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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. Actual/Expressed - written powers; Implied - unwritten but customary practices; Apparent - perceived powers.
Dread Disease policy
Penalties for violating AIDS/HIV privacy laws
Types of Agency Authority
Medical cost containment (aka Managed care)
2. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Cost of Living Adjustment (COLA) Life rider
Loss of Earnings Test
Survivorship (aka "Last to die") policy
Equity Index Whole Life policy
3. Prepaid med. benefits for members ONLY w/ approved primary care M.D. (HMO employee); focus on preventative care; low co-pay.
Medicare Part A (aka Hospital Insurance or HI)
Health Maintenance Organization (HMO)
Fraud
Estoppel
4. 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.
Accidental Death & Dismemberment (AD&D) Life policy
Types of Insurers (by domicile)
Settlement options for Life policy (2 of 2)
Preferred Provider Organization (PPO)
5. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Insurance contract characteristics (2 of 2)
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Elements to contract
Peril vs. Hazard
6. Same as WL but death benefit decreases each yr. w/ dividends paid annually to offset decrease.
Common Life Exclusions
Legal Action provision
Doctrine of Comity
Enhanced Ordinary (aka Extraordinary) Whole Life policy
7. Policy must be delivered w/ original (or copy of same) application attached.
Entire Contract provision
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Reinsurance
Relation of Earnings to Insurance provision
8. Policy owner has 90 days from date of loss to submit proof of loss to Insurer; valid claim must be paid immediately upon receipt.
Business Continuation (aka Buy-Sell) policy
Proof of Loss provision
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
9. If total premiums paid w/in 1st 7 yrs. exceed net level premium that should have been paid - policy is an MEC.
CA Work. Comp. Statutes
Risk management
7 Pay Test
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
10. 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.
Indeterminate Premium Whole Life policy
Waiver of Premium provision
Common Life Exclusions
Common Accident provision
11. Unintentional - up to $1 -000 + legal $; Intentional - $1 -000-5 -000 + legal $; If harmful - misdemeanor + up to 1 yr. prison + up to $10 -000.
Medical Savings Account (MSA) & Health Savings Account (HSA)
Waiver of Premium provision
Penalties for violating AIDS/HIV privacy laws
Medicare Supplement or Medigap policy
12. Waives premium upon disability of Insured until return to work; disability must persist for 6 mths. or longer. Cash value & dividends not affected.
Estoppel
Occupational Disability policy
Waiver of Premium (Waiver of Cost of Insurance) rider
Proof of Loss provision
13. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
Notice of Claim provision
Blue Cross/Blue Shield
Impairment (Exclusion) rider
Permanent vs. Temporary disability
14. 'The inability to perform ANY reasonable occupation based on education - training or experience'.
Payor (aka Waiver of Payor's Premium) rider
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Total disability (more restrictive definition)
Return of Premium rider
15. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Key Employee Disability policy
Risk management
Trusts
Waiver of Premium (Waiver of Cost of Insurance) rider
16. 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.
Tax implications of medical plans
Valid life insurance contracts must identify...
Estoppel
Free Look provision
17. 'The inability to perform ANY gainful occupation'.
Insurable interest
Total disability (any-occupational definition)
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Law of Large Numbers
18. 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.
Convertibility provision
AIDS/HIV discrimination
Total disability (more restrictive definition)
Graded Premium Whole Life policy
19. Any person - assoc. - org. - partnership - business trust - LLC - or corp. capable of making an insurance contract.
Modified Premium Whole Life policy
Payor (aka Waiver of Payor's Premium) rider
Tax implications of medical plans
Insurer (as defined by CIC)
20. Dividends are NOT taxable but interest is. Loan interest is NOT tax-deductible. Interest paid by Insurer on retained funds is taxable.
Age Discrimination in Employment Act (ADEA)
Flexible Spending Account (FSA)
Misstatement of Age/Sex provision
Tax implications of Dividends - Loans & Interest
21. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Relation of Earnings to Insurance provision
Basic Medical plan
Conformity with State Statute provision
Return of Premium rider
22. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
Impairment (Exclusion) rider
Suicide clause/provision
Employee Retirement Income Security Act (ERISA)
Reinstatement provision
23. 'The inability to perform your OWN normal occupation or daily duties'.
Total disability (as commonly defined)
IRS Penalties for Annuities
Loss of Earnings Test
Dividend options
24. Intentional OR unintentional failure to disclose material underwriting facts that should have been disclosed; grounds for policy rescission.
