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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. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Settlement options for Life policy (1 of 2)
Mortality vs. Morbidity tables
Cost of Living Adjustment (COLA) Disability rider
Enhanced Ordinary (aka Extraordinary) Whole Life policy
2. Period of time following any children's survivor benefit & before benefits are provided to employee's widow/widower.
Viatical Settlement Provider (VSP)
Return of Cash Value rider
Tax implications of Disability policy
Blackout Period
3. Application submitted w/out premium; no coverage until submission of full consideration & completed Statement of Continued Good Health.
Trial Application (aka Request for Offer)
Notice of Claim provision
Limited Pay Whole Life policy
Pure risk vs. Speculative risk
4. Written policy terms supersede oral statements made prior to policy issue.
Blue Cross/Blue Shield
Parole Pardon Rule
Types of Licensed Producers
Graded Premium Whole Life policy
5. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Juvenile Life (aka Jumping Juvenile) policy
Medicare Part A & B "Gaps"
Policy delivery
Disability Income policy
6. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Family or Dependents rider
Trusts
Insurable interest
Exclusions for Major Medical plan
7. If Insured changes to: more hazardous job - benefits reduced; less hazardous job - premiums reduce.
Annuity Classifications (1 of 5): How premium is paid
CHAMPUS (aka TriCare)
Tax implications of an Estate
Change of Occupation provision
8. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Types of Insurers (by domicile)
Human Life Value approach
Partial disability rider
Estoppel
9. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Recurrent disability clause/provision
Non-Occupational Disability policy
Elements to contract
Valid life insurance contracts must identify...
10. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Annuity Classifications (2 of 5): When benefits begin
Comprehensive Major Medical plan
Types of Accident & Health (A&H) providers
Key Employee Disability policy
11. Dividends are NOT taxable but interest is. Loan interest is NOT tax-deductible. Interest paid by Insurer on retained funds is taxable.
Health Maintenance Organization (HMO)
Tax implications of an Annuity (1 of 2)
Tax implications of Dividends - Loans & Interest
Automatic Premium Loan (APL) provision
12. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Family or Dependents rider
Family Income policy
Dividend options
Incontestability clause/provision
13. 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.
Claim Form (aka Proof of Loss Form) provision
Health Insurance Portability and Accountability Act (HIPAA)
Permanent vs. Temporary disability
Tax implications of Dividends - Loans & Interest
14. Prepaid med. benefits for members ONLY w/ approved primary care M.D. (HMO employee); focus on preventative care; low co-pay.
Flexible Spending Account (FSA)
Types of Insurers (by domicile)
Proof of Loss provision
Health Maintenance Organization (HMO)
15. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Convertibility provision
Claim Form (aka Proof of Loss Form) provision
Equity Index Whole Life policy
Annuity Classifications (1 of 5): How premium is paid
16. An unintentional mistake committed by an insurance representative; may be covered by E&O insurance.
Risk management
Errors & Omissions (E&O)
Needs approach (most common)
Types of Medical Plans
17. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Fraud
Dread Disease policy
Types of Renewability provisions
Applicant Representations vs. Warranties
18. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Retrocession
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Accidental Death & Dismemberment (AD&D) Disability rider
Modified Endowment Contract (MEC)
19. Dependent children are covered until 19 or 23 (full-time student only) or until self-sufficient (if handicapped).
Dependent coverage
Factors that determine premium
Small Employer Medical Expense plan
Insurable interest
20. A lapsed policy may be reinstated if not longer than 3-5 yrs. - & proof of insurability re-established - & back premiums + interest paid.
Fraud
Reinstatement provision
Accidental Death & Dismemberment (AD&D) Disability rider
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
21. Receipt whereby coverage incepts ONLY after underwriting approval.
Mortality vs. Morbidity tables
Business Continuation (aka Buy-Sell) Disability policy
Approval Type Conditional receipt
Retrocession
22. 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.
Trusts
Beneficiary provisions
Dependent coverage
Preferred Provider Organization (PPO)
23. Covers disabilities occurring both "on" AND "off" job; "on" job benefits paid in addition to work. comp. - if applicable (i.e. individual plan).
Insurability Type Conditional receipt
Departments of an Insurer
Age Discrimination in Employment Act (ADEA)
Occupational Disability policy
24. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Incontestability clause/provision
Applicant Representations vs. Warranties
Claim Form (aka Proof of Loss Form) provision
Revocable vs. Irrevocable beneficiary
25. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Health Reimbursement Account (HRA)
Rescission
Whole (aka Permanent or Straight) Life policy
Non-forfeiture options for WL policy
26. 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.
Types of Insurers (by authorization)
Relation of Earnings to Insurance provision
Plans A-L of Medical Supplement or Medigap
Consolidated Omnibus Budget Reconciliation Act (COBRA)
27. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Premium modes
Medicare Part C (aka Medicare Advantage)
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Health Maintenance Organization (HMO)
28. Palliative - treatment to manage pain; Curative - treatment to cure illness/condition.
Palliative vs. Curative care
IRS Penalties for Annuities
CHAMPUS (aka TriCare)
Types of Agency Authority
29. Allows policy owner to w/draw set % of death benefit upon verification of terminal illness w/ expectancy 12-24 mths.; generally tax-free.
