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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. Time period preceding each disability during which benefits are not paid; longer elimination periods = cheaper premium.
Occupational Disability policy
Types of Insurers (by authorization)
Elimination (aka Waiting) period
Small Employer Medical Expense plan
2. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Indeterminate Premium Whole Life policy
Earned vs. Unearned premium
Loss of Earnings Test
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
3. Provides usual & customary business expenses (rent - utilities - salaries - mortgage) if owner becomes disabled; premiums deductible - benefits taxable.
Business Overhead Expense (BOE) Disability policy
Variable Life policy (2 of 2)
Indeterminate Premium Whole Life policy
Convertibility provision
4. Identical to Incontestable Clause in Life policy.
Supplemental Major Medical plan
Time Limit on Certain Defenses provision
Types of Insurers (by ownership)
Settlement options for Life policy (2 of 2)
5. Excludes coverage for specific injury/illness either temporarily or permanently in order to eliminate pre-existing condition.
Return of Premium rider
Impairment (Exclusion) rider
Health Insurance Portability and Accountability Act (HIPAA)
Variable Life policy (1 of 2)
6. Provides benefit during Social Security "black-out" period - up to 1 yr.
Small Employer Medical Expense plan
Medicare Part A & B "Gaps"
Social Security Benefit (Supplement) rider
Business Overhead Expense (BOE) Disability policy
7. Provides disability income during surgery recovery from life-threatening condition (& sometimes cosmetic surgery).
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Family policy
Employer Liability
Transplant/Cosmetic Surgery rider
8. Multiple small employers w/ common affiliation (trade assoc. OR Chamber of Commerce) band together to purchase group plan.
Split Dollar Plan
Social Security Benefit (Supplement) rider
Applicant Representations vs. Warranties
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
9. Coverage for catastrophic loss w/ high limits - front end deductible; co-insurance (80/20%); blanket coverage; stop loss max.
Major Medical plan
Comprehensive Major Medical plan
Departments of an Insurer
Return of Premium rider
10. War - 2 types; Suicide (1st 2 yrs.); Aviation (non-commercial); Hazardous hobbies; Criminal acts; Alcohol/Drug influenced.
Common Life Exclusions
Whole (aka Permanent or Straight) Life policy
Civil Rights/Pregnancy Discrimination Act
Long Term Care (LTC) policy
11. Experience - rates impacted by actual prior claim experience of actual group; Community - identical rates used for entire community - regardless of experience.
Equity Indexed annuity
Experience vs. Community rating in Group Health plan
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Enhanced Ordinary (aka Extraordinary) Whole Life policy
12. Period of time following any children's survivor benefit & before benefits are provided to employee's widow/widower.
Blackout Period
Fraud
Return of Premium rider
Exclusions for Major Medical plan
13. Coverage remains in effect for 31 days past premium due date; benefits paid during grace period would be deducted from sum.
Blue Cross/Blue Shield
Grace Period provision
Health Insurance Portability and Accountability Act (HIPAA)
Policy loans
14. 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;
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Joint Life (aka "First to die") policy
Insurance contract characteristics (2 of 2)
Pure risk vs. Speculative risk
15. Upon death - death benefit is paid + the aggregate of cash value accumulated to date; add-on to WL policy ONLY.
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Return of Cash Value rider
Departments of an Insurer
Claim Form (aka Proof of Loss Form) provision
16. 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.
Beneficiary provisions
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Tax implications of medical plans
Medicare Part B (aka Supplemental Medical Insurance or SMI)
17. 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.
Misstatement of Age/Sex provision
Valid life insurance contracts must identify...
Health Maintenance Organization (HMO)
Common Disaster (Simultaneous Death Act) clause/provision
18. An attempt to contain costs by employing various strategies - including wellness programs - preventative testing - outpatient & alternative procedures.
Impairment (Exclusion) rider
Medicare Part A (aka Hospital Insurance or HI)
Payor (aka Waiver of Payor's Premium) rider
Medical cost containment (aka Managed care)
19. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Relation of Earnings to Insurance provision
Medicare Part A & B "Gaps"
Dental Plan
Partial disability rider
20. Death benefits & premium automatically increase annually based on inflationary index (i.e. Consumer Price Index).
Penalties for violating AIDS/HIV privacy laws
Family policy
Cost of Living Adjustment (COLA) Life rider
Common Accident provision
21. Req. by CA statute & may provide workers coverage for action-over claims.
Family Maintenance policy
Types of hazards
Adverse selection
Employer Liability
22. 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.
Plans A-L of Medical Supplement or Medigap
Limited Pay Whole Life policy
Grace Period provision
Approval Type Conditional receipt
23. Written contract that provides INCOME @ high interest rate for fixed period OR for annuitant's lifetime w/ possible death benefit.