Life insurance policy
Concealment
Types of Insurers (by sector)
Dividend options
25. Same as WL but cash value increases @ current interest rates (not set); premium can start low or high & may change.
Current Assumption (aka Interest-Sensitive) Whole Life policy
Needs approach (most common)
Medicare Part C (aka Medicare Advantage)
Settlement options for Life policy (2 of 2)
26. Insurer has right to rescind policy & return premium if material misrepresentation in application is found w/in 1st 2 yrs.
Types of reinsurance
Types of Insurers (by ownership)
Incontestability clause/provision
Phases of an annuity
27. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Common Accident provision
Health Maintenance Organization (HMO)
Payment of Premium provision
Major Medical plan
28. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Insurance contract characteristics (2 of 2)
Exclusions to Work. Comp.
Insurance contract characteristics (1 of 2)
Modified Endowment Contract (MEC)
29. Provides supplemental coverage for physician/surgeon fees if enrolled (during enrollment period ONLY) & pay monthly premium w/ deductible and co-insurance.
Payor (aka Waiver of Payor's Premium) rider
Revocable vs. Irrevocable beneficiary
Common Disaster (Simultaneous Death Act) clause/provision
Medicare Part B (aka Supplemental Medical Insurance or SMI)
30. 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)
Requirements to sell variable life products
Dependent coverage
Waiver of Premium (Waiver of Cost of Insurance) rider
31. If 2 or more family members are injured in the same accident - only payment of a single deductible is required.
Point of Service plan
Binding receipt (aka Temporary Insurance Agreement)
Trusts
Common Accident provision
32. 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
Point of Service plan
Endowment Life policy
Loss of Earnings Test
Exclusions to Work. Comp.
33. 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)
Transplant/Cosmetic Surgery rider
Dividends
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
34. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Non-forfeiture options for WL policy
Payment of Premium provision
Recurrent disability clause/provision
COBRA Time Limitations
35. Upon death - death benefit is paid + the aggregate of premiums paid to date; add-on to Term policy ONLY.
Total disability (more restrictive definition)
Departments of an Insurer
Business Continuation (aka Buy-Sell) policy
Return of Premium rider
36. Receipt whereby coverage incepts immediately upon submission of full consideration - unless declined & premium refunded.
Valid life insurance contracts must identify...
Renewability provision
Binding receipt (aka Temporary Insurance Agreement)
Family or Dependents rider
37. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Medicaid/Medi-Cal
Social Security Benefit (Supplement) rider
Basic Medical plan
Claim Form (aka Proof of Loss Form) provision
38. Permanent disability due to total loss of sight - hearing - speech or use of 2 + limbs; benefits paid even while continuing to work.
Presumptive disability
CHAMPUS (aka TriCare)
Risk management
Reinstatement provision
39. Upon death - death benefit is paid + the aggregate of cash value accumulated to date; add-on to WL policy ONLY.
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Entire Contract provision
Key Employee policy
Return of Cash Value rider
40. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Blue Cross/Blue Shield
Misstatement of Age/Sex provision
Types of Agency Authority
Types of reinsurance
41. Multiple small employers w/ common affiliation (trade assoc. OR Chamber of Commerce) band together to purchase group plan.
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Binding receipt (aka Temporary Insurance Agreement)
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Split Dollar Plan
42. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
7 Pay Test
Premium modes
Grace Period provision
Common Life Exclusions
43. Written contract to transfer risk of premature death from one party to another; pays stated sum upon death; creates instant estate.
Trial Application (aka Request for Offer)
Return of Cash Value rider
Total disability (as commonly defined)
Life insurance policy
44. 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.
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Insuring clause/provision (aka Insuring Agreement)
Small Employer Medical Expense plan
Point of Service plan
45. Provides increased death benefit if death occurs w/in 90 days & as result of accident; relatively INexpensive add-on.
Accidental Death (aka Multiple Indemnity) rider
IRS Penalties for Annuities
Annuity
Human Life Value approach
46. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Common Disability Exclusions
Departments of an Insurer
Employer-Administered plan
Group Disability plan
47. Agents - represent Insurer; Brokers - represent themselves & Insured; Solicitors - represent one agent to solicit leads.
Occupational Disability policy
Social Security Benefit (Supplement) rider
Notice of Claim provision
Types of Licensed Producers
48. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Types of Renewability provisions
Dependent coverage
Pure risk vs. Speculative risk
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
49. Price of insurance per exposure unit.
Rate (as defined by CIC)
Types of Medical Plans
Conformity with State Statute provision
Joint Life (aka "First to die") policy
50. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Key Employee Disability policy
Departments of an Insurer
Types of Renewability provisions