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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. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Age Discrimination in Employment Act (ADEA)
Levels of Long Term Care provided
Spendthrift provision
Reinsurance
2. Provides disability income during surgery recovery from life-threatening condition (& sometimes cosmetic surgery).
Impairment (Exclusion) rider
Current Assumption (aka Interest-Sensitive) Whole Life policy
Dread Disease policy
Transplant/Cosmetic Surgery rider
3. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
Tax implications of an Annuity (1 of 2)
Small Employer Medical Expense plan
Common Disaster (Simultaneous Death Act) clause/provision
Dividend options
4. 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;
Major Medical plan
Insuring clause/provision (aka Insuring Agreement)
Reinsurance
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
5. Multiple small employers w/ common affiliation (trade assoc. OR Chamber of Commerce) band together to purchase group plan.
Medicare Part D
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Supplemental Major Medical plan
Return of Premium rider
6. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Cost of Living Adjustment (COLA) Disability rider
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Dependent coverage
Elements to contract
7. Federally-sponsored health care for individuals 65+ &/or w/ certain disabilities; may run concurrent w/ group plan but group plan would act primary - THEN Medicare.
Medicare
Modified Premium Whole Life policy
Major Medical plan
Joint Life (aka "First to die") policy
8. Receipt whereby coverage incepts immediately upon submission of full consideration - unless declined & premium refunded.
Binding receipt (aka Temporary Insurance Agreement)
Tax implications of medical plans
Loss exposure
Annuity
9. Accumulation or "pay-in" - contributions & interest earned are tax-deferred; Annuity or "pay-out" - monthly annuity (taxable) paid.
Phases of an annuity
Beneficiary provisions
Doctrine of Comity
Exclusions to Work. Comp.
10. Provides for continued operation of business if partner dies - by allowing surviving partner(s) to buy deceased partner's interest in business.
Business Continuation (aka Buy-Sell) policy
Equity Index Whole Life policy
Partial disability rider
Waiver of Premium (Waiver of Cost of Insurance) rider
11. Info already known; Info that should have been known; Waived info; Irrelevant info.
Concealment exceptions
Juvenile Life (aka Jumping Juvenile) policy
Life insurance policy
Policy loans
12. If total premiums paid w/in 1st 7 yrs. exceed net level premium that should have been paid - policy is an MEC.
Types of hazards
7 Pay Test
Transplant/Cosmetic Surgery rider
Adverse selection
13. 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.
Partial disability rider
Primary Insurance Amount (PIA)
Experience vs. Community rating in Group Health plan
Limited Pay Whole Life policy
14. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Employee Retirement Income Security Act (ERISA)
COBRA Time Limitations
Medicare Part A & B "Gaps"
Permanent vs. Temporary disability
15. Treating or mitigating loss exposures through 1: avoidance; 2: retention (deductibles); 3: sharing; 4: reduction; or 5: transfer.
Types of Accident & Health (A&H) providers
Variable Life policy (1 of 2)
Risk management
Types of reinsurance
16. Same as WL but premium low for 1st 5 yrs. - THEN has annual premium increases for set # yrs. - THEN level premium.
Relation of Earnings to Insurance provision
Presumptive disability
Modified Premium Whole Life policy
Graded Premium Whole Life policy
17. Pays death benefit until age 100 or death; builds equity (cash value); may be transferred or sold; generally level premium.
Reinsurance
Rate (as defined by CIC)
Whole (aka Permanent or Straight) Life policy
Elements to contract
18. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Civil Rights/Pregnancy Discrimination Act
Accidental Death & Dismemberment (AD&D) Disability rider
Proof of Loss provision
Trusts
19. 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.
Family Maintenance policy
Impairment (Exclusion) rider
CA Work. Comp. Statutes
Flexible Spending Account (FSA)
20. Grows @ fixed min. interest rate but w/ possible higher rate tied to equity index (i.e S&P Equity Index) appreciation; gains shared w/ Insurer.
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Medical cost containment (aka Managed care)
Notice of Claim provision
Equity Indexed annuity
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).
Non-forfeiture options for WL policy
Employer-Administered plan
Family policy
Limited Pay Whole Life policy
22. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Employer-Administered plan
Exclusions for Major Medical plan
Limited Pay Whole Life policy
Types of Accident & Health (A&H) providers
23. Intentional OR unintentional failure to disclose material underwriting facts that should have been disclosed; grounds for policy rescission.
Medicare Part D
Endowment Life policy
Levels of Long Term Care provided
Concealment
24. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
Medicare Part D
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Recurrent disability clause/provision
Types of Agency Authority
25. Written contract that provides INCOME @ high interest rate for fixed period OR for annuitant's lifetime w/ possible death benefit.
