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Test your basic knowledge |
CA Life Agent Exam
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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. Policy must be delivered w/ original (or copy of same) application attached.
Proof of Loss provision
Trial Application (aka Request for Offer)
Accidental Death & Dismemberment (AD&D) Disability rider
Entire Contract provision
2. Palliative - treatment to manage pain; Curative - treatment to cure illness/condition.
Common Accident provision
Annuity Classifications (1 of 5): How premium is paid
Palliative vs. Curative care
Family policy
3. 1: mortality probability charge; 2: Insurer's investment return; 3: expenses (admin costs - commissions). 1 - 2 = net; 1 - 2 + 3 = gross.
Trusts
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Factors that determine premium
4. Intentional deception; grounds for rescission.
Fraud
Health Reimbursement Account (HRA)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Total disability (more restrictive definition)
5. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
CHAMPUS (aka TriCare)
Departments of an Insurer
Types of Accident & Health (A&H) providers
Settlement options for Life policy (1 of 2)
6. Identical to Incontestable Clause in Life policy.
Time Limit on Certain Defenses provision
Misstatement of Age/Sex provision
Family Maintenance policy
Rescission
7. Financial interest in insured party that must exist @ time of application OR policy issuance. Requires consent (except minors).
Legal Action provision
Business Continuation (aka Buy-Sell) Disability policy
Flexible Spending Account (FSA)
Insurable interest
8. Dividends are NOT taxable but interest is. Loan interest is NOT tax-deductible. Interest paid by Insurer on retained funds is taxable.
Annuity Classifications (3 of 5): Source of income
Flexible Spending Account (FSA)
Insuring clause/provision (aka Insuring Agreement)
Tax implications of Dividends - Loans & Interest
9. Mortality is the statistical possibility of death @ each age. Morbidity is the statistical possibility & extent of disability @ each age.
Mortality vs. Morbidity tables
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Medical cost containment (aka Managed care)
Trial Application (aka Request for Offer)
10. Allows for Term policy renewal @ higher premium w/out medical exam; guarantees insurability; based on actual/attained age.
Variable Life policy (2 of 2)
Accidental Death (aka Multiple Indemnity) rider
Employer Liability
Renewability provision
11. Covers entire family w/ WL for breadwinner & (convertible) Level Term for spouse & children (until certain age).
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Cost of Living Adjustment (COLA) Life rider
Family policy
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
12. 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.
Rate (as defined by CIC)
Insurance contract characteristics (1 of 2)
Health Insurance Portability and Accountability Act (HIPAA)
Family Income policy
13. Application submitted w/out premium; no coverage until submission of full consideration & completed Statement of Continued Good Health.
Trial Application (aka Request for Offer)
Annuity Classifications (1 of 5): How premium is paid
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Errors & Omissions (E&O)
14. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Civil Rights/Pregnancy Discrimination Act
Policy delivery
Medicare Supplement or Medigap policy
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
15. Tendency of poorer risks to seek insurance.
Adverse selection
Valid life insurance contracts must identify...
Convertibility provision
Proof of Loss provision
16. Receipt whereby coverage incepts conditionally upon submission of full consideration and that all underwriting reqs. are met.
Insurability Type Conditional receipt
Common Disability Exclusions
Key Employee policy
Claim Form (aka Proof of Loss Form) provision
17. Process whereby a reinsurer reinsures w/ another reinsurer.
COBRA Time Limitations
Retrocession
Presumptive disability
Types of Insurers (by domicile)
18. Provides professional services - rehabilitation - training/re-training & related costs to assist Insured in returning to work.
Relation of Earnings to Insurance provision
Employee Retirement Income Security Act (ERISA)
Requirements to sell variable life products
Rehabilitation rider
19. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Misstatement of Age/Sex provision
Automatic Premium Loan (APL) provision
Revocable vs. Irrevocable beneficiary
Types of Medical Plans
20. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
Payor (aka Waiver of Payor's Premium) rider
Settlement options for Life policy (2 of 2)
Penalties for violating AIDS/HIV privacy laws
Free Look provision
21. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Tax implications of an Estate
Cost of Living Adjustment (COLA) Disability rider
Annuity Classifications (5 of 5): # of lives
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
22. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Medical cost containment (aka Managed care)
Types of reinsurance
CHAMPUS (aka TriCare)
Requirements to sell variable life products
23. War - 2 types; Suicide (1st 2 yrs.); Aviation (non-commercial); Hazardous hobbies; Criminal acts; Alcohol/Drug influenced.
Medicare Part C (aka Medicare Advantage)
Tax implications of Dividends - Loans & Interest
Common Life Exclusions
Tax implications of Disability policy
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.
