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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. Application submitted w/out premium; no coverage until submission of full consideration & completed Statement of Continued Good Health.
Workers' Compensation insurance
Trial Application (aka Request for Offer)
Dividend options
Elimination (aka Waiting) period
2. Policyholders - Mutual (participating) co. - may pay dividends; Stockholders - Stock (non-participating) co. - no dividends.
Viatical Settlement Provider (VSP)
Revocable vs. Irrevocable beneficiary
Levels of Long Term Care provided
Types of Insurers (by ownership)
3. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Tax implications of an Annuity (1 of 2)
Health Insurance Portability and Accountability Act (HIPAA)
Point of Service plan
Key Employee policy
4. Tendency of poorer risks to seek insurance.
Tax implications of Disability policy
Total disability (any-occupational definition)
Adverse selection
Experience vs. Community rating in Group Health plan
5. Domestic - within home state; Foreign - outside home state; Alien - outside home country.
Revocable vs. Irrevocable beneficiary
Common Life Exclusions
Errors & Omissions (E&O)
Types of Insurers (by domicile)
6. 1: Fixed - guaranteed fixed monthly income & fixed interest rate; 2: Variable - unguaranteed; monthly income varies based on stocks/bond returns.
Insuring clause/provision (aka Insuring Agreement)
Annuity Classifications (3 of 5): Source of income
Mortality vs. Morbidity tables
Exclusions to Work. Comp.
7. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Credit Life policy
Accidental Death & Dismemberment (AD&D) Life policy
Levels of Long Term Care provided
Types of Term Life policies
8. Non-qualified Annuity - Non-deductible contributions & tax-deferred growth. At pay-out - tax-free principal but taxable growth.
Renewability provision
Pure risk vs. Speculative risk
Trusts
Tax implications of an Annuity (1 of 2)
9. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Medical cost containment (aka Managed care)
Presumptive disability
Pure risk vs. Speculative risk
Types of reinsurance
10. Same as WL but w/ adjustable death benefit (& corresponding premium) & over-fund option but w/ annually renewable term (ART).
Key Employee policy
Supplemental Major Medical plan
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Plans A-L of Medical Supplement or Medigap
11. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Accidental Death & Dismemberment (AD&D) Life policy
Adverse selection
Juvenile Life (aka Jumping Juvenile) policy
Employer-Administered plan
12. Experience - rates impacted by actual prior claim experience of actual group; Community - identical rates used for entire community - regardless of experience.
Variable Life policy (1 of 2)
1035 Exchange
Revocable vs. Irrevocable beneficiary
Experience vs. Community rating in Group Health plan
13. Mandatory 100% employer-funded coverage for injuries/illnesses occurring "on" job; full-time employees only; exclusive remedy. Provides: 1: unlimited medical benefit; 2: survivor income replacement & funeral ($5 -000 max.); 3: disability benefit @ 66
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14. Term Life policy w/ decreasing death benefit; usually used to secure credit (loan) w/ lender as beneficiary & borrower as Insured.
Earned vs. Unearned premium
Major Medical plan
Credit Life policy
Health Maintenance Organization (HMO)
15. Written contract that provides INCOME @ high interest rate for fixed period OR for annuitant's lifetime w/ possible death benefit.
Supplemental Major Medical plan
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Market Value Adjusted (aka Modified Guaranteed) annuity
Annuity
16. Federal program financed by payroll taxes provided equally by both employer & employee OR entirely by individual (if self-employed). Provides benefits for: Medicare @ age 65+; retirement; $255 lump sum death benefit; (limited) disability; survivors;
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Tax implications of medical plans
Incontestability clause/provision
Exclusions for Major Medical plan
17. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Modified Premium Whole Life policy
Medicare
Errors & Omissions (E&O)
Accidental Death & Dismemberment (AD&D) Life policy
18. 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.
Beneficiary provisions
Retrocession
Reinstatement provision
Types of Accident & Health insurance
19. Written contract to transfer risk of premature death from one party to another; pays stated sum upon death; creates instant estate.
Payment of Premium provision
Life insurance policy
Annuity Classifications (2 of 5): When benefits begin
Current Assumption (aka Interest-Sensitive) Whole Life policy
20. Same as Universal Life but cash value put in investment vehicles chosen by policy owner (stocks - bonds - munis.); cash value NOT guaranteed.
Types of Insurers (miscellaneous)
Endowment Life policy
Variable Universal Life policy
Types of Term Life policies
21. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Parole Pardon Rule
Spendthrift provision
Waiver of Premium (Waiver of Cost of Insurance) rider
Insurance contract characteristics (1 of 2)
22. Allows for Term policy renewal @ higher premium w/out medical exam; guarantees insurability; based on actual/attained age.
Cost of Living Adjustment (COLA) Disability rider
Renewability provision
Medi-Cal Share Cost plan
Common Disaster (Simultaneous Death Act) clause/provision
23. Price of insurance per exposure unit.
Common Disability Exclusions
Health Maintenance Organization (HMO)
Premium modes
Rate (as defined by CIC)
24. WL policy covering 2 or more Insureds but ONLY payable upon death of LAST Insured - generally low premium but high death benefit.
