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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. 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
Types of Insurers (by ownership)
Occupational Disability policy
Valid life insurance contracts must identify...
2. Allows for Term policy renewal @ higher premium w/out medical exam; guarantees insurability; based on actual/attained age.
Estoppel
Accidental Death & Dismemberment (AD&D) Disability rider
Flexible Spending Account (FSA)
Renewability provision
3. Req. by CA statute & may provide workers coverage for action-over claims.
Employer Liability
Long Term Care (LTC) policy
Doctrine of Comity
Accidental Death & Dismemberment (AD&D) Life policy
4. Voiding an insurance contract based on fraud - concealment or material misrepresentation; premiums returned; policy treated as never existing.
Types of Agency Authority
Medical cost containment (aka Managed care)
Rescission
Policy loans
5. Allows Insured to increase death benefit w/out medical exam (subject to age max.) w/ additional premium rate determined @ attained age.
Guaranteed Insurability Life rider
Medicare Supplement or Medigap policy
Experience vs. Community rating in Group Health plan
Waiver of Premium (Waiver of Cost of Insurance) rider
6. Excludes coverage for specific injury/illness either temporarily or permanently in order to eliminate pre-existing condition.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Phases of an annuity
Impairment (Exclusion) rider
Adjustable Whole Life policy
7. Policy owner has 90 days from date of loss to submit proof of loss to Insurer; valid claim must be paid immediately upon receipt.
Disability Income policy
Proof of Loss provision
Pure risk vs. Speculative risk