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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.
Medicare Part D
Exclusions for Major Medical plan
Elements to contract
Trial Application (aka Request for Offer)
2. Refund of 50-80% of premium (minus claims paid) every 5-10 yrs. OR age 65; expensive!
Convertibility provision
Blue Cross/Blue Shield
Return of Premium rider
Types of Insurers (by authorization)
3. Privately-sold policies to provide benefits not covered by Medicare; divided into 12 plans listed alphabetically A - L; 30-day free look; guaranteed renewable.
Medicare Supplement or Medigap policy
Pure risk vs. Speculative risk
Rescission
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
4. 1: Single (lump sum) premium; 2: Periodic premiums - can be level (fixed $) OR flexible from mth. to mth. (w/ req. min.)
Business Overhead Expense (BOE) Disability policy
Annuity Classifications (1 of 5): How premium is paid
Medi-Cal Share Cost plan
Approval Type Conditional receipt
5. Peril is the CAUSE of loss. Hazard is a condition that increases LIKELIHOOD of loss.
Key Employee policy
Credit Life policy
Loss of Earnings Test
Peril vs. Hazard
6. Fraternal - non-profit - members only; Reciprocal - unincorp'd org. - members insure each other; Lloyd's Assoc. - groups sharing risks; Surplus lines - special market risks.
Graded Premium Whole Life policy
Market Value Adjusted (aka Modified Guaranteed) annuity
Policy loans
Types of Insurers (miscellaneous)
7. Receipt whereby coverage incepts conditionally upon submission of full consideration and that all underwriting reqs. are met.
Insurability Type Conditional receipt
Dividend options
Rate (as defined by CIC)
Business Continuation (aka Buy-Sell) Disability policy
8. 1: Tax-free lump sum; 2: Monthly pay-outs for fixed time; 3: Fixed monthly payments until depleted.
Variable Life policy (1 of 2)
Juvenile Life (aka Jumping Juvenile) policy
Medicare Part A & B "Gaps"
Settlement options for Life policy (1 of 2)
9. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Revocable vs. Irrevocable beneficiary
Binding receipt (aka Temporary Insurance Agreement)
Incontestability clause/provision
Accidental Death & Dismemberment (AD&D) Life policy
10. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Considerations in replacing Health insurance
Payment of Premium provision
Levels of Long Term Care provided
1035 Exchange
11. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Endowment Life policy
Estoppel
COBRA Time Limitations
Health Reimbursement Account (HRA)
12. Compensates business for loss due to disability of key employee; premiums not deductible but benefits tax-free.
Accidental Death & Dismemberment (AD&D) Disability rider
Total disability (as commonly defined)
Key Employee Disability policy
Long Term Care (LTC) policy
13. Upon death - death benefit is paid + the aggregate of premiums paid to date; add-on to Term policy ONLY.
Return of Premium rider
Equity Index Whole Life policy
Types of Renewability provisions
Waiver of Premium provision
14. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Types of Insurers (by ownership)
Medicare Supplement or Medigap policy
Claim Form (aka Proof of Loss Form) provision
Spendthrift provision
15. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Common Disaster (Simultaneous Death Act) clause/provision
Elimination (aka Waiting) period
Modified Endowment Contract (MEC)
Joint Life (aka "First to die") policy
16. Allows policy owner to w/draw set % of death benefit upon verification of terminal illness w/ expectancy 12-24 mths.; generally tax-free.
Disability Income policy
Concealment exceptions
7 Pay Test
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
17. Same as WL but premium low for set # yrs. - THEN premiums vary (+ or -) based on Insurer's investment returns - w/ Gmax.
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Indeterminate Premium Whole Life policy
Medicare Part D
Beneficiary provisions
18. Same as WL but premium low for 1st 5 yrs. - THEN has annual premium increases for set # yrs. - THEN level premium.
Limited Pay Whole Life policy
Graded Premium Whole Life policy
Waiver of Premium (Waiver of Cost of Insurance) rider
Revocable vs. Irrevocable beneficiary
19. Upon death - death benefit is paid + the aggregate of cash value accumulated to date; add-on to WL policy ONLY.
Concealment exceptions
Return of Cash Value rider
Employer-Administered plan
Recurrent disability clause/provision
20. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Whole (aka Permanent or Straight) Life policy
Insuring clause/provision (aka Insuring Agreement)
Levels of Long Term Care provided
Trusts
21. Waives premium upon disability of Insured until return to work; disability must persist for 6 mths. or longer. Cash value & dividends not affected.
Waiver of Premium (Waiver of Cost of Insurance) rider
IRS Penalties for Annuities
Loss exposure
24 Hour Coverage (CA)
22. Death benefits & premium automatically increase annually based on inflationary index (i.e. Consumer Price Index).
Cost of Living Adjustment (COLA) Life rider
Automatic Premium Loan (APL) provision
Dread Disease policy
Common Disaster (Simultaneous Death Act) clause/provision
23. Intentional OR unintentional failure to disclose material underwriting facts that should have been disclosed; grounds for policy rescission.
