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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
Cross Purchase Plan
Insurer (as defined by CIC)
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
2. Taxable income (unlike individual plans); can be either short-term - 13-52 wks. max. or long-term - longer than 52 wks.
IRS Penalties for Annuities
Modified Endowment Contract (MEC)
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Group Disability plan
3. Provides supplemental coverage for physician/surgeon fees if enrolled (during enrollment period ONLY) & pay monthly premium w/ deductible and co-insurance.
24 Hour Coverage (CA)
Trial Application (aka Request for Offer)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
4. Pre-existing illness/injury; Waiting period; Elimination period; Probationary period; Benefits - Exclusions - Limitations; Underwriting reqs.
Legal Action provision
Medicare Part C (aka Medicare Advantage)
AIDS/HIV discrimination
Considerations in replacing Health insurance
5. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Dental Plan
Partial disability rider
Types of Accident & Health (A&H) providers
Suicide clause/provision
6. A company providing lump sum buyout (50-90% of total) of Life policy; becomes owner & beneficiary & assumes premium payments; usually terminally ill viator.
Presumptive disability
Tax implications of medical plans
Reinsurance
Viatical Settlement Provider (VSP)
7. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Dental Plan
Estoppel
Common Accident provision
8. 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
Dental Plan
COBRA Time Limitations
Single Pay Whole Life policy
9. A&H - A&S - Sickness only; Medical; Disability; Accident only; Travel accident; LTC; Medicare supplement; AD&D; Dental/Vision/Prescription; Limited.
Types of hazards
AIDS/HIV discrimination
Civil Rights/Pregnancy Discrimination Act
Types of Accident & Health insurance
10. Receipt whereby coverage incepts conditionally upon submission of full consideration and that all underwriting reqs. are met.
Business Continuation (aka Buy-Sell) policy
Insurability Type Conditional receipt
Supplemental Major Medical plan
Elimination (aka Waiting) period
11. Any person - assoc. - org. - partnership - business trust - LLC - or corp. capable of making an insurance contract.
Settlement options for Life policy (1 of 2)
Insurer (as defined by CIC)
Medicare
Human Life Value approach
12. Allows Term policy conversion to Permanent policy w/out medical exam; must be identical or lower death benefit; based on either attained OR original age.
Rate (as defined by CIC)
Trusts
Convertibility provision
Indemnify
13. 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.
Types of Accident & Health (A&H) providers
Valid life insurance contracts must identify...
Employer Liability
Retrocession
14. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Return of Premium rider
Non-Occupational Disability policy
Accidental Death & Dismemberment (AD&D) Life policy
Total disability (more restrictive definition)
15. Prepaid med. benefits for members ONLY w/ approved primary care M.D. (HMO employee); focus on preventative care; low co-pay.
Life insurance policy
Concealment exceptions
Health Maintenance Organization (HMO)
Types of Insurers (miscellaneous)
16. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Types of reinsurance
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Experience vs. Community rating in Group Health plan
Types of Licensed Producers
17. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Change of Occupation provision
Variable Universal Life policy
Insuring clause/provision (aka Insuring Agreement)
Medicaid/Medi-Cal
18. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Equity Indexed annuity
Plans A-L of Medical Supplement or Medigap
Cost of Living Adjustment (COLA) Disability rider
Basic Medical plan
19. Although death benefit is tax-free - it is included in gross estate value so federal &/or state taxes may apply to a portion in excess of fixed federal limit.
Tax implications of an Estate
Insurance contract characteristics (2 of 2)
Types of Insurers (by domicile)
Rate (as defined by CIC)
20. Policy provisions must conform to state regulations where policy is sold.
Guaranteed Insurability Life rider
Time Limit on Certain Defenses provision
Conformity with State Statute provision
Annuity surrender charges
21. Same as WL but can be "paid-up" early by paying larger premium for shorter payment period (i.e. 10 Pay Life - 20 Pay Life).
Recurrent disability clause/provision
Tax implications of an Annuity (1 of 2)
Claim Form (aka Proof of Loss Form) provision
Limited Pay Whole Life policy
22. Permanent - not recoverable (spinal cord injury); Temporary - recoverable (temp. illness/injury - broken limb).
CHAMPUS (aka TriCare)
Permanent vs. Temporary disability
Term Life policy
Tax implications of an Annuity (1 of 2)
23. War/Military; Intentional self-inflicted; Aviation (non-commercial); Foreign country; Loss of professional license; Illegal activity; Mental disorders (after 1-2 yrs.).
