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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. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
Concealment
Employee Retirement Income Security Act (ERISA)
Estoppel
Total disability (more restrictive definition)
2. Preferred or Preferred Smoker; Standard or Standard Smoker; Substandard; Denied.
Underwriting risk categories
Supplemental Major Medical plan
Split Dollar Plan
Whole (aka Permanent or Straight) Life policy
3. Generally 10 days after policy delivery to cancel policy w/ full refund - except 30 days for seniors or for replacement policies.
Elements to contract
Free Look provision
Modified Endowment Contract (MEC)
Supplemental Major Medical plan
4. 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
Medicare
Time Limit on Certain Defenses provision
Considerations in replacing Health insurance
5. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Types of Insurers (by authorization)
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Accidental Death & Dismemberment (AD&D) Disability rider
Levels of Long Term Care provided
6. Covers disabilities occurring ONLY "off" job; benefits do not overlap work. comp. (i.e. Group plan).
Guaranteed Insurability Life rider
Non-Occupational Disability policy
Primary Insurance Amount (PIA)
Valid life insurance contracts must identify...
7. Provides % of monthly income benefit if Insured becomes disabled due to illness or accident.
Medicare Part D
Disability Income policy
Business Overhead Expense (BOE) Disability policy
Split Dollar Plan
8. Provides 24 hr. health coverage both "on" & "off" job - but may cause coverage duplication & coordination challenges.
Endowment Life policy
Modified Endowment Contract (MEC)
24 Hour Coverage (CA)
Penalties for violating AIDS/HIV privacy laws
9. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Comprehensive Major Medical plan
Payment of Premium provision
Modified Premium Whole Life policy
Age Discrimination in Employment Act (ADEA)
10. Written contract to transfer risk of premature death from one party to another; pays stated sum upon death; creates instant estate.
Life insurance policy
Medicare Supplement or Medigap policy
Social Security Benefit (Supplement) rider
Needs approach (most common)
11. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Tax implications of Dividends - Loans & Interest
Point of Service plan
Non-forfeiture options for WL policy
Policy loans
12. Life license + NASD (FINRA) Series 6 or 7.
Requirements to sell variable life products
Single Pay Whole Life policy
Medi-Cal Share Cost plan
Spendthrift provision
13. Agents - represent Insurer; Brokers - represent themselves & Insured; Solicitors - represent one agent to solicit leads.
Common Disability Exclusions
Premium modes
Types of Licensed Producers
Phases of an annuity
14. Provides usual & customary business expenses (rent - utilities - salaries - mortgage) if owner becomes disabled; premiums deductible - benefits taxable.
Residual disability rider
Renewability provision
Business Overhead Expense (BOE) Disability policy
Factors that determine premium
15. 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.
Concealment exceptions
Annuity surrender charges
Small Employer Medical Expense plan
Key Employee policy
16. 1: Single (lump sum) premium; 2: Periodic premiums - can be level (fixed $) OR flexible from mth. to mth. (w/ req. min.)
Beneficiary provisions
Annuity Classifications (1 of 5): How premium is paid
Types of Insurers (by ownership)
Annuity surrender charges
17. Allows for use of HMO/PPO or other private carrier to provide expanded benefits @ additional premium & if enrolled in BOTH Parts A & B.
Elements to contract
Estoppel
Medicare Part C (aka Medicare Advantage)
Legal Action provision
18. 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
Types of Medical Plans
Earned vs. Unearned premium
19. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Human Life Value approach
Split Dollar Plan
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Flexible Spending Account (FSA)
20. Benefits NOT taxable; employer-paid premiums deductible to employer; individual plans not deductible unless over 7 1/2% of adjusted gross income - then excess deductible.
Medicare
Flexible Spending Account (FSA)
Mortality vs. Morbidity tables
Tax implications of medical plans
21. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Medicare Part A (aka Hospital Insurance or HI)
Key Employee Disability policy
Misstatement of Age/Sex provision
Recurrent disability clause/provision
22. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
COBRA Time Limitations
Types of Insurers (by sector)
Medicare Part D
Non-forfeiture options for WL policy
23. Multiple small employers w/ common affiliation (trade assoc. OR Chamber of Commerce) band together to purchase group plan.
Indemnify
Types of reinsurance
Total disability (any-occupational definition)
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
24. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
Non-Occupational Disability policy
Civil Rights/Pregnancy Discrimination Act
Total disability (more restrictive definition)
Departments of an Insurer
25. A company providing lump sum buyout (50-90% of total) of Life policy; becomes owner & beneficiary & assumes premium payments; usually terminally ill viator.
Employer-Administered plan
Insurance contract characteristics (1 of 2)
Viatical Settlement Provider (VSP)
Time Limit on Certain Defenses provision
26. Treating or mitigating loss exposures through 1: avoidance; 2: retention (deductibles); 3: sharing; 4: reduction; or 5: transfer.
