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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. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Medical Savings Account (MSA) & Health Savings Account (HSA)
Annuity Classifications (5 of 5): # of lives
Basic Medical plan
Guaranteed Insurability Life rider
2. Allows for use of HMO/PPO or other private carrier to provide expanded benefits @ additional premium & if enrolled in BOTH Parts A & B.
Medicare Part C (aka Medicare Advantage)
Fraud
Misstatement of Age/Sex provision
Comprehensive Major Medical plan
3. If Insured & primary beneficiary die due to same act (w/in 14 days) - primary assumed 1st to die & contingent beneficiary paid death benefit.
Medicare Part C (aka Medicare Advantage)
Common Disaster (Simultaneous Death Act) clause/provision
Variable Universal Life policy
Basic Medical plan
4. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Types of Accident & Health (A&H) providers
Total disability (as commonly defined)
Presumptive disability
Family or Dependents rider
5. Excludes coverage for suicide during 1st 2 yrs. ONLY but - if it does - all premiums must be returned to beneficiary.
Accidental Death & Dismemberment (AD&D) Disability rider
Permanent vs. Temporary disability
Waiver of Premium provision
Suicide clause/provision
6. Savings account for medical expenses; Tax-deductible contributions; tax-deferred growth; tax-free for qualified use; taxable for non-qualified use.
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Types of Insurers (by sector)
Modified Endowment Contract (MEC)
Medical Savings Account (MSA) & Health Savings Account (HSA)
7. Revocable - changeable anytime w/ Change of Beneficiary Form; Irrevocable - not changeable w/out beneficiary permission.
Estoppel
Revocable vs. Irrevocable beneficiary
Medi-Cal Share Cost plan
Fraud
8. 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.
Indeterminate Premium Whole Life policy
Tax implications of Disability policy
Civil Rights/Pregnancy Discrimination Act
Settlement options for Life policy (2 of 2)
9. 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.
Applicant Representations vs. Warranties
Employer Liability
Recurrent disability clause/provision
COBRA Time Limitations
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).
Earned vs. Unearned premium
1035 Exchange
Family Income policy
AIDS/HIV discrimination
11. Agents - represent Insurer; Brokers - represent themselves & Insured; Solicitors - represent one agent to solicit leads.
Types of Accident & Health (A&H) providers
Types of Insurers (by domicile)
Trusts
Types of Licensed Producers
12. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Tax implications of an Annuity (1 of 2)
Modified Premium Whole Life policy
Return of Premium rider
Cash value
13. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Modified Premium Whole Life policy
Return of Premium rider
Total disability (any-occupational definition)
Departments of an Insurer
14. Same as WL but policy owner can adjust death benefit w/ corresponding premium adjustments; mostly obsolete.
Insurance contract characteristics (2 of 2)
Tax implications of Dividends - Loans & Interest
Adjustable Whole Life policy
Cross Purchase Plan
15. 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.
Needs approach (most common)
Exclusions for Major Medical plan
Partial disability rider
Market Value Adjusted (aka Modified Guaranteed) annuity
16. Info already known; Info that should have been known; Waived info; Irrelevant info.
COBRA Time Limitations
Spendthrift provision
Concealment exceptions
Exclusions to Work. Comp.
17. Process whereby a reinsurer reinsures w/ another reinsurer.
Retrocession
Levels of Long Term Care provided
Types of reinsurance
Non-Occupational Disability policy
18. Funding mechanism whereby employer & employee share cost of premium. Upon death - benefit is shared between employer & beneficiary.
Primary Insurance Amount (PIA)
Waiver of Premium (Waiver of Cost of Insurance) rider
Split Dollar Plan
CHAMPUS (aka TriCare)
19. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Types of Renewability provisions
Recurrent disability clause/provision
Presumptive disability
24 Hour Coverage (CA)
20. Receipt whereby coverage incepts ONLY after underwriting approval.
Law of Large Numbers
Mortality vs. Morbidity tables
Approval Type Conditional receipt
Annuity surrender charges
21. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
Departments of an Insurer
Transplant/Cosmetic Surgery rider
Types of Accident & Health insurance
Considerations in replacing Health insurance
22. An unintentional mistake committed by an insurance representative; may be covered by E&O insurance.
Types of Term Life policies
Valid life insurance contracts must identify...
Errors & Omissions (E&O)
Employer-Administered plan
23. Dependent children are covered until 19 or 23 (full-time student only) or until self-sufficient (if handicapped).
Types of Insurers (by authorization)
Loss of Earnings Test
Dependent coverage
Human Life Value approach
24. 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.
Common Disability Exclusions
Underwriting risk categories
Dividends
Plans A-L of Medical Supplement or Medigap
25. Pays death benefit until age 100 or death; builds equity (cash value); may be transferred or sold; generally level premium.
Preferred Provider Organization (PPO)
Waiver of Premium (Waiver of Cost of Insurance) rider
Departments of an Insurer
Whole (aka Permanent or Straight) Life policy
26. Compensates business for loss due to death or disability of key employee; premiums not deductible but benefits tax-free.
