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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. Insured can seek legal action against Insurer for denial of claim only after 60 days and up to 3 yrs. after providing proof of loss.
Legal Action provision
Blackout Period
Annuity Classifications (5 of 5): # of lives
Major Medical plan
2. 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
Types of Accident & Health (A&H) providers
Exclusions to Work. Comp.
Types of reinsurance
Partial disability rider
3. Provides hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay.
Medical Savings Account (MSA) & Health Savings Account (HSA)
Medicare Part A (aka Hospital Insurance or HI)
Joint Life (aka "First to die") policy
Elements to contract
4. Policy owner has 90 days from date of loss to submit proof of loss to Insurer; valid claim must be paid immediately upon receipt.
Family Income policy
Proof of Loss provision
Reinstatement provision
Accidental Death & Dismemberment (AD&D) Life policy
5. An unintentional mistake committed by an insurance representative; may be covered by E&O insurance.
Errors & Omissions (E&O)
Tax implications of an Annuity (1 of 2)
Insurer (as defined by CIC)
Medicaid/Medi-Cal
6. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Parole Pardon Rule
Accidental Death & Dismemberment (AD&D) Disability rider
Convertibility provision
Plans A-L of Medical Supplement or Medigap
7. Same as WL but cash value increases @ current interest rates (not set); premium can start low or high & may change.
Cross Purchase Plan
Current Assumption (aka Interest-Sensitive) Whole Life policy
Tax implications of medical plans
Types of Insurers (by domicile)
8. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
COBRA Time Limitations
Medi-Cal Share Cost plan
Point of Service plan
Payment of Premium provision
9. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Basic Medical plan
Split Dollar Plan
Binding receipt (aka Temporary Insurance Agreement)
Premium modes
10. Excludes coverage for specific injury/illness either temporarily or permanently in order to eliminate pre-existing condition.
Conformity with State Statute provision
Medical Savings Account (MSA) & Health Savings Account (HSA)
Impairment (Exclusion) rider
Elements to contract
11. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Waiver of Premium (Waiver of Cost of Insurance) rider
Endowment Life policy
Grace Period provision
Claim Form (aka Proof of Loss Form) provision
12. Private sector (Commercial) - provides LA&H - P&C - & LTC; Public sector (Gov't) - provides flood - work. comp. - Medicare/Medicaid - Group Life (SGLI/FEGLI).
Social Security Benefit (Supplement) rider
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Types of Insurers (by sector)
Exclusions for Major Medical plan
13. Life license + NASD (FINRA) Series 6 or 7.
Requirements to sell variable life products
Guaranteed Insurability Life rider
Transplant/Cosmetic Surgery rider
Recurrent disability clause/provision
14. Potential circumstance that could cause a loss; measured in dollars.
Health Reimbursement Account (HRA)
Residual disability rider
Mortality vs. Morbidity tables
Loss exposure
15. Fixed premium w/ guaranteed min. death benefit that may increase due to higher than expected investment returns.
Variable Life policy (2 of 2)
Annuity Classifications (2 of 5): When benefits begin
Estoppel
Incontestability clause/provision
16. Policy owner must notify Insurer of loss either in writing - in person or by phone w/in 20 days.
Annuity Classifications (3 of 5): Source of income
Return of Premium rider
Cost of Living Adjustment (COLA) Life rider
Notice of Claim provision
17. If 2 or more family members are injured in the same accident - only payment of a single deductible is required.
Common Accident provision
Rescission
Family Maintenance policy
Annuity Classifications (5 of 5): # of lives
18. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Types of Renewability provisions
Employee Retirement Income Security Act (ERISA)
Total disability (more restrictive definition)
AIDS/HIV discrimination
19. Waives premium upon disability of Insured until return to work; disability must persist for 6 mths. or longer. Cash value & dividends not affected.
Life insurance policy
Claim Form (aka Proof of Loss Form) provision
Waiver of Premium (Waiver of Cost of Insurance) rider
Underwriting risk categories
20. Allows for Term policy renewal @ higher premium w/out medical exam; guarantees insurability; based on actual/attained age.
Renewability provision
Juvenile Life (aka Jumping Juvenile) policy
Loss exposure
Trial Application (aka Request for Offer)
21. 1: Cash (tax-free); 2: Apply to future premiums; 3: Retained by Insurer @ interest; 4: Buy Paid-up WL policy add-ons; 5: Pay-up existing policy; 6: Buy 1-yr. Term policy.
Tax implications of an Annuity (1 of 2)
Elimination (aka Waiting) period
Spendthrift provision
Dividend options
22. Policy must be delivered w/ original (or copy of same) application attached.
IRS Penalties for Annuities
Settlement options for Life policy (1 of 2)
Estoppel
Entire Contract provision
23. Partially state-funded benefits for low-income people whereby cost of care is shared between state & recipient - based on income.