Concealment
Occupational Disability policy
Indeterminate Premium Whole Life policy
Risk management
24. Expands individual WL policy to include Term Life for dependents (spouse - children - etc.).
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Dividend options
Family or Dependents rider
25. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Health Maintenance Organization (HMO)
Elimination (aka Waiting) period
Flexible Spending Account (FSA)
Palliative vs. Curative care
26. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Premium modes
Claim Form (aka Proof of Loss Form) provision
Disability Income policy
27. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Variable Life policy (2 of 2)
Dental Plan
Levels of Long Term Care provided
Group Disability plan
28. Premiums determined by target cash values or death benefit; partial cash value w/drawals allowed; transparent policy w/ unbundled premium.
Trusts
Rate (as defined by CIC)
Annuity Classifications (3 of 5): Source of income
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
29. 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.
CHAMPUS (aka TriCare)
Loss of Earnings Test
Trial Application (aka Request for Offer)
CA Work. Comp. Statutes
30. 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.
Indemnify
Types of Term Life policies
Reinstatement provision
Blackout Period
31. Provides accidental death benefit @ full $ of "principal sum". Dismemberment is paid only @ 50% principal sum ("capital sum").
Split Dollar Plan
Modified Premium Whole Life policy
Premium modes
Accidental Death & Dismemberment (AD&D) Disability rider
32. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Cost of Living Adjustment (COLA) Disability rider
Types of hazards
Accidental Death & Dismemberment (AD&D) Disability rider
Types of Accident & Health (A&H) providers
33. 'The inability to perform ANY gainful occupation'.
Annuity surrender charges
Annuity
Total disability (any-occupational definition)
Trusts
34. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Pure risk vs. Speculative risk
Types of Accident & Health (A&H) providers
Flexible Spending Account (FSA)
Needs approach (most common)
35. Identical to Incontestable Clause in Life policy.
Rehabilitation rider
Reinsurance
Time Limit on Certain Defenses provision
Small Employer Medical Expense plan
36. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Medicare
Tax implications of medical plans
Earned vs. Unearned premium
Variable Life policy (1 of 2)
37. Policy must be delivered w/ original (or copy of same) application attached.
Entire Contract provision
Civil Rights/Pregnancy Discrimination Act
Major Medical plan
Health Maintenance Organization (HMO)
38. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Workers' Compensation insurance
Exclusions for Major Medical plan
Types of reinsurance
Notice of Claim provision
39. Federally-sponsored health care for individuals 65+ &/or w/ certain disabilities; may run concurrent w/ group plan but group plan would act primary - THEN Medicare.
Health Insurance Portability and Accountability Act (HIPAA)
Return of Cash Value rider
Medicare
Medical cost containment (aka Managed care)
40. 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.
Legal Action provision
Residual disability rider
Term Life policy
Incontestability clause/provision
41. Prohibited w/ regard to testing for people of same class; test results must remain confidential; coverage may be declined (once discovered).
AIDS/HIV discrimination
Flexible Spending Account (FSA)
Long Term Care (LTC) policy
Risk management
42. Waives premium on Life policy for minor child until age 21 in event premium payor dies or becomes disabled.
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43. Compensates business for loss due to death or disability of key employee; premiums not deductible but benefits tax-free.
Approval Type Conditional receipt
Medicare Part C (aka Medicare Advantage)
Key Employee policy
Tax implications of Disability policy
44. Receipt whereby coverage incepts ONLY after underwriting approval.
Earned vs. Unearned premium
Approval Type Conditional receipt
Renewability provision
Types of Agency Authority
45. Policy provisions must conform to state regulations where policy is sold.
Conformity with State Statute provision
Age Discrimination in Employment Act (ADEA)
Cost of Living Adjustment (COLA) Disability rider
Comprehensive Major Medical plan
46. Business continuation funding plan whereby each partner agrees to buy Life policies on each other - but not themselves.
Estoppel
Flexible Spending Account (FSA)
Business Continuation (aka Buy-Sell) Disability policy
Cross Purchase Plan
47. Provides 24 hr. health coverage both "on" & "off" job - but may cause coverage duplication & coordination challenges.
Accidental Death & Dismemberment (AD&D) Disability rider
Blue Cross/Blue Shield
24 Hour Coverage (CA)
Survivorship (aka "Last to die") policy
48. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Types of Renewability provisions
Beneficiary provisions
1035 Exchange
Non-forfeiture options for WL policy
49. Time extension of benefits based on "qualifying" event. 18 mth. extension if laid off or fired; 36 mth. extension if death - divorce or child leaves home.
COBRA Time Limitations
Equity Index Whole Life policy
Health Insurance Portability and Accountability Act (HIPAA)
Medicare Supplement or Medigap policy
50. Provides disability income during surgery recovery from life-threatening condition (& sometimes cosmetic surgery).
Estoppel
Social Security Benefit (Supplement) rider
Transplant/Cosmetic Surgery rider
Employer-Administered plan