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Family Income policy
Errors & Omissions (E&O)
Non-Occupational Disability policy
30. 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
Doctrine of Comity
Business Continuation (aka Buy-Sell) Disability policy
Graded Premium Whole Life policy
31. Taxable income (unlike individual plans); can be either short-term - 13-52 wks. max. or long-term - longer than 52 wks.
Types of Insurers (by domicile)
Guaranteed Insurability Life rider
Group Disability plan
Medicare Part A & B "Gaps"
32. Excludes coverage for specific injury/illness either temporarily or permanently in order to eliminate pre-existing condition.
Insurer (as defined by CIC)
Tax implications of medical plans
Business Continuation (aka Buy-Sell) Disability policy
Impairment (Exclusion) rider
33. Provides % of monthly income benefit if Insured becomes disabled due to illness or accident.
Disability Income policy
Blackout Period
Types of Renewability provisions
Medicare Part D
34. Provides for continued operation of business if partner dies - by allowing surviving partner(s) to buy deceased partner's interest in business.
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Dividends
Business Continuation (aka Buy-Sell) policy
Elimination (aka Waiting) period
35. Generally 10 days after policy delivery to cancel policy w/ full refund - except 30 days for seniors or for replacement policies.
Free Look provision
Total disability (as commonly defined)
Blue Cross/Blue Shield
Accidental Death & Dismemberment (AD&D) Disability rider
36. Receipt whereby coverage incepts immediately upon submission of full consideration - unless declined & premium refunded.
Annuity Classifications (3 of 5): Source of income
Binding receipt (aka Temporary Insurance Agreement)
1035 Exchange
Flexible Spending Account (FSA)
37. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Parole Pardon Rule
Cash value
Annuity surrender charges
Requirements to sell variable life products
38. Fraternal - non-profit - members only; Reciprocal - unincorp'd org. - members insure each other; Lloyd's Assoc. - groups sharing risks; Surplus lines - special market risks.
Recurrent disability clause/provision
Total disability (as commonly defined)
Limited Pay Whole Life policy
Types of Insurers (miscellaneous)
39. IRS allows tax-free transfer of cash values between 2 LIKE policies (i.e. Life to Life - Annuity to Annuity - or Life to Annuity).
Major Medical plan
Revocable vs. Irrevocable beneficiary
Long Term Care (LTC) policy
1035 Exchange
40. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Common Life Exclusions
Modified Endowment Contract (MEC)
Equity Index Whole Life policy
Automatic Premium Loan (APL) provision
41. Premiums determined by target cash values or death benefit; partial cash value w/drawals allowed; transparent policy w/ unbundled premium.
Juvenile Life (aka Jumping Juvenile) policy
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Annuity Classifications (3 of 5): Source of income
42. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Family Maintenance policy
Group Disability plan
Insuring clause/provision (aka Insuring Agreement)
Basic Medical plan
43. Mortality is the statistical possibility of death @ each age. Morbidity is the statistical possibility & extent of disability @ each age.
Mortality vs. Morbidity tables
Palliative vs. Curative care
Insuring clause/provision (aka Insuring Agreement)
Presumptive disability
44. 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;
Policy loans
Flexible Spending Account (FSA)
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Presumptive disability
45. 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.
Elements to contract
Suicide clause/provision
Estoppel
Preferred Provider Organization (PPO)
46. Provides medical & personal services for people needing extended assistance w/ Activities of Daily Living (ADL). Other benefits include: assisted living care; respite care; hospice care; adult day care.
Long Term Care (LTC) policy
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Juvenile Life (aka Jumping Juvenile) policy
Departments of an Insurer
47. Insurer has right to rescind policy & return premium if material misrepresentation in application is found w/in 1st 2 yrs.
Employee Retirement Income Security Act (ERISA)
Incontestability clause/provision
Tax implications of medical plans
Comprehensive Major Medical plan
48. Same as Comprehensive Major Medical but w/ integrated deductible; much more expensive.
Insurance contract characteristics (1 of 2)
Supplemental Major Medical plan
Medical Savings Account (MSA) & Health Savings Account (HSA)
Factors that determine premium
49. Same as WL but w/ adjustable death benefit (& corresponding premium) & over-fund option but w/ annually renewable term (ART).
Cost of Living Adjustment (COLA) Life rider
Automatic Premium Loan (APL) provision
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Plans A-L of Medical Supplement or Medigap
50. Privately-sold policies to provide benefits not covered by Medicare; divided into 12 plans listed alphabetically A - L; 30-day free look; guaranteed renewable.
Return of Cash Value rider
Medical Savings Account (MSA) & Health Savings Account (HSA)
Medicare Supplement or Medigap policy
Comprehensive Major Medical plan