Grace Period provision
Common Accident provision
Relation of Earnings to Insurance provision
Survivorship (aka "Last to die") policy
25. 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.
Peril vs. Hazard
Key Employee Disability policy
Health Insurance Portability and Accountability Act (HIPAA)
Survivorship (aka "Last to die") policy
26. Mortality is the statistical possibility of death @ each age. Morbidity is the statistical possibility & extent of disability @ each age.
Mortality vs. Morbidity tables
Free Look provision
Suicide clause/provision
Types of Insurers (by ownership)
27. Receipt whereby coverage incepts conditionally upon submission of full consideration and that all underwriting reqs. are met.
Types of Insurers (by ownership)
Life insurance policy
Adjustable Whole Life policy
Insurability Type Conditional receipt
28. Insurer has right to rescind policy & return premium if material misrepresentation in application is found w/in 1st 2 yrs.
Misstatement of Age/Sex provision
Workers' Compensation insurance
Incontestability clause/provision
Accidental Death & Dismemberment (AD&D) Disability rider
29. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Types of Term Life policies
CA Work. Comp. Statutes
Indemnify
Return of Premium rider
30. Dependent children are covered until 19 or 23 (full-time student only) or until self-sufficient (if handicapped).
Survivorship (aka "Last to die") policy
Common Disability Exclusions
Cash value
Dependent coverage
31. An attempt to contain costs by employing various strategies - including wellness programs - preventative testing - outpatient & alternative procedures.
Family Maintenance policy
Medical cost containment (aka Managed care)
Approval Type Conditional receipt
Phases of an annuity
32. Periodic return of premium to policy owners from Mutual (Par) Companies; not guaranteed & not taxable as income; may be used in 6 ways.
Health Reimbursement Account (HRA)
Recurrent disability clause/provision
Dividends
Phases of an annuity
33. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Factors that determine premium
Total disability (more restrictive definition)
Modified Endowment Contract (MEC)
Insurable interest
34. Death benefit is NOT taxable. Cash value grows tax-deferred but cost basis (base premium) is not taxable - only interest is.
Needs approach (most common)
Tax implications of Death Benefit & Cash Value
Insuring clause/provision (aka Insuring Agreement)
Health Insurance Portability and Accountability Act (HIPAA)
35. 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
Insurance contract characteristics (2 of 2)
Departments of an Insurer
Valid life insurance contracts must identify...
36. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Phases of an annuity
Business Continuation (aka Buy-Sell) Disability policy
Variable Life policy (2 of 2)
Pure risk vs. Speculative risk
37. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
CHAMPUS (aka TriCare)
Trusts
Settlement options for Life policy (2 of 2)
Total disability (any-occupational definition)
38. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Legal Action provision
Accidental Death & Dismemberment (AD&D) Life policy
Proof of Loss provision
Requirements to sell variable life products
39. Covers disabilities occurring both "on" AND "off" job; "on" job benefits paid in addition to work. comp. - if applicable (i.e. individual plan).
Common Disaster (Simultaneous Death Act) clause/provision
Occupational Disability policy
Medicare Part A (aka Hospital Insurance or HI)
COBRA Time Limitations
40. Unintentional - up to $1 -000 + legal $; Intentional - $1 -000-5 -000 + legal $; If harmful - misdemeanor + up to 1 yr. prison + up to $10 -000.
Penalties for violating AIDS/HIV privacy laws
Cost of Living Adjustment (COLA) Life rider
Retrocession
Errors & Omissions (E&O)
41. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Tax implications of medical plans
Medical cost containment (aka Managed care)
Phases of an annuity
Applicant Representations vs. Warranties
42. Insurance purchased by other Insurer(s) to spread or diversify risk; promotes industry stability.
Waiver of Premium (Waiver of Cost of Insurance) rider
Reinsurance
Annuity surrender charges
Types of Insurers (miscellaneous)
43. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Exclusions to Work. Comp.
Trusts
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Insuring clause/provision (aka Insuring Agreement)
44. Same as WL but death benefit decreases each yr. w/ dividends paid annually to offset decrease.
Group Disability plan
Spendthrift provision
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Transplant/Cosmetic Surgery rider
45. Multiple small employers w/ common affiliation (trade assoc. OR Chamber of Commerce) band together to purchase group plan.
Dividends
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Major Medical plan
Reinstatement provision
46. If Insured & primary beneficiary die due to same act (w/in 14 days) - primary assumed 1st to die & contingent beneficiary paid death benefit.
CA Work. Comp. Statutes
Common Disaster (Simultaneous Death Act) clause/provision
Endowment Life policy
Exclusions to Work. Comp.
47. 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
Common Disability Exclusions
Change of Occupation provision
Types of reinsurance
48. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Market Value Adjusted (aka Modified Guaranteed) annuity
Risk management
Medicare Part A & B "Gaps"
Annuity
49. Provides % of monthly income benefit if Insured becomes disabled due to illness or accident.
Needs approach (most common)
Disability Income policy
Cross Purchase Plan
Medicare Part A (aka Hospital Insurance or HI)
50. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
Medicare Part D
Insurable interest
Insurance contract characteristics (2 of 2)
Policy loans