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Test your basic knowledge |
CA Life Agent Exam
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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. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Primary Insurance Amount (PIA)
Beneficiary provisions
Endowment Life policy
Exclusions for Major Medical plan
2. Intentional OR unintentional failure to disclose material underwriting facts that should have been disclosed; grounds for policy rescission.
Types of Licensed Producers
Departments of an Insurer
Equity Index Whole Life policy
Concealment
3. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Departments of an Insurer
Medicare Part A (aka Hospital Insurance or HI)
Equity Index Whole Life policy
Current Assumption (aka Interest-Sensitive) Whole Life policy
4. Preferred or Preferred Smoker; Standard or Standard Smoker; Substandard; Denied.
Long Term Care (LTC) policy
AIDS/HIV discrimination
Underwriting risk categories
Trial Application (aka Request for Offer)
5. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Single Pay Whole Life policy
Insurable interest
Medicare Part C (aka Medicare Advantage)
Insuring clause/provision (aka Insuring Agreement)
6. Authorized (admitted) - can conduct business in state; Unauthorized (non-admitted) - cannot conduct business in state (w/ one exception).
Types of Insurers (by authorization)
Concealment
Dividends
Automatic Premium Loan (APL) provision
7. Beneficiary has right to leave death benefits / Insurer to protect $ from creditors; interest (taxable) paid on retained funds.
Dental Plan
Market Value Adjusted (aka Modified Guaranteed) annuity
Spendthrift provision
Notice of Claim provision
8. Provides disability income during surgery recovery from life-threatening condition (& sometimes cosmetic surgery).
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Equity Index Whole Life policy
Transplant/Cosmetic Surgery rider
Variable Life policy (1 of 2)
9. IRS allows tax-free transfer of cash values between 2 LIKE policies (i.e. Life to Life - Annuity to Annuity - or Life to Annuity).
Estoppel
Workers' Compensation insurance
Primary Insurance Amount (PIA)
1035 Exchange
10. 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.
Time Limit on Certain Defenses provision
Equity Indexed annuity
Viatical Settlement Provider (VSP)
Legal Action provision
11. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Group Disability plan
Entire Contract provision
Annuity Classifications (1 of 5): How premium is paid
Pure risk vs. Speculative risk
12. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Employer Liability
Payment of Premium provision
Pure risk vs. Speculative risk
Change of Occupation provision
13. Receipt whereby coverage incepts ONLY after underwriting approval.
Accidental Death (aka Multiple Indemnity) rider
Insurer (as defined by CIC)
Parole Pardon Rule
Approval Type Conditional receipt
14. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Applicant Representations vs. Warranties
Cash value
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Tax implications of Disability policy
15. War/Military; Intentional self-inflicted; Aviation (non-commercial); Foreign country; Loss of professional license; Illegal activity; Mental disorders (after 1-2 yrs.).
Key Employee Disability policy
Common Disability Exclusions
Employee Retirement Income Security Act (ERISA)
Annuity surrender charges
16. Guaranteed min. interest rate on cash value buildup but possible higher rate if short-term investment returns higher than expected.
Considerations in replacing Health insurance
Return of Premium rider
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Permanent vs. Temporary disability
17. Covers disabilities occurring ONLY "off" job; benefits do not overlap work. comp. (i.e. Group plan).
Penalties for violating AIDS/HIV privacy laws
Insuring clause/provision (aka Insuring Agreement)
Levels of Long Term Care provided
Non-Occupational Disability policy
18. Privately-sold policies to provide benefits not covered by Medicare; divided into 12 plans listed alphabetically A - L; 30-day free look; guaranteed renewable.
Common Disability Exclusions
Policy delivery
Penalties for violating AIDS/HIV privacy laws
Medicare Supplement or Medigap policy
19. 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.
Long Term Care (LTC) policy
Split Dollar Plan
Cost of Living Adjustment (COLA) Life rider
Consolidated Omnibus Budget Reconciliation Act (COBRA)
20. Disability policy rider covering "the inability to perform some - but not all of your duties"; pays max. 50% of disability benefit for up to 6 mths.
Insurable interest
Partial disability rider
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Endowment Life policy
21. Same as Comprehensive Major Medical but w/ integrated deductible; much more expensive.
Business Overhead Expense (BOE) Disability policy
Supplemental Major Medical plan
Rehabilitation rider
Common Disability Exclusions
22. 1: mortality probability charge; 2: Insurer's investment return; 3: expenses (admin costs - commissions). 1 - 2 = net; 1 - 2 + 3 = gross.
Types of Insurers (by sector)
Basic Medical plan
Factors that determine premium
Insurance contract characteristics (2 of 2)
23. 1: Fixed - guaranteed fixed monthly income & fixed interest rate; 2: Variable - unguaranteed; monthly income varies based on stocks/bond returns.
Family Income policy
Annuity Classifications (3 of 5): Source of income
Exclusions for Major Medical plan
COBRA Time Limitations
24. Federally-funded but state-run program for truly indigent individuals & families providing medical care at Federal clinic.