Tax implications of medical plans
Impairment (Exclusion) rider
Non-forfeiture options for WL policy
Dental Plan
25. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Law of Large Numbers
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Health Reimbursement Account (HRA)
Estoppel
26. 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
Employer Liability
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Insurability Type Conditional receipt
Exclusions to Work. Comp.
27. Waives premium on Life policy for minor child until age 21 in event premium payor dies or becomes disabled.
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28. Receipt whereby coverage incepts ONLY after underwriting approval.
Annuity Classifications (3 of 5): Source of income
Approval Type Conditional receipt
Settlement options for Life policy (1 of 2)
Errors & Omissions (E&O)
29. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Recurrent disability clause/provision
Trial Application (aka Request for Offer)
Small Employer Medical Expense plan
Annuity Classifications (5 of 5): # of lives
30. 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.
Equity Index Whole Life policy
Comprehensive Major Medical plan
Beneficiary provisions
Palliative vs. Curative care
31. Time period preceding each disability during which benefits are not paid; longer elimination periods = cheaper premium.
Elimination (aka Waiting) period
Presumptive disability
Concealment
Occupational Disability policy
32. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Return of Cash Value rider
Parole Pardon Rule
Payment of Premium provision
Levels of Long Term Care provided
33. Periodic return of premium to policy owners from Mutual (Par) Companies; not guaranteed & not taxable as income; may be used in 6 ways.
Annuity Classifications (3 of 5): Source of income
Business Continuation (aka Buy-Sell) policy
Dividends
Single Pay Whole Life policy
34. Physical - slippery floor; Moral - dishonest acts; Morale - carelessness or recklessness.
Types of hazards
Viatical Settlement Provider (VSP)
Free Look provision
Types of reinsurance
35. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Levels of Long Term Care provided
Suicide clause/provision
Risk management
Policy loans
36. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Dividends
Change of Occupation provision
AIDS/HIV discrimination
Cash value
37. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Earned vs. Unearned premium
Modified Endowment Contract (MEC)
Parole Pardon Rule
38. Disability income is based on "earned income" (salary - bonus - commission) - not unearned income (interest - investment - rents).
Notice of Claim provision
Fraud
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Loss of Earnings Test
39. Permanent disability due to total loss of sight - hearing - speech or use of 2 + limbs; benefits paid even while continuing to work.
Presumptive disability
Beneficiary provisions
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Exclusions to Work. Comp.
40. Provides medical & personal services for people needing extended assistance w/ Activities of Daily Living (ADL). Other benefits include: assisted living care; respite care; hospice care; adult day care.
Types of Accident & Health (A&H) providers
Long Term Care (LTC) policy
Entire Contract provision
Current Assumption (aka Interest-Sensitive) Whole Life policy
41. 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.
Approval Type Conditional receipt
Plans A-L of Medical Supplement or Medigap
Dental Plan
Waiver of Premium provision
42. Authorized (admitted) - can conduct business in state; Unauthorized (non-admitted) - cannot conduct business in state (w/ one exception).
Binding receipt (aka Temporary Insurance Agreement)
Types of Accident & Health insurance
Approval Type Conditional receipt
Types of Insurers (by authorization)
43. Level - fixed death benefit - premium fixed until renewal; Decreasing - death benefit decreases over term - premium fixed until renewal; Increasing - death benefit increases over term - premium fixed until renewal.
Indeterminate Premium Whole Life policy
Types of Medical Plans
Types of Term Life policies
Legal Action provision
44. Privately-sold policies to provide benefits not covered by Medicare; divided into 12 plans listed alphabetically A - L; 30-day free look; guaranteed renewable.
Basic Medical plan
Medicare Supplement or Medigap policy
Annuity surrender charges
Employer Liability
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.
Reinstatement provision
Primary Insurance Amount (PIA)
Retrocession
Small Employer Medical Expense plan
46. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Medicare Supplement or Medigap policy
Types of Renewability provisions
Flexible Spending Account (FSA)
Reinstatement provision
47. Annuity distributions prior to age 59 1/2 incur a 10% IRS penalty EXCEPT for death - disability - immediate annuity - or rollover.
Variable Life policy (1 of 2)
Renewability provision
IRS Penalties for Annuities
Limited Pay Whole Life policy
48. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
Valid life insurance contracts must identify...
Key Employee policy
Blue Cross/Blue Shield
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
49. Generally 10 days after policy delivery to cancel policy w/ full refund - except 30 days for seniors or for replacement policies.
Policy delivery
Free Look provision
Trusts
Types of Insurers (by domicile)
50. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Split Dollar Plan
Types of Accident & Health (A&H) providers
Premium modes
Notice of Claim provision
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