Waiver of Premium provision
Recurrent disability clause/provision
Medi-Cal Share Cost plan
Law of Large Numbers
24. Disability income is based on "earned income" (salary - bonus - commission) - not unearned income (interest - investment - rents).
Variable Life policy (2 of 2)
Loss of Earnings Test
Health Insurance Portability and Accountability Act (HIPAA)
Types of Insurers (miscellaneous)
25. 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.
Grace Period provision
Types of Insurers (by authorization)
Occupational Disability policy
Valid life insurance contracts must identify...
26. Policy provisions must conform to state regulations where policy is sold.
Equity Indexed annuity
Free Look provision
Retrocession
Conformity with State Statute provision
27. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Types of Insurers (by domicile)
Elements to contract
Viatical Settlement Provider (VSP)
Types of Medical Plans
28. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Age Discrimination in Employment Act (ADEA)
Relation of Earnings to Insurance provision
Phases of an annuity
Juvenile Life (aka Jumping Juvenile) policy
29. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Supplemental Major Medical plan
Annuity Classifications (3 of 5): Source of income
Blue Cross/Blue Shield
Trusts
30. Receipt whereby coverage incepts conditionally upon submission of full consideration and that all underwriting reqs. are met.
Reinstatement provision
Insurability Type Conditional receipt
Split Dollar Plan
Total disability (any-occupational definition)
31. Basic Medical; Major Medical; Comprehensive Major Medical
Return of Premium rider
Annuity Classifications (2 of 5): When benefits begin
Rehabilitation rider
Types of Medical Plans
32. Upon death - death benefit is paid + the aggregate of premiums paid to date; add-on to Term policy ONLY.
Family policy
Considerations in replacing Health insurance
Return of Premium rider
Annuity Classifications (3 of 5): Source of income
33. Provides for continued operation of business if partner becomes disabled - by allowing other partner(s) to buy disabled partner's interest in business.
Workers' Compensation insurance
Types of Accident & Health insurance
Business Continuation (aka Buy-Sell) Disability policy
Risk management
34. Pays death benefit until age 100 or death; builds equity (cash value); may be transferred or sold; generally level premium.
Whole (aka Permanent or Straight) Life policy
Term Life policy
Types of Insurers (by ownership)
Legal Action provision
35. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Flexible Spending Account (FSA)
Health Reimbursement Account (HRA)
Retrocession
Medicare Part C (aka Medicare Advantage)
36. Allows for use of HMO/PPO or other private carrier to provide expanded benefits @ additional premium & if enrolled in BOTH Parts A & B.
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Business Overhead Expense (BOE) Disability policy
Residual disability rider
Medicare Part C (aka Medicare Advantage)
37. Permanent - not recoverable (spinal cord injury); Temporary - recoverable (temp. illness/injury - broken limb).
Permanent vs. Temporary disability
Premium modes
IRS Penalties for Annuities
Business Continuation (aka Buy-Sell) policy
38. Prepaid med. benefits for members ONLY w/ approved primary care M.D. (HMO employee); focus on preventative care; low co-pay.
Renewability provision
Health Maintenance Organization (HMO)
Common Disability Exclusions
Family Maintenance policy
39. 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
Adverse selection
Equity Index Whole Life policy
Split Dollar Plan
40. 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.
Risk management
Reinstatement provision
COBRA Time Limitations
Concealment exceptions
41. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Parole Pardon Rule
Medicare Supplement or Medigap policy
Employer-Administered plan
Policy delivery
42. Preferred or Preferred Smoker; Standard or Standard Smoker; Substandard; Denied.
Underwriting risk categories
Medical cost containment (aka Managed care)
Policy delivery
Revocable vs. Irrevocable beneficiary
43. Same as WL but policy owner can adjust death benefit w/ corresponding premium adjustments; mostly obsolete.
Adjustable Whole Life policy
Modified Premium Whole Life policy
Tax implications of Dividends - Loans & Interest
Risk management
44. Type of partial disability rider - which pays fluctuating % of lost income w/out time limit.
Employer Liability
Pure risk vs. Speculative risk
Residual disability rider
Phases of an annuity
45. Domestic - within home state; Foreign - outside home state; Alien - outside home country.
Types of Insurers (by domicile)
Primary Insurance Amount (PIA)
Equity Index Whole Life policy
Single Pay Whole Life policy
46. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Concealment
Dental Plan
Recurrent disability clause/provision
Civil Rights/Pregnancy Discrimination Act
47. 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.
Annuity Classifications (3 of 5): Source of income
Premium modes
Payment of Premium provision
Medicare
48. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Beneficiary provisions
Insuring clause/provision (aka Insuring Agreement)
24 Hour Coverage (CA)
Long Term Care (LTC) policy
49. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Recurrent disability clause/provision
Accidental Death & Dismemberment (AD&D) Life policy
Small Employer Medical Expense plan
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
50. 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.
Disability Income policy
Insurability Type Conditional receipt
Life insurance policy
CA Work. Comp. Statutes