Rehabilitation rider
Change of Occupation provision
Risk management
Loss of Earnings Test
27. 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
Permanent vs. Temporary disability
Beneficiary provisions
Supplemental Major Medical plan
28. The state in which the contract is accepted or delivered is the state that possesses regulatory jurisdiction over Group plan.
Current Assumption (aka Interest-Sensitive) Whole Life policy
Doctrine of Comity
Concealment exceptions
Time Limit on Certain Defenses provision
29. IRS allows tax-free transfer of cash values between 2 LIKE policies (i.e. Life to Life - Annuity to Annuity - or Life to Annuity).
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
CA Work. Comp. Statutes
1035 Exchange
Waiver of Premium (Waiver of Cost of Insurance) rider
30. 'The inability to perform ANY reasonable occupation based on education - training or experience'.
Employer-Administered plan
Levels of Long Term Care provided
Underwriting risk categories
Total disability (more restrictive definition)
31. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Mortality vs. Morbidity tables
Guaranteed Insurability Life rider
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Accidental Death & Dismemberment (AD&D) Life policy
32. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Concealment exceptions
Insuring clause/provision (aka Insuring Agreement)
Blue Cross/Blue Shield
33. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Civil Rights/Pregnancy Discrimination Act
Survivorship (aka "Last to die") policy
Insuring clause/provision (aka Insuring Agreement)
Medicare Part C (aka Medicare Advantage)
34. Funding mechanism whereby employer & employee share cost of premium. Upon death - benefit is shared between employer & beneficiary.
Non-Occupational Disability policy
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Split Dollar Plan
Doctrine of Comity
35. Intentional deception; grounds for rescission.
Cash value
Current Assumption (aka Interest-Sensitive) Whole Life policy
Fraud
Juvenile Life (aka Jumping Juvenile) policy
36. Revocable - changeable anytime w/ Change of Beneficiary Form; Irrevocable - not changeable w/out beneficiary permission.
Revocable vs. Irrevocable beneficiary
Policy loans
Relation of Earnings to Insurance provision
Group Disability plan
37. Req. by CA statute & may provide workers coverage for action-over claims.
Major Medical plan
Types of Accident & Health (A&H) providers
Employer Liability
Settlement options for Life policy (1 of 2)
38. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Estoppel
Convertibility provision
Legal Action provision
Guaranteed Insurability Life rider
39. Allows for Term policy renewal @ higher premium w/out medical exam; guarantees insurability; based on actual/attained age.
Renewability provision
Age Discrimination in Employment Act (ADEA)
Family policy
Permanent vs. Temporary disability
40. Insurer has right to adjust (+ or -) death benefit if age or sex is misstated but normally doesn't void policy.
Recurrent disability clause/provision
Employer Liability
Misstatement of Age/Sex provision
Preferred Provider Organization (PPO)
41. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Doctrine of Comity
Accidental Death & Dismemberment (AD&D) Disability rider
Errors & Omissions (E&O)
Types of Insurers (by sector)
42. Insurer has right to rescind policy & return premium if material misrepresentation in application is found w/in 1st 2 yrs.
Suicide clause/provision
Types of Insurers (by ownership)
Incontestability clause/provision
Types of Agency Authority
43. Grows @ fixed interest rate for set term but cash value may adjust to prevailing rate (+ or -) if fully surrendered before term ends; % w/drawal ok.
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Market Value Adjusted (aka Modified Guaranteed) annuity
Medicare Supplement or Medigap policy
Business Continuation (aka Buy-Sell) Disability policy
44. Price of insurance per exposure unit.
Return of Premium rider
Rate (as defined by CIC)
Modified Endowment Contract (MEC)
Annuity Classifications (5 of 5): # of lives
45. Peril is the CAUSE of loss. Hazard is a condition that increases LIKELIHOOD of loss.
Peril vs. Hazard
Insurance contract characteristics (1 of 2)
Dread Disease policy
Annuity surrender charges
46. Actual/Expressed - written powers; Implied - unwritten but customary practices; Apparent - perceived powers.
Group Disability plan
Valid life insurance contracts must identify...
Permanent vs. Temporary disability
Types of Agency Authority
47. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Preferred Provider Organization (PPO)
Concealment
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Policy delivery
48. Private sector (Commercial) - provides LA&H - P&C - & LTC; Public sector (Gov't) - provides flood - work. comp. - Medicare/Medicaid - Group Life (SGLI/FEGLI).
Relation of Earnings to Insurance provision
Types of reinsurance
Types of Insurers (by sector)
Non-Occupational Disability policy
49. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
Point of Service plan
Key Employee Disability policy
Tax implications of an Annuity (1 of 2)
Elements to contract
50. Policy provisions must conform to state regulations where policy is sold.
Conformity with State Statute provision
Key Employee policy
Insurer (as defined by CIC)
Annuity Classifications (5 of 5): # of lives