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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. Same as WL but death benefit decreases each yr. w/ dividends paid annually to offset decrease.
Insurance contract characteristics (2 of 2)
Joint Life (aka "First to die") policy
Considerations in replacing Health insurance
Enhanced Ordinary (aka Extraordinary) Whole Life policy
2. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Tax implications of an Estate
Indemnify
Annuity Classifications (1 of 5): How premium is paid
Modified Endowment Contract (MEC)
3. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Blackout Period
Elements to contract
Annuity surrender charges
Employee Retirement Income Security Act (ERISA)
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.
Common Accident provision
Experience vs. Community rating in Group Health plan
Binding receipt (aka Temporary Insurance Agreement)
Preferred Provider Organization (PPO)
5. 1: Individual; 2: Joint - multiple annuitants paid until 1st dies; 3: Joint & Survivor - multiple annuitants paid until 1st dies THEN survivors paid but @ reduced $.
Presumptive disability
Considerations in replacing Health insurance
Annuity Classifications (5 of 5): # of lives
Tax implications of Disability policy
6. A lapsed policy may be reinstated if not longer than 3-5 yrs. - & proof of insurability re-established - & back premiums + interest paid.
Law of Large Numbers
24 Hour Coverage (CA)
Reinstatement provision
Rehabilitation rider
7. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Factors that determine premium
Fraud
Employer-Administered plan
Preferred Provider Organization (PPO)
8. Excludes coverage for suicide during 1st 2 yrs. ONLY but - if it does - all premiums must be returned to beneficiary.
Loss of Earnings Test
Suicide clause/provision
Free Look provision
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
9. Compensates business for loss due to death or disability of key employee; premiums not deductible but benefits tax-free.
Whole (aka Permanent or Straight) Life policy
Misstatement of Age/Sex provision
Transplant/Cosmetic Surgery rider
Key Employee policy
10. Written contract that provides INCOME @ high interest rate for fixed period OR for annuitant's lifetime w/ possible death benefit.
Loss exposure
Elements to contract
Human Life Value approach
Annuity
11. Req. by CA statute & may provide workers coverage for action-over claims.
Business Continuation (aka Buy-Sell) policy
Employer Liability
Modified Premium Whole Life policy
Employee Retirement Income Security Act (ERISA)
12. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Presumptive disability
Family or Dependents rider
Insurance contract characteristics (1 of 2)
Medicare Part C (aka Medicare Advantage)
13. Insurer has right to adjust (+ or -) death benefit if age or sex is misstated but normally doesn't void policy.
Tax implications of Dividends - Loans & Interest
Misstatement of Age/Sex provision
Indeterminate Premium Whole Life policy
Single Pay Whole Life policy
14. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Indemnify
Accidental Death & Dismemberment (AD&D) Disability rider
Return of Premium rider
Survivorship (aka "Last to die") policy
15. Pre-existing illness/injury; Waiting period; Elimination period; Probationary period; Benefits - Exclusions - Limitations; Underwriting reqs.
Types of Medical Plans
Claim Form (aka Proof of Loss Form) provision
CHAMPUS (aka TriCare)
Considerations in replacing Health insurance
16. Excludes coverage for specific injury/illness either temporarily or permanently in order to eliminate pre-existing condition.
Earned vs. Unearned premium
Impairment (Exclusion) rider
Credit Life policy
Trusts
17. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Automatic Premium Loan (APL) provision
Beneficiary provisions
Trusts
Reinstatement provision
18. Allows policy owner to w/draw set % of death benefit upon verification of terminal illness w/ expectancy 12-24 mths.; generally tax-free.
Family policy
Dependent coverage
Concealment
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
19. Covers disabilities occurring both "on" AND "off" job; "on" job benefits paid in addition to work. comp. - if applicable (i.e. individual plan).
Incontestability clause/provision
Occupational Disability policy
Family policy
Common Accident provision
20. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Accidental Death & Dismemberment (AD&D) Disability rider
Applicant Representations vs. Warranties
Insurance contract characteristics (1 of 2)
21. 1: Immediate benefits rec'd w/in 30 days but premium must be paid by lump sum; 2: Deferred - usually until retirement.
Trusts
Annuity Classifications (2 of 5): When benefits begin
Insurance contract characteristics (2 of 2)
Rate (as defined by CIC)
22. Physical - slippery floor; Moral - dishonest acts; Morale - carelessness or recklessness.
Insurer (as defined by CIC)
Types of hazards
Experience vs. Community rating in Group Health plan
Conformity with State Statute provision
23. 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.
Group Disability plan
Legal Action provision
Medicare Supplement or Medigap policy
Modified Premium Whole Life policy
24. Death benefit determined by Insured's financial goals & needs (minus assets).
Needs approach (most common)
Credit Life policy
Split Dollar Plan
Types of Insurers (by ownership)
25. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Entire Contract provision
Fraud
Flexible Spending Account (FSA)
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
26. Available for any reason up to full cash value @ fixed (max 8%) OR variable interest rate; loan $ + interest deducted from benefit @ death.
