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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. 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.
Dependent coverage
Types of Accident & Health (A&H) providers
Family Maintenance policy
Long Term Care (LTC) policy
2. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
Concealment
Joint Life (aka "First to die") policy
Departments of an Insurer
CA Work. Comp. Statutes
3. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Family Income policy
Claim Form (aka Proof of Loss Form) provision
Medical Savings Account (MSA) & Health Savings Account (HSA)
Impairment (Exclusion) rider
4. Same as WL but policy owner can adjust death benefit w/ corresponding premium adjustments; mostly obsolete.
Rescission
Adjustable Whole Life policy
Permanent vs. Temporary disability
Social Security Benefit (Supplement) rider
5. Req. by CA statute & may provide workers coverage for action-over claims.
Annuity
Family Income policy
Employer Liability
Waiver of Premium provision
6. Temp. coverage for set duration w/ death benefit ONLY (no cash value) - offers largest $ for lowest premium; renewable; convertible.
Term Life policy
Dental Plan
Primary Insurance Amount (PIA)
Return of Cash Value rider
7. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
Settlement options for Life policy (2 of 2)
Penalties for violating AIDS/HIV privacy laws
Annuity Classifications (5 of 5): # of lives
Non-Occupational Disability policy
8. Upon death - death benefit is paid + the aggregate of premiums paid to date; add-on to Term policy ONLY.
Relation of Earnings to Insurance provision
Return of Premium rider
Residual disability rider
Claim Form (aka Proof of Loss Form) provision
9. Multiple small employers w/ common affiliation (trade assoc. OR Chamber of Commerce) band together to purchase group plan.
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Entire Contract provision
Elements to contract
10. Provides professional services - rehabilitation - training/re-training & related costs to assist Insured in returning to work.
Rehabilitation rider
Key Employee policy
Business Overhead Expense (BOE) Disability policy
Family Income policy
11. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Indemnify
Applicant Representations vs. Warranties
Modified Premium Whole Life policy
Law of Large Numbers
12. Waives premium on Life policy for minor child until age 21 in event premium payor dies or becomes disabled.
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13. Coverage remains in effect for 31 days past premium due date; benefits paid during grace period would be deducted from sum.
Supplemental Major Medical plan
Loss exposure
Grace Period provision
Dividends
14. Available for any reason up to full cash value @ fixed (max 8%) OR variable interest rate; loan $ + interest deducted from benefit @ death.
Current Assumption (aka Interest-Sensitive) Whole Life policy
Plans A-L of Medical Supplement or Medigap
Policy loans
Social Security Benefit (Supplement) rider
15. 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.
Types of Licensed Producers
COBRA Time Limitations
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Waiver of Premium (Waiver of Cost of Insurance) rider
16. 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
Types of Accident & Health insurance
Indeterminate Premium Whole Life policy
Adjustable Whole Life policy
17. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Preferred Provider Organization (PPO)
Exclusions for Major Medical plan
Plans A-L of Medical Supplement or Medigap
Medicare Part C (aka Medicare Advantage)
18. 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.
Levels of Long Term Care provided
Common Disability Exclusions
Small Employer Medical Expense plan
Accidental Death (aka Multiple Indemnity) rider
19. Authorized (admitted) - can conduct business in state; Unauthorized (non-admitted) - cannot conduct business in state (w/ one exception).
Permanent vs. Temporary disability
Types of Insurers (by authorization)
Adjustable Whole Life policy
Plans A-L of Medical Supplement or Medigap
20. Policy provisions must conform to state regulations where policy is sold.
Age Discrimination in Employment Act (ADEA)
Annuity Classifications (3 of 5): Source of income
Reinstatement provision
Conformity with State Statute provision
21. Taxable income (unlike individual plans); can be either short-term - 13-52 wks. max. or long-term - longer than 52 wks.
Types of Insurers (by domicile)
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Group Disability plan
Common Life Exclusions
22. Disability income is based on "earned income" (salary - bonus - commission) - not unearned income (interest - investment - rents).
Types of Agency Authority
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Considerations in replacing Health insurance
Loss of Earnings Test
23. WL policy covering 2 or more Insureds but ONLY payable upon death of LAST Insured - generally low premium but high death benefit.