CA Work. Comp. Statutes
Types of reinsurance
Waiver of Premium (Waiver of Cost of Insurance) rider
Annuity
24. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Annuity surrender charges
Medicare Part A & B "Gaps"
Annuity
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
25. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Annuity Classifications (2 of 5): When benefits begin
Payment of Premium provision
Waiver of Premium (Waiver of Cost of Insurance) rider
Return of Premium rider
26. Provides professional services - rehabilitation - training/re-training & related costs to assist Insured in returning to work.
Point of Service plan
Rehabilitation rider
Approval Type Conditional receipt
Group Disability plan
27. Guaranteed min. interest rate on cash value buildup but possible higher rate if short-term investment returns higher than expected.
Medicare Part A & B "Gaps"
Group Disability plan
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Family Income policy
28. 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.
COBRA Time Limitations
Medical cost containment (aka Managed care)
Credit Life policy
Health Insurance Portability and Accountability Act (HIPAA)
29. Govt. organization providing health care benefits for dependents of military personnel.
Accidental Death & Dismemberment (AD&D) Life policy
CHAMPUS (aka TriCare)
Tax implications of Death Benefit & Cash Value
Accidental Death & Dismemberment (AD&D) Disability rider
30. If Insured changes to: more hazardous job - benefits reduced; less hazardous job - premiums reduce.
Trusts
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Change of Occupation provision
Group Disability plan
31. 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.
Health Reimbursement Account (HRA)
Life insurance policy
Market Value Adjusted (aka Modified Guaranteed) annuity
Partial disability rider
32. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Estoppel
Cash value
Accidental Death & Dismemberment (AD&D) Disability rider
Survivorship (aka "Last to die") policy
33. A&H - A&S - Sickness only; Medical; Disability; Accident only; Travel accident; LTC; Medicare supplement; AD&D; Dental/Vision/Prescription; Limited.
Medicare Part A & B "Gaps"
Renewability provision
Types of Accident & Health insurance
Reinstatement provision
34. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Settlement options for Life policy (1 of 2)
Total disability (more restrictive definition)
Considerations in replacing Health insurance
Family Income policy
35. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Indemnify
Dental Plan
Convertibility provision
Policy loans
36. 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
Valid life insurance contracts must identify...
Insurable interest
Supplemental Major Medical plan
37. Same as WL but premium low for 1st 5 yrs. - THEN has annual premium increases for set # yrs. - THEN level premium.
Loss exposure
Graded Premium Whole Life policy
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Medicaid/Medi-Cal
38. Agents - represent Insurer; Brokers - represent themselves & Insured; Solicitors - represent one agent to solicit leads.
Major Medical plan
Types of Licensed Producers
Whole (aka Permanent or Straight) Life policy
Convertibility provision
39. Allows for Term policy renewal @ higher premium w/out medical exam; guarantees insurability; based on actual/attained age.
Experience vs. Community rating in Group Health plan
Adjustable Whole Life policy
Renewability provision
Revocable vs. Irrevocable beneficiary
40. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Point of Service plan
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
24 Hour Coverage (CA)
Employer Liability
41. 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.
Beneficiary provisions
Types of hazards
Return of Premium rider
Payment of Premium provision
42. Pre-existing illness/injury; Waiting period; Elimination period; Probationary period; Benefits - Exclusions - Limitations; Underwriting reqs.
Considerations in replacing Health insurance
Guaranteed Insurability Life rider
Age Discrimination in Employment Act (ADEA)
Requirements to sell variable life products
43. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
Employee Retirement Income Security Act (ERISA)
Comprehensive Major Medical plan
Modified Premium Whole Life policy
Dividend options
44. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
Approval Type Conditional receipt
Insurer (as defined by CIC)
Split Dollar Plan
Blue Cross/Blue Shield
45. 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.
Total disability (more restrictive definition)
Cost of Living Adjustment (COLA) Life rider
Small Employer Medical Expense plan
Group Disability plan
46. Term Life policy w/ decreasing death benefit; usually used to secure credit (loan) w/ lender as beneficiary & borrower as Insured.
Considerations in replacing Health insurance
Proof of Loss provision
Free Look provision
Credit Life policy
47. 1: Req. - unless self-employed; 2: 7-day wait for disability benefits; 3: Premium based on ex-mod; 4: Rates approved by CDI; 5: to sell - must satisfy education reqs.
Non-Occupational Disability policy
CA Work. Comp. Statutes
Life insurance policy
Accidental Death (aka Multiple Indemnity) rider
48. Private sector (Commercial) - provides LA&H - P&C - & LTC; Public sector (Gov't) - provides flood - work. comp. - Medicare/Medicaid - Group Life (SGLI/FEGLI).
Types of Insurers (by sector)
Recurrent disability clause/provision
Medicare Part D
Earned vs. Unearned premium
49. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Impairment (Exclusion) rider
7 Pay Test
Accidental Death & Dismemberment (AD&D) Life policy
Types of reinsurance
50. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Whole (aka Permanent or Straight) Life policy
Health Reimbursement Account (HRA)
Partial disability rider
Variable Universal Life policy