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Test your basic knowledge |
CA Life Agent Exam
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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. Excludes coverage for suicide during 1st 2 yrs. ONLY but - if it does - all premiums must be returned to beneficiary.
Life insurance policy
Tax implications of medical plans
Suicide clause/provision
Types of Agency Authority
2. 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.
Mortality vs. Morbidity tables
Medicare
Types of Insurers (miscellaneous)
Tax implications of an Estate
3. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Return of Premium rider
Notice of Claim provision
Cash value
Endowment Life policy
4. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Types of Accident & Health (A&H) providers
Types of Insurers (by sector)
Levels of Long Term Care provided
Experience vs. Community rating in Group Health plan
5. Same as Comprehensive Major Medical but w/ integrated deductible; much more expensive.
Business Continuation (aka Buy-Sell) policy
Supplemental Major Medical plan
Modified Premium Whole Life policy
Rate (as defined by CIC)
6. Written policy terms supersede oral statements made prior to policy issue.
Parole Pardon Rule
Family policy
Reinstatement provision
Comprehensive Major Medical plan
7. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Rate (as defined by CIC)
Medicare Part C (aka Medicare Advantage)
Family Income policy
Term Life policy
8. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Accidental Death (aka Multiple Indemnity) rider
Retrocession
Tax implications of medical plans
Recurrent disability clause/provision
9. Covers disabilities occurring ONLY "off" job; benefits do not overlap work. comp. (i.e. Group plan).
Annuity Classifications (5 of 5): # of lives
Insurance contract characteristics (2 of 2)
Common Disability Exclusions
Non-Occupational Disability policy
10. 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.
Payment of Premium provision
Beneficiary provisions
Small Employer Medical Expense plan
AIDS/HIV discrimination
11. Benefits NOT taxable; employer-paid premiums deductible to employer; individual plans not deductible unless over 7 1/2% of adjusted gross income - then excess deductible.
Types of Insurers (by domicile)
Beneficiary provisions
Business Overhead Expense (BOE) Disability policy
Tax implications of medical plans
12. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Family Maintenance policy
Life insurance policy
Earned vs. Unearned premium
13. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
Medicare Part A & B "Gaps"
Employee Retirement Income Security Act (ERISA)
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Impairment (Exclusion) rider
14. 1: Tax-free lump sum; 2: Monthly pay-outs for fixed time; 3: Fixed monthly payments until depleted.
Annuity surrender charges
Binding receipt (aka Temporary Insurance Agreement)
Settlement options for Life policy (1 of 2)
Insurer (as defined by CIC)
15. If Insured & primary beneficiary die due to same act (w/in 14 days) - primary assumed 1st to die & contingent beneficiary paid death benefit.
Business Overhead Expense (BOE) Disability policy
Common Disaster (Simultaneous Death Act) clause/provision
Types of reinsurance
Family policy
16. Compensates business for loss due to disability of key employee; premiums not deductible but benefits tax-free.
Single Pay Whole Life policy
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Modified Endowment Contract (MEC)
Key Employee Disability policy
17. War/Military; Intentional self-inflicted; Aviation (non-commercial); Foreign country; Loss of professional license; Illegal activity; Mental disorders (after 1-2 yrs.).
Joint Life (aka "First to die") policy
Types of Insurers (by ownership)
Life insurance policy
Common Disability Exclusions
18. Two death benefit options - Option A: death benefit ONLY; Option B: death benefit + cash value; death benefit NOT guaranteed.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Types of Renewability provisions
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Consolidated Omnibus Budget Reconciliation Act (COBRA)
19. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Relation of Earnings to Insurance provision
Types of Accident & Health (A&H) providers
Cost of Living Adjustment (COLA) Life rider
Market Value Adjusted (aka Modified Guaranteed) annuity
20. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Experience vs. Community rating in Group Health plan
Pure risk vs. Speculative risk
Waiver of Premium provision
Common Life Exclusions
21. 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.
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Pure risk vs. Speculative risk
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Medical Savings Account (MSA) & Health Savings Account (HSA)
22. 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
Modified Endowment Contract (MEC)
Non-forfeiture options for WL policy
Modified Premium Whole Life policy
23. War - 2 types; Suicide (1st 2 yrs.); Aviation (non-commercial); Hazardous hobbies; Criminal acts; Alcohol/Drug influenced.
Common Life Exclusions
Reinsurance
Elimination (aka Waiting) period
Family Income policy
24. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Exclusions for Major Medical plan
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Basic Medical plan
Legal Action provision
25. Written contract that provides INCOME @ high interest rate for fixed period OR for annuitant's lifetime w/ possible death benefit.
Annuity Classifications (3 of 5): Source of income
Annuity
Conformity with State Statute provision
Common Disability Exclusions
26. Provides professional services - rehabilitation - training/re-training & related costs to assist Insured in returning to work.