Medi-Cal Share Cost plan
Annuity
Payor (aka Waiver of Payor's Premium) rider
Premium modes
26. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Total disability (more restrictive definition)
Exclusions to Work. Comp.
Basic Medical plan
Flexible Spending Account (FSA)
27. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Guaranteed Insurability Life rider
Indemnify
Return of Cash Value rider
28. Refund of 50-80% of premium (minus claims paid) every 5-10 yrs. OR age 65; expensive!
Return of Premium rider
Insurability Type Conditional receipt
Adjustable Whole Life policy
Types of hazards
29. Basic Medical; Major Medical; Comprehensive Major Medical
Point of Service plan
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Types of Medical Plans
Total disability (any-occupational definition)
30. Policy covering minor child; premium fixed but death benefit increases by 5 times @ age 18 or 21.
Concealment exceptions
Business Continuation (aka Buy-Sell) Disability policy
Blue Cross/Blue Shield
Juvenile Life (aka Jumping Juvenile) policy
31. Type of partial disability rider - which pays fluctuating % of lost income w/out time limit.
Tax implications of Disability policy
Return of Premium rider
Common Disability Exclusions
Residual disability rider
32. A lapsed policy may be reinstated if not longer than 3-5 yrs. - & proof of insurability re-established - & back premiums + interest paid.
Total disability (as commonly defined)
Reinstatement provision
Approval Type Conditional receipt
Small Employer Medical Expense plan
33. Compensates business for loss due to disability of key employee; premiums not deductible but benefits tax-free.
Major Medical plan
CHAMPUS (aka TriCare)
Accidental Death (aka Multiple Indemnity) rider
Key Employee Disability policy
34. Privately-sold policies to provide benefits not covered by Medicare; divided into 12 plans listed alphabetically A - L; 30-day free look; guaranteed renewable.
Medicare Supplement or Medigap policy
Viatical Settlement Provider (VSP)
Dependent coverage
Juvenile Life (aka Jumping Juvenile) policy
35. Extreme form of Limited Pay Whole Life whereby entire premium is paid in a single payment.
Medicare
Indeterminate Premium Whole Life policy
Dependent coverage
Single Pay Whole Life policy
36. 1: Tax-free lump sum; 2: Monthly pay-outs for fixed time; 3: Fixed monthly payments until depleted.
Rehabilitation rider
Transplant/Cosmetic Surgery rider
Settlement options for Life policy (1 of 2)
Exclusions to Work. Comp.
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.
Types of Insurers (by sector)
Parole Pardon Rule
Health Insurance Portability and Accountability Act (HIPAA)
Concealment
38. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Medicare Part C (aka Medicare Advantage)
Insurance contract characteristics (1 of 2)
Retrocession
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
39. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Payment of Premium provision
Variable Universal Life policy
CA Work. Comp. Statutes
Tax implications of medical plans
40. 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.
CA Work. Comp. Statutes
Conformity with State Statute provision
Errors & Omissions (E&O)
Market Value Adjusted (aka Modified Guaranteed) annuity
41. Revocable - changeable anytime w/ Change of Beneficiary Form; Irrevocable - not changeable w/out beneficiary permission.
Revocable vs. Irrevocable beneficiary
Blackout Period
Modified Premium Whole Life policy
Types of reinsurance
42. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Common Accident provision
Applicant Representations vs. Warranties
Departments of an Insurer
Change of Occupation provision
43. Period of time following any children's survivor benefit & before benefits are provided to employee's widow/widower.
Annuity Classifications (3 of 5): Source of income
Blackout Period
Dental Plan
Time Limit on Certain Defenses provision
44. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Group Disability plan
Claim Form (aka Proof of Loss Form) provision
Insurability Type Conditional receipt
Dental Plan
45. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
Considerations in replacing Health insurance
Preferred Provider Organization (PPO)
Dependent coverage
Blue Cross/Blue Shield
46. 1: Immediate benefits rec'd w/in 30 days but premium must be paid by lump sum; 2: Deferred - usually until retirement.
Medical Savings Account (MSA) & Health Savings Account (HSA)
Mortality vs. Morbidity tables
Policy loans
Annuity Classifications (2 of 5): When benefits begin
47. 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
Exclusions to Work. Comp.
Dividend options
Transplant/Cosmetic Surgery rider
Rehabilitation rider
48. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Premium modes
7 Pay Test
CA Work. Comp. Statutes
49. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Policy loans
1035 Exchange
Types of Renewability provisions
Impairment (Exclusion) rider
50. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Claim Form (aka Proof of Loss Form) provision
Blue Cross/Blue Shield
Point of Service plan
Rescission