Medicare Supplement or Medigap policy
Whole (aka Permanent or Straight) Life policy
Parole Pardon Rule
Common Disability Exclusions
24. If Insured changes to: more hazardous job - benefits reduced; less hazardous job - premiums reduce.
Change of Occupation provision
Medi-Cal Share Cost plan
Whole (aka Permanent or Straight) Life policy
Survivorship (aka "Last to die") policy
25. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Family Income policy
Binding receipt (aka Temporary Insurance Agreement)
Juvenile Life (aka Jumping Juvenile) policy
Joint Life (aka "First to die") policy
26. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Workers' Compensation insurance
Premium modes
Recurrent disability clause/provision
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
27. Type of partial disability rider - which pays fluctuating % of lost income w/out time limit.
Residual disability rider
Workers' Compensation insurance
Primary Insurance Amount (PIA)
Requirements to sell variable life products
28. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
Family Income policy
Variable Universal Life policy
Settlement options for Life policy (2 of 2)
Health Maintenance Organization (HMO)
29. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
24 Hour Coverage (CA)
Tax implications of an Annuity (1 of 2)
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Current Assumption (aka Interest-Sensitive) Whole Life policy
30. Same as WL but cash value increases @ current interest rates (not set); premium can start low or high & may change.
Types of Term Life policies
Types of Insurers (by ownership)
Common Disability Exclusions
Current Assumption (aka Interest-Sensitive) Whole Life policy
31. Compensates business for loss due to death or disability of key employee; premiums not deductible but benefits tax-free.
Key Employee policy
Convertibility provision
Suicide clause/provision
Viatical Settlement Provider (VSP)
32. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Trusts
Change of Occupation provision
Medicare Supplement or Medigap policy
24 Hour Coverage (CA)
33. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Reinstatement provision
Small Employer Medical Expense plan
Premium modes
Credit Life policy
34. 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.
Loss exposure
Insurable interest
Survivorship (aka "Last to die") policy
CA Work. Comp. Statutes
35. Temp. coverage for set duration w/ death benefit ONLY (no cash value) - offers largest $ for lowest premium; renewable; convertible.
Key Employee Disability policy
Employee Retirement Income Security Act (ERISA)
Common Life Exclusions
Term Life policy
36. Policy owner has 90 days from date of loss to submit proof of loss to Insurer; valid claim must be paid immediately upon receipt.
Insurable interest
Proof of Loss provision
Non-Occupational Disability policy
IRS Penalties for Annuities
37. Annuity distributions prior to age 59 1/2 incur a 10% IRS penalty EXCEPT for death - disability - immediate annuity - or rollover.
Health Maintenance Organization (HMO)
Flexible Spending Account (FSA)
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
IRS Penalties for Annuities
38. Provides % of monthly income benefit if Insured becomes disabled due to illness or accident.
Policy loans
Disability Income policy
Types of Insurers (miscellaneous)
Trusts
39. 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
Non-Occupational Disability policy
Common Accident provision
Exclusions to Work. Comp.
Variable Life policy (1 of 2)
40. Provides coverage for specific disease(s) - such as cancer or leukemia.
Revocable vs. Irrevocable beneficiary
Annuity Classifications (3 of 5): Source of income
Dread Disease policy
Point of Service plan
41. Pays death benefit until age 100 or death; builds equity (cash value); may be transferred or sold; generally level premium.
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Renewability provision
Whole (aka Permanent or Straight) Life policy
Rate (as defined by CIC)
42. 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.
Limited Pay Whole Life policy
24 Hour Coverage (CA)
Variable Universal Life policy
Tax implications of Disability policy
43. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Health Reimbursement Account (HRA)
Fraud
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Survivorship (aka "Last to die") policy
44. Periodic return of premium to policy owners from Mutual (Par) Companies; not guaranteed & not taxable as income; may be used in 6 ways.
Small Employer Medical Expense plan
Dividends
Exclusions to Work. Comp.
Tax implications of Dividends - Loans & Interest
45. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Waiver of Premium provision
Medicare Part D
Family Income policy
Health Reimbursement Account (HRA)
46. Premiums determined by target cash values or death benefit; partial cash value w/drawals allowed; transparent policy w/ unbundled premium.
Insurable interest
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
24 Hour Coverage (CA)
Types of reinsurance
47. Prepaid med. benefits for members w/ approved primary care M.D. (independent); low co-pay; non-PPO M.D. can be used at higher cost.
Policy delivery
Preferred Provider Organization (PPO)
Misstatement of Age/Sex provision
1035 Exchange
48. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Renewability provision
Settlement options for Life policy (2 of 2)
Accidental Death & Dismemberment (AD&D) Disability rider
Insurable interest
49. Death benefits & premium automatically increase annually based on inflationary index (i.e. Consumer Price Index).
Cost of Living Adjustment (COLA) Life rider
Limited Pay Whole Life policy
Accidental Death & Dismemberment (AD&D) Disability rider
Total disability (any-occupational definition)
50. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Whole (aka Permanent or Straight) Life policy
Risk management
Automatic Premium Loan (APL) provision
Types of hazards