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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. Req. by CA statute & may provide workers coverage for action-over claims.
Waiver of Premium provision
Employer Liability
Concealment
Employee Retirement Income Security Act (ERISA)
2. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
Insurance contract characteristics (2 of 2)
Mortality vs. Morbidity tables
Settlement options for Life policy (2 of 2)
Modified Endowment Contract (MEC)
3. Voiding an insurance contract based on fraud - concealment or material misrepresentation; premiums returned; policy treated as never existing.
Loss of Earnings Test
Long Term Care (LTC) policy
Primary Insurance Amount (PIA)
Rescission
4. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Types of reinsurance
IRS Penalties for Annuities
Variable Life policy (1 of 2)
Total disability (as commonly defined)
5. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Annuity Classifications (2 of 5): When benefits begin
Accidental Death & Dismemberment (AD&D) Disability rider
Presumptive disability
Claim Form (aka Proof of Loss Form) provision
6. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
Blue Cross/Blue Shield
Pure risk vs. Speculative risk
Annuity Classifications (3 of 5): Source of income
Disability Income policy
7. 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
Workers' Compensation insurance
Tax implications of an Annuity (1 of 2)
CA Work. Comp. Statutes
8. Provides disability income during surgery recovery from life-threatening condition (& sometimes cosmetic surgery).
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Transplant/Cosmetic Surgery rider
Pure risk vs. Speculative risk
9. 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.
Renewability provision
Dread Disease policy
Convertibility provision
Dental Plan
10. IRS allows tax-free transfer of cash values between 2 LIKE policies (i.e. Life to Life - Annuity to Annuity - or Life to Annuity).
Common Life Exclusions
Tax implications of Death Benefit & Cash Value
CHAMPUS (aka TriCare)
1035 Exchange
11. Private sector (Commercial) - provides LA&H - P&C - & LTC; Public sector (Gov't) - provides flood - work. comp. - Medicare/Medicaid - Group Life (SGLI/FEGLI).
Health Insurance Portability and Accountability Act (HIPAA)
Types of Insurers (by sector)
Viatical Settlement Provider (VSP)
Types of Accident & Health (A&H) providers
12. Provides hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay.
Health Insurance Portability and Accountability Act (HIPAA)
Employer Liability
Medicare Part A (aka Hospital Insurance or HI)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
13. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Return of Cash Value rider
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
7 Pay Test
Accidental Death & Dismemberment (AD&D) Life policy
14. No-charge annuity w/drawals allowed up to 10% of total - THEN penalized on sliding scale based on # policy yrs.; conditionally waived.
Annuity surrender charges
Plans A-L of Medical Supplement or Medigap
Medicare
Types of hazards
15. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Renewability provision
Blackout Period
Pure risk vs. Speculative risk
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
16. 'The inability to perform ANY gainful occupation'.
Non-forfeiture options for WL policy
Rehabilitation rider
Types of Insurers (by domicile)
Total disability (any-occupational definition)
17. 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
Impairment (Exclusion) rider
Needs approach (most common)
Common Disability Exclusions
Exclusions to Work. Comp.
18. Same as WL but cash value put in investment vehicles chosen by policy owner (stocks - bonds - munis.); cash value NOT guaranteed.
Impairment (Exclusion) rider
Variable Life policy (1 of 2)
Tax implications of Dividends - Loans & Interest
Types of Agency Authority
19. Tendency of poorer risks to seek insurance.
COBRA Time Limitations
Waiver of Premium (Waiver of Cost of Insurance) rider
Equity Index Whole Life policy
Adverse selection
20. Policyholders - Mutual (participating) co. - may pay dividends; Stockholders - Stock (non-participating) co. - no dividends.
Types of Insurers (by ownership)
Common Accident provision
Supplemental Major Medical plan
Recurrent disability clause/provision
21. Extreme form of Limited Pay Whole Life whereby entire premium is paid in a single payment.
Settlement options for Life policy (1 of 2)
Medicare Part C (aka Medicare Advantage)
Social Security Benefit (Supplement) rider
Single Pay Whole Life policy
22. Available for any reason up to full cash value @ fixed (max 8%) OR variable interest rate; loan $ + interest deducted from benefit @ death.
Guaranteed Insurability Life rider
Civil Rights/Pregnancy Discrimination Act
Policy loans
Cross Purchase Plan
23. Provides 24 hr. health coverage both "on" & "off" job - but may cause coverage duplication & coordination challenges.
24 Hour Coverage (CA)
Human Life Value approach
Considerations in replacing Health insurance
Types of Insurers (by sector)
24. 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.
Payment of Premium provision
Tax implications of medical plans
Penalties for violating AIDS/HIV privacy laws
Family Maintenance policy
25. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Annuity Classifications (2 of 5): When benefits begin
Total disability (any-occupational definition)
Point of Service plan
Binding receipt (aka Temporary Insurance Agreement)
26. Same as Term Life but provides living benefit (endowment) to policy owner if Insured survives entire term.
Presumptive disability
Endowment Life policy
Common Disability Exclusions
Medicare Part B (aka Supplemental Medical Insurance or SMI)
27. 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.