Legal Action provision
Tax implications of an Estate
Tax implications of medical plans
Survivorship (aka "Last to die") policy
24. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Pure risk vs. Speculative risk
Family Income policy
Elements to contract
IRS Penalties for Annuities
25. 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
Dividend options
CA Work. Comp. Statutes
Medicare Part C (aka Medicare Advantage)
26. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Rate (as defined by CIC)
Beneficiary provisions
Presumptive disability
Equity Index Whole Life policy
27. Identical to Incontestable Clause in Life policy.
Revocable vs. Irrevocable beneficiary
Time Limit on Certain Defenses provision
Age Discrimination in Employment Act (ADEA)
Preferred Provider Organization (PPO)
28. 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.
Social Security Benefit (Supplement) rider
Tax implications of Disability policy
Types of Licensed Producers
Types of reinsurance
29. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Tax implications of Death Benefit & Cash Value
Cost of Living Adjustment (COLA) Disability rider
Non-forfeiture options for WL policy
Graded Premium Whole Life policy
30. 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.
Elements to contract
Waiver of Premium provision
Types of hazards
Modified Endowment Contract (MEC)
31. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
AIDS/HIV discrimination
Credit Life policy
Cash value
Transplant/Cosmetic Surgery rider
32. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Tax implications of an Annuity (1 of 2)
CA Work. Comp. Statutes
Premium modes
Business Overhead Expense (BOE) Disability policy
33. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Age Discrimination in Employment Act (ADEA)
Free Look provision
Trusts
Peril vs. Hazard
34. Term Life policy w/ decreasing death benefit; usually used to secure credit (loan) w/ lender as beneficiary & borrower as Insured.
Types of Accident & Health (A&H) providers
Modified Premium Whole Life policy
Return of Premium rider
Credit Life policy
35. Refund of 50-80% of premium (minus claims paid) every 5-10 yrs. OR age 65; expensive!
Common Accident provision
Premium modes
Return of Premium rider
Long Term Care (LTC) policy
36. 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.
Claim Form (aka Proof of Loss Form) provision
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Variable Life policy (1 of 2)
Tax implications of Death Benefit & Cash Value
37. Periodic return of premium to policy owners from Mutual (Par) Companies; not guaranteed & not taxable as income; may be used in 6 ways.
Types of Medical Plans
Common Life Exclusions
Whole (aka Permanent or Straight) Life policy
Dividends
38. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Business Continuation (aka Buy-Sell) policy
Basic Medical plan
Notice of Claim provision
Insurance contract characteristics (1 of 2)
39. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Variable Life policy (2 of 2)
Free Look provision
Estoppel
Premium modes
40. 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.
Tax implications of medical plans
Variable Life policy (2 of 2)
Types of Term Life policies
Impairment (Exclusion) rider
41. Death benefit is NOT taxable. Cash value grows tax-deferred but cost basis (base premium) is not taxable - only interest is.
Joint Life (aka "First to die") policy
Concealment
Tax implications of Death Benefit & Cash Value
Small Employer Medical Expense plan
42. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Dependent coverage
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Basic Medical plan
Types of reinsurance
43. Basic Medical; Major Medical; Comprehensive Major Medical
Current Assumption (aka Interest-Sensitive) Whole Life policy
Penalties for violating AIDS/HIV privacy laws
Joint Life (aka "First to die") policy
Types of Medical Plans
44. The state in which the contract is accepted or delivered is the state that possesses regulatory jurisdiction over Group plan.
Automatic Premium Loan (APL) provision
Rate (as defined by CIC)
Doctrine of Comity
Survivorship (aka "Last to die") policy
45. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Insurer (as defined by CIC)
Plans A-L of Medical Supplement or Medigap
Point of Service plan
CA Work. Comp. Statutes
46. 1: Single (lump sum) premium; 2: Periodic premiums - can be level (fixed $) OR flexible from mth. to mth. (w/ req. min.)
Family policy
Annuity Classifications (1 of 5): How premium is paid
COBRA Time Limitations
Notice of Claim provision
47. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Cross Purchase Plan
Automatic Premium Loan (APL) provision
Types of reinsurance
Non-forfeiture options for WL policy
48. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Earned vs. Unearned premium
Elements to contract
Common Accident provision
Proof of Loss provision
49. Extreme form of Limited Pay Whole Life whereby entire premium is paid in a single payment.
Business Overhead Expense (BOE) Disability policy
Single Pay Whole Life policy
Market Value Adjusted (aka Modified Guaranteed) annuity
Small Employer Medical Expense plan
50. Policy must be delivered w/ original (or copy of same) application attached.
Free Look provision
Levels of Long Term Care provided
Entire Contract provision
Return of Cash Value rider