Rehabilitation rider
Renewability provision
Medicare Part C (aka Medicare Advantage)
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
27. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
Departments of an Insurer
Annuity Classifications (3 of 5): Source of income
Pure risk vs. Speculative risk
CA Work. Comp. Statutes
28. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Survivorship (aka "Last to die") policy
Types of Renewability provisions
Insurable interest
Health Reimbursement Account (HRA)
29. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Medicare Supplement or Medigap policy
Elements to contract
Medi-Cal Share Cost plan
Permanent vs. Temporary disability
30. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Estoppel
Common Life Exclusions
Impairment (Exclusion) rider
Incontestability clause/provision
31. Govt. organization providing health care benefits for dependents of military personnel.
CHAMPUS (aka TriCare)
Relation of Earnings to Insurance provision
Blue Cross/Blue Shield
Types of Insurers (by domicile)
32. Provides supplemental coverage for physician/surgeon fees if enrolled (during enrollment period ONLY) & pay monthly premium w/ deductible and co-insurance.
Workers' Compensation insurance
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Types of Term Life policies
Equity Index Whole Life policy
33. Financial interest in insured party that must exist @ time of application OR policy issuance. Requires consent (except minors).
Insurable interest
Single Pay Whole Life policy
Needs approach (most common)
Penalties for violating AIDS/HIV privacy laws
34. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Automatic Premium Loan (APL) provision
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Payment of Premium provision
Group Disability plan
35. Federal law which prohibits companies w/ 20+ employees from denying work & medical benefits to employees due to age.
Return of Cash Value rider
Trial Application (aka Request for Offer)
Age Discrimination in Employment Act (ADEA)
CA Work. Comp. Statutes
36. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Employer Liability
Trusts
Joint Life (aka "First to die") policy
Risk management
37. Same as WL but premium low for set # yrs. - THEN premiums vary (+ or -) based on Insurer's investment returns - w/ Gmax.
Elimination (aka Waiting) period
Change of Occupation provision
Concealment
Indeterminate Premium Whole Life policy
38. 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)
Medi-Cal Share Cost plan
Tax implications of medical plans
Tax implications of an Annuity (1 of 2)
39. Permanent - not recoverable (spinal cord injury); Temporary - recoverable (temp. illness/injury - broken limb).
Medicare Part C (aka Medicare Advantage)
Permanent vs. Temporary disability
Limited Pay Whole Life policy
Common Life Exclusions
40. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Applicant Representations vs. Warranties
Comprehensive Major Medical plan
Primary Insurance Amount (PIA)
Types of Insurers (by sector)
41. Provides coverage for specific disease(s) - such as cancer or leukemia.
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Parole Pardon Rule
Dread Disease policy
Elements to contract
42. Coverage remains in effect for 31 days past premium due date; benefits paid during grace period would be deducted from sum.
Loss of Earnings Test
Grace Period provision
Claim Form (aka Proof of Loss Form) provision
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
43. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Insurance contract characteristics (1 of 2)
CA Work. Comp. Statutes
Fraud
Common Disaster (Simultaneous Death Act) clause/provision
44. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Accidental Death & Dismemberment (AD&D) Disability rider
Earned vs. Unearned premium
Underwriting risk categories
Modified Premium Whole Life policy
45. Unintentional - up to $1 -000 + legal $; Intentional - $1 -000-5 -000 + legal $; If harmful - misdemeanor + up to 1 yr. prison + up to $10 -000.
Current Assumption (aka Interest-Sensitive) Whole Life policy
7 Pay Test
Penalties for violating AIDS/HIV privacy laws
Policy delivery
46. Physical - slippery floor; Moral - dishonest acts; Morale - carelessness or recklessness.
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Earned vs. Unearned premium
Types of hazards
Insurer (as defined by CIC)
47. Intentional deception; grounds for rescission.
Cost of Living Adjustment (COLA) Disability rider
Fraud
Tax implications of medical plans
Equity Indexed annuity
48. Receipt whereby coverage incepts immediately upon submission of full consideration - unless declined & premium refunded.
Binding receipt (aka Temporary Insurance Agreement)
Exclusions to Work. Comp.
Guaranteed Insurability Life rider
Workers' Compensation insurance
49. Savings account for medical expenses; Tax-deductible contributions; tax-deferred growth; tax-free for qualified use; taxable for non-qualified use.
Change of Occupation provision
Experience vs. Community rating in Group Health plan
Medical Savings Account (MSA) & Health Savings Account (HSA)
Free Look provision
50. Death benefits & premium automatically increase annually based on inflationary index (i.e. Consumer Price Index).
Cost of Living Adjustment (COLA) Life rider
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Valid life insurance contracts must identify...
Key Employee Disability policy
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