Premium modes
Split Dollar Plan
1035 Exchange
Key Employee policy
27. Prepaid med. benefits for members w/ approved primary care M.D. (independent); low co-pay; non-PPO M.D. can be used at higher cost.
Risk management
AIDS/HIV discrimination
Preferred Provider Organization (PPO)
Indeterminate Premium Whole Life policy
28. Guaranteed min. interest rate on cash value buildup but possible higher rate if short-term investment returns higher than expected.
Survivorship (aka "Last to die") policy
Medicare Part A & B "Gaps"
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Pure risk vs. Speculative risk
29. Provides usual & customary business expenses (rent - utilities - salaries - mortgage) if owner becomes disabled; premiums deductible - benefits taxable.
Rate (as defined by CIC)
Binding receipt (aka Temporary Insurance Agreement)
Major Medical plan
Business Overhead Expense (BOE) Disability policy
30. Conditional - coverage is conditional; Personal - parties are people; Good faith - honesty/integrity; Fiduciary - req's financial trust.
Return of Premium rider
Medicare
Insurance contract characteristics (2 of 2)
Departments of an Insurer
31. Waives premium upon disability of Insured until return to work; disability must persist for 6 mths. or longer. Cash value & dividends not affected.
Doctrine of Comity
Rescission
1035 Exchange
Waiver of Premium (Waiver of Cost of Insurance) rider
32. Disability income is based on "earned income" (salary - bonus - commission) - not unearned income (interest - investment - rents).
Loss of Earnings Test
1035 Exchange
Insurable interest
Return of Cash Value rider
33. Policy owner has 90 days from date of loss to submit proof of loss to Insurer; valid claim must be paid immediately upon receipt.
Dental Plan
Proof of Loss provision
Automatic Premium Loan (APL) provision
Health Reimbursement Account (HRA)
34. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Occupational Disability policy
Age Discrimination in Employment Act (ADEA)
Risk management
Modified Endowment Contract (MEC)
35. Two death benefit options - Option A: death benefit ONLY; Option B: death benefit + cash value; death benefit NOT guaranteed.
CA Work. Comp. Statutes
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Insurable interest
Beneficiary provisions
36. 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.
Health Insurance Portability and Accountability Act (HIPAA)
Return of Premium rider
Limited Pay Whole Life policy
Medicare Part D
37. 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.
Equity Indexed annuity
Employee Retirement Income Security Act (ERISA)
Tax implications of Death Benefit & Cash Value
Health Maintenance Organization (HMO)
38. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Claim Form (aka Proof of Loss Form) provision
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Reinsurance
Common Disability Exclusions
39. 'The inability to perform ANY gainful occupation'.
Flexible Spending Account (FSA)
Equity Index Whole Life policy
Reinstatement provision
Total disability (any-occupational definition)
40. WL policy covering 2 or more Insureds but ONLY payable upon death of LAST Insured - generally low premium but high death benefit.
Survivorship (aka "Last to die") policy
Medi-Cal Share Cost plan
Juvenile Life (aka Jumping Juvenile) policy
Incontestability clause/provision
41. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Joint Life (aka "First to die") policy
Cost of Living Adjustment (COLA) Life rider
Modified Premium Whole Life policy
Human Life Value approach
42. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Key Employee policy
Cost of Living Adjustment (COLA) Disability rider
Variable Life policy (2 of 2)
Primary Insurance Amount (PIA)
43. 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
Return of Premium rider
Variable Life policy (1 of 2)
Phases of an annuity
44. Basic Medical; Major Medical; Comprehensive Major Medical
Types of Licensed Producers
CHAMPUS (aka TriCare)
Medicare Supplement or Medigap policy
Types of Medical Plans
45. Req. by CA statute & may provide workers coverage for action-over claims.
Spendthrift provision
CHAMPUS (aka TriCare)
Current Assumption (aka Interest-Sensitive) Whole Life policy
Employer Liability
46. 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).
Earned vs. Unearned premium
Limited Pay Whole Life policy
Change of Occupation provision
Types of Insurers (miscellaneous)
47. Federally-funded but state-run program for truly indigent individuals & families providing medical care at Federal clinic.
Exclusions for Major Medical plan
Human Life Value approach
Medicaid/Medi-Cal
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
48. 1: Surrender for cash value (taxable); 2: Buy equal-benefit paid-up Level Term policy; 3: Buy reduced-benefit paid-up WL policy.
Binding receipt (aka Temporary Insurance Agreement)
Family Income policy
Revocable vs. Irrevocable beneficiary
Non-forfeiture options for WL policy
49. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Elements to contract
Tax implications of Death Benefit & Cash Value
Variable Life policy (2 of 2)
Equity Index Whole Life policy
50. A&H - A&S - Sickness only; Medical; Disability; Accident only; Travel accident; LTC; Medicare supplement; AD&D; Dental/Vision/Prescription; Limited.
Levels of Long Term Care provided
Types of Accident & Health insurance
Accidental Death & Dismemberment (AD&D) Life policy
Modified Endowment Contract (MEC)