st 5 yrs. - THEN has annual premium increases for set # yrs. - THEN level premium.
Graded Premium Whole Life policy
Claim Form (aka Proof of Loss Form) provision
Primary Insurance Amount (PIA)
Long Term Care (LTC) policy
16. Death benefit determined by Insured's projected lost earnings potential.
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Human Life Value approach
Survivorship (aka "Last to die") policy
Adjustable Whole Life policy
17. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
Adverse selection
Payment of Premium provision
Medicare Part D
Beneficiary provisions
18. Insurer has right to rescind policy & return premium if material misrepresentation in application is found w/in 1st 2 yrs.
Accidental Death & Dismemberment (AD&D) Life policy
Claim Form (aka Proof of Loss Form) provision
Incontestability clause/provision
Types of reinsurance
19. Intentional deception; grounds for rescission.
Settlement options for Life policy (1 of 2)
Fraud
Annuity surrender charges
Dread Disease policy
20. Annuity distributions prior to age 59 1/2 incur a 10% IRS penalty EXCEPT for death - disability - immediate annuity - or rollover.
Fraud
Types of hazards
IRS Penalties for Annuities
Requirements to sell variable life products
21. Same as WL but cash value put in investment vehicles chosen by policy owner (stocks - bonds - munis.); cash value NOT guaranteed.
Payor (aka Waiver of Payor's Premium) rider
Common Disability Exclusions
Variable Life policy (1 of 2)
Change of Occupation provision
22. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Cost of Living Adjustment (COLA) Disability rider
Proof of Loss provision
Joint Life (aka "First to die") policy
Waiver of Premium provision
23. Both Contributory & Non-contributory Group policies are deductible to employer (not employee) but benefits are taxable. Individual policy premium is NOT deductible but benefit is received tax-free.
Tax implications of Disability policy
Variable Universal Life policy
Joint Life (aka "First to die") policy
Social Security Benefit (Supplement) rider
24. Same as WL but premium low for set # yrs. - THEN premiums vary (+ or -) based on Insurer's investment returns - w/ Gmax.
Family or Dependents rider
Graded Premium Whole Life policy
Types of Accident & Health (A&H) providers
Indeterminate Premium Whole Life policy
25. Period of time following any children's survivor benefit & before benefits are provided to employee's widow/widower.
Blackout Period
Waiver of Premium provision
Suicide clause/provision
1035 Exchange
26. Prohibited w/ regard to testing for people of same class; test results must remain confidential; coverage may be declined (once discovered).
AIDS/HIV discrimination
Guaranteed Insurability Life rider
Residual disability rider
Dependent coverage
27. A company providing lump sum buyout (50-90% of total) of Life policy; becomes owner & beneficiary & assumes premium payments; usually terminally ill viator.
Recurrent disability clause/provision
Viatical Settlement Provider (VSP)
Waiver of Premium provision
Medicare Part D
28. 1: Surrender for cash value (taxable); 2: Buy equal-benefit paid-up Level Term policy; 3: Buy reduced-benefit paid-up WL policy.
Non-forfeiture options for WL policy
Types of Accident & Health (A&H) providers
Business Continuation (aka Buy-Sell) policy
Major Medical plan
29. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Medicare Part A (aka Hospital Insurance or HI)
Health Insurance Portability and Accountability Act (HIPAA)
Payment of Premium provision
Graded Premium Whole Life policy
30. 1: Straight aka Pure Life - lifetime income but no survivorship refund; 2: Life w/ Period Certain - lifetime income w/ death benefit of monthly annuity for remaining predetermined term. 3: Annuity Certain - monthly income paid for predetermined term
Estoppel
Types of Insurers (by sector)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
31. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Types of reinsurance
Split Dollar Plan
Employee Retirement Income Security Act (ERISA)
Long Term Care (LTC) policy
32. Domestic - within home state; Foreign - outside home state; Alien - outside home country.
Point of Service plan
Revocable vs. Irrevocable beneficiary
Types of Insurers (by domicile)
Grace Period provision
33. 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.
Waiver of Premium provision
Beneficiary provisions
Trial Application (aka Request for Offer)
Impairment (Exclusion) rider
34. Written policy terms supersede oral statements made prior to policy issue.
Loss exposure
Parole Pardon Rule
Rate (as defined by CIC)
Dividend options
35. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Survivorship (aka "Last to die") policy
Types of Accident & Health (A&H) providers
Requirements to sell variable life products
Whole (aka Permanent or Straight) Life policy
36. Primary - if 2 or more - equally shared; Contingent (Secondary) - only if primary dead; Tertiary - only if both primary & secondary dead. If none listed - goes to estate.
Spendthrift provision
Beneficiary provisions
Total disability (more restrictive definition)
Law of Large Numbers
37. 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.
Time Limit on Certain Defenses provision
Policy loans
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Health Insurance Portability and Accountability Act (HIPAA)
38. Disability income is based on "earned income" (salary - bonus - commission) - not unearned income (interest - investment - rents).
Viatical Settlement Provider (VSP)
Loss of Earnings Test
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Waiver of Premium provision
39. Application submitted w/out premium; no coverage until submission of full consideration & completed Statement of Continued Good Health.
Accidental Death (aka Multiple Indemnity) rider
Types of Accident & Health (A&H) providers
Parole Pardon Rule
Trial Application (aka Request for Offer)
40. Identical to Incontestable Clause in Life policy.
Comprehensive Major Medical plan
Time Limit on Certain Defenses provision
Workers' Compensation insurance
Medical cost containment (aka Managed care)
41. Provides usual & customary business expenses (rent - utilities - salaries - mortgage) if owner becomes disabled; premiums deductible - benefits taxable.
Business Overhead Expense (BOE) Disability policy
Relation of Earnings to Insurance provision
Single Pay Whole Life policy
Civil Rights/Pregnancy Discrimination Act
42. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Medical Savings Account (MSA) & Health Savings Account (HSA)
Elimination (aka Waiting) period
Family Income policy
CA Work. Comp. Statutes
43. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Group Disability plan
Factors that determine premium
Point of Service plan
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
44. Compensates business for loss due to disability of key employee; premiums not deductible but benefits tax-free.
Family or Dependents rider
Key Employee Disability policy
Tax implications of an Annuity (1 of 2)
Concealment
45. Accumulation or "pay-in" - contributions & interest earned are tax-deferred; Annuity or "pay-out" - monthly annuity (taxable) paid.
Annuity Classifications (2 of 5): When benefits begin
Phases of an annuity
Equity Indexed annuity
Total disability (more restrictive definition)
46. The state in which the contract is accepted or delivered is the state that possesses regulatory jurisdiction over Group plan.
Legal Action provision
Doctrine of Comity
Dependent coverage
Annuity Classifications (5 of 5): # of lives
47. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Valid life insurance contracts must identify...
Juvenile Life (aka Jumping Juvenile) policy
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Health Reimbursement Account (HRA)
48. Actual/Expressed - written powers; Implied - unwritten but customary practices; Apparent - perceived powers.
Whole (aka Permanent or Straight) Life policy
Indeterminate Premium Whole Life policy
Credit Life policy
Types of Agency Authority
49. Allows for Term policy renewal @ higher premium w/out medical exam; guarantees insurability; based on actual/attained age.
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Renewability provision
Types of Renewability provisions
AIDS/HIV discrimination
50. Provides supplemental coverage for physician/surgeon fees if enrolled (during enrollment period ONLY) & pay monthly premium w/ deductible and co-insurance.
Employer-Administered plan
Blackout Period
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Accidental Death (aka Multiple Indemnity) rider
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