Whole (aka Permanent or Straight) Life policy
Modified Endowment Contract (MEC)
Legal Action provision
Policy loans
27. Allows for use of HMO/PPO or other private carrier to provide expanded benefits @ additional premium & if enrolled in BOTH Parts A & B.
Revocable vs. Irrevocable beneficiary
Settlement options for Life policy (1 of 2)
Medicare Part C (aka Medicare Advantage)
Annuity Classifications (5 of 5): # of lives
28. Same as Comprehensive Major Medical but w/ integrated deductible; much more expensive.
Employer-Administered plan
Parole Pardon Rule
Supplemental Major Medical plan
Family policy
29. 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.
Types of hazards
Medicaid/Medi-Cal
Tax implications of Disability policy
Types of Insurers (miscellaneous)
30. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Errors & Omissions (E&O)
Basic Medical plan
Revocable vs. Irrevocable beneficiary
Comprehensive Major Medical plan
31. 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.
Relation of Earnings to Insurance provision
Variable Universal Life policy
Indemnify
Types of Term Life policies
32. Financial interest in insured party that must exist @ time of application OR policy issuance. Requires consent (except minors).
Entire Contract provision
Small Employer Medical Expense plan
Residual disability rider
Insurable interest
33. War/Military; Intentional self-inflicted; Aviation (non-commercial); Foreign country; Loss of professional license; Illegal activity; Mental disorders (after 1-2 yrs.).
Considerations in replacing Health insurance
Business Continuation (aka Buy-Sell) Disability policy
Family or Dependents rider
Common Disability Exclusions
34. The state in which the contract is accepted or delivered is the state that possesses regulatory jurisdiction over Group plan.
Whole (aka Permanent or Straight) Life policy
Doctrine of Comity
Reinsurance
Life insurance policy
35. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Dividend options
Applicant Representations vs. Warranties
Total disability (more restrictive definition)
Joint Life (aka "First to die") policy
36. 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
Blackout Period
Family or Dependents rider
Major Medical plan
37. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
Types of Insurers (by authorization)
Binding receipt (aka Temporary Insurance Agreement)
Insurance contract characteristics (1 of 2)
Tax implications of an Annuity (1 of 2)
38. 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.
Non-forfeiture options for WL policy
Proof of Loss provision
Health Reimbursement Account (HRA)
Small Employer Medical Expense plan
39. 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.
CA Work. Comp. Statutes
Business Overhead Expense (BOE) Disability policy
Estoppel
24 Hour Coverage (CA)
40. Conditional - coverage is conditional; Personal - parties are people; Good faith - honesty/integrity; Fiduciary - req's financial trust.
Convertibility provision
Social Security Benefit (Supplement) rider
Settlement options for Life policy (1 of 2)
Insurance contract characteristics (2 of 2)
41. 'The inability to perform ANY gainful occupation'.
Total disability (any-occupational definition)
Beneficiary provisions
Age Discrimination in Employment Act (ADEA)
Split Dollar Plan
42. Receipt whereby coverage incepts immediately upon submission of full consideration - unless declined & premium refunded.
Cost of Living Adjustment (COLA) Disability rider
Binding receipt (aka Temporary Insurance Agreement)
Recurrent disability clause/provision
Medicare Supplement or Medigap policy
43. Receipt whereby coverage incepts ONLY after underwriting approval.
Approval Type Conditional receipt
Suicide clause/provision
Payor (aka Waiver of Payor's Premium) rider
Policy delivery
44. Prepaid med. benefits for members ONLY w/ approved primary care M.D. (HMO employee); focus on preventative care; low co-pay.
Plans A-L of Medical Supplement or Medigap
Health Maintenance Organization (HMO)
Non-Occupational Disability policy
Insurability Type Conditional receipt
45. 'The inability to perform your OWN normal occupation or daily duties'.
Term Life policy
Annuity
Total disability (as commonly defined)
Estoppel
46. Dependent children are covered until 19 or 23 (full-time student only) or until self-sufficient (if handicapped).
Tax implications of medical plans
Medicare
Dividends
Dependent coverage
47. Policy covering minor child; premium fixed but death benefit increases by 5 times @ age 18 or 21.
Juvenile Life (aka Jumping Juvenile) policy
Elimination (aka Waiting) period
Point of Service plan
Errors & Omissions (E&O)
48. Savings account for medical expenses; Tax-deductible contributions; tax-deferred growth; tax-free for qualified use; taxable for non-qualified use.
Medi-Cal Share Cost plan
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Exclusions for Major Medical plan
Medical Savings Account (MSA) & Health Savings Account (HSA)
49. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Non-forfeiture options for WL policy
Pure risk vs. Speculative risk
Accidental Death & Dismemberment (AD&D) Disability rider
Insurer (as defined by CIC)
50. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Loss exposure
Family Income policy
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Automatic Premium Loan (APL) provision