Dividend options
Medicaid/Medi-Cal
Types of Insurers (by ownership)
Types of Accident & Health (A&H) providers
25. Allows policy owner to w/draw set % of death benefit upon verification of terminal illness w/ expectancy 12-24 mths.; generally tax-free.
Return of Cash Value rider
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Total disability (more restrictive definition)
Social Security Benefit (Supplement) rider
26. Same as WL but w/ Level Term rider; upon death - pays monthly income for FULL term AFTER which pays full death benefit.
Family Maintenance policy
Residual disability rider
COBRA Time Limitations
Dependent coverage
27. 1: Surrender for cash value (taxable); 2: Buy equal-benefit paid-up Level Term policy; 3: Buy reduced-benefit paid-up WL policy.
Types of Medical Plans
Viatical Settlement Provider (VSP)
Medicaid/Medi-Cal
Non-forfeiture options for WL policy
28. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Automatic Premium Loan (APL) provision
Underwriting risk categories
Medicaid/Medi-Cal
Recurrent disability clause/provision
29. 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.
Modified Premium Whole Life policy
Supplemental Major Medical plan
Errors & Omissions (E&O)
Health Insurance Portability and Accountability Act (HIPAA)
30. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Exclusions for Major Medical plan
Payment of Premium provision
Common Disability Exclusions
Family Income policy
31. Experience - rates impacted by actual prior claim experience of actual group; Community - identical rates used for entire community - regardless of experience.
Experience vs. Community rating in Group Health plan
Residual disability rider
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Single Pay Whole Life policy
32. 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
33. Compensates business for loss due to death or disability of key employee; premiums not deductible but benefits tax-free.
Claim Form (aka Proof of Loss Form) provision
Notice of Claim provision
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Key Employee policy
34. Time period preceding each disability during which benefits are not paid; longer elimination periods = cheaper premium.
Insurer (as defined by CIC)
Dividends
Elimination (aka Waiting) period
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
35. Provides usual & customary business expenses (rent - utilities - salaries - mortgage) if owner becomes disabled; premiums deductible - benefits taxable.
Business Overhead Expense (BOE) Disability policy
Beneficiary provisions
Dread Disease policy
Term Life policy
36. Fixed premium w/ guaranteed min. death benefit that may increase due to higher than expected investment returns.
Retrocession
Variable Life policy (2 of 2)
Considerations in replacing Health insurance
Residual disability rider
37. 1: Single (lump sum) premium; 2: Periodic premiums - can be level (fixed $) OR flexible from mth. to mth. (w/ req. min.)
Annuity Classifications (1 of 5): How premium is paid
Settlement options for Life policy (2 of 2)
Common Life Exclusions
Fraud
38. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Point of Service plan
Conformity with State Statute provision
Graded Premium Whole Life policy
Requirements to sell variable life products
39. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Health Reimbursement Account (HRA)
Cost of Living Adjustment (COLA) Life rider
Types of Licensed Producers
40. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
Annuity Classifications (1 of 5): How premium is paid
Exclusions for Major Medical plan
Guaranteed Insurability Life rider
Medicare Part D
41. Unintentional - up to $1 -000 + legal $; Intentional - $1 -000-5 -000 + legal $; If harmful - misdemeanor + up to 1 yr. prison + up to $10 -000.
Departments of an Insurer
Penalties for violating AIDS/HIV privacy laws
Incontestability clause/provision
Suicide clause/provision
42. Covers entire family w/ WL for breadwinner & (convertible) Level Term for spouse & children (until certain age).
Dividend options
Estoppel
Health Insurance Portability and Accountability Act (HIPAA)
Family policy
43. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Premium modes
Policy delivery
Mortality vs. Morbidity tables
Modified Premium Whole Life policy
44. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Payor (aka Waiver of Payor's Premium) rider
Common Life Exclusions
Medical Savings Account (MSA) & Health Savings Account (HSA)
Automatic Premium Loan (APL) provision
45. Insurer has right to adjust (+ or -) death benefit if age or sex is misstated but normally doesn't void policy.
Adverse selection
Misstatement of Age/Sex provision
Recurrent disability clause/provision
Notice of Claim 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.
Tax implications of medical plans
CHAMPUS (aka TriCare)
Common Disaster (Simultaneous Death Act) clause/provision
Law of Large Numbers
47. Same as WL but premium low for set # yrs. - THEN premiums vary (+ or -) based on Insurer's investment returns - w/ Gmax.
Indeterminate Premium Whole Life policy
Medicare Part C (aka Medicare Advantage)
Medicare Part D
Concealment exceptions
48. Provides coverage for specific disease(s) - such as cancer or leukemia.
Dread Disease policy
Rehabilitation rider
Return of Premium rider
Major Medical plan
49. A&H - A&S - Sickness only; Medical; Disability; Accident only; Travel accident; LTC; Medicare supplement; AD&D; Dental/Vision/Prescription; Limited.
Transplant/Cosmetic Surgery rider
Modified Premium Whole Life policy
Types of Accident & Health insurance
Renewability provision
50. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Modified Endowment Contract (MEC)
Tax implications of Disability policy
Cost of Living Adjustment (COLA) Disability rider
Common Disaster (Simultaneous Death Act) clause/provision
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