Reinsurance
Partial disability rider
Medicaid/Medi-Cal
Beneficiary provisions
28. Excludes coverage for specific injury/illness either temporarily or permanently in order to eliminate pre-existing condition.
Impairment (Exclusion) rider
Survivorship (aka "Last to die") policy
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Age Discrimination in Employment Act (ADEA)
29. Same as Comprehensive Major Medical but w/ integrated deductible; much more expensive.
Modified Premium Whole Life policy
Split Dollar Plan
Annuity surrender charges
Supplemental Major Medical plan
30. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Medicare Part A & B "Gaps"
Phases of an annuity
Beneficiary provisions
Common Disaster (Simultaneous Death Act) clause/provision
31. Death benefits & premium automatically increase annually based on inflationary index (i.e. Consumer Price Index).
Types of Insurers (by sector)
Premium modes
Cost of Living Adjustment (COLA) Life rider
Types of Accident & Health insurance
32. 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.
Types of Insurers (miscellaneous)
Waiver of Premium provision
Change of Occupation provision
Settlement options for Life policy (2 of 2)
33. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Reinstatement provision
Types of Insurers (miscellaneous)
Basic Medical plan
Insurability Type Conditional receipt
34. Taxable income (unlike individual plans); can be either short-term - 13-52 wks. max. or long-term - longer than 52 wks.
Group Disability plan
Waiver of Premium provision
Major Medical plan
Common Disaster (Simultaneous Death Act) clause/provision
35. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Modified Endowment Contract (MEC)
Cost of Living Adjustment (COLA) Disability rider
Occupational Disability policy
36. Federal law which prohibits companies w/ 20+ employees from denying work & medical benefits to employees due to age.
Types of Insurers (by domicile)
Dividend options
Return of Premium rider
Age Discrimination in Employment Act (ADEA)
37. Identical to Incontestable Clause in Life policy.
Time Limit on Certain Defenses provision
Residual disability rider
Juvenile Life (aka Jumping Juvenile) policy
Social Security Benefit (Supplement) rider
38. Intentional OR unintentional failure to disclose material underwriting facts that should have been disclosed; grounds for policy rescission.
Insurance contract characteristics (1 of 2)
Concealment
Survivorship (aka "Last to die") policy
Non-Occupational Disability policy
39. Provides increased death benefit if death occurs w/in 90 days & as result of accident; relatively INexpensive add-on.
Notice of Claim provision
Return of Premium rider
Policy delivery
Accidental Death (aka Multiple Indemnity) rider
40. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Health Reimbursement Account (HRA)
Limited Pay Whole Life policy
Types of Insurers (miscellaneous)
Term Life policy
41. Death benefit determined by Insured's financial goals & needs (minus assets).
Needs approach (most common)
Experience vs. Community rating in Group Health plan
Considerations in replacing Health insurance
Types of Agency Authority
42. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Waiver of Premium provision
Premium modes
Primary Insurance Amount (PIA)
Major Medical plan
43. Domestic - within home state; Foreign - outside home state; Alien - outside home country.
Claim Form (aka Proof of Loss Form) provision
Entire Contract provision
Single Pay Whole Life policy
Types of Insurers (by domicile)
44. Pays death benefit until age 100 or death; builds equity (cash value); may be transferred or sold; generally level premium.
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Whole (aka Permanent or Straight) Life policy
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Term Life policy
45. Compensates business for loss due to disability of key employee; premiums not deductible but benefits tax-free.
Health Insurance Portability and Accountability Act (HIPAA)
Pure risk vs. Speculative risk
Recurrent disability clause/provision
Key Employee Disability policy
46. 1: Single (lump sum) premium; 2: Periodic premiums - can be level (fixed $) OR flexible from mth. to mth. (w/ req. min.)
Key Employee Disability policy
Annuity Classifications (1 of 5): How premium is paid
Rescission
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
47. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Medicare Part D
Total disability (as commonly defined)
Cost of Living Adjustment (COLA) Disability rider
Relation of Earnings to Insurance provision
48. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Automatic Premium Loan (APL) provision
Civil Rights/Pregnancy Discrimination Act
COBRA Time Limitations
Payment of Premium provision
49. Receipt whereby coverage incepts immediately upon submission of full consideration - unless declined & premium refunded.
Retrocession
Equity Index Whole Life policy
Market Value Adjusted (aka Modified Guaranteed) annuity
Binding receipt (aka Temporary Insurance Agreement)
50. Federal law allows employees/their dependents to continue group benefits w/in 60 days after termination (if employer has 20+ employees); Insured pays premium @ 102% of group cost.
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Doctrine of Comity
Automatic Premium Loan (APL) provision
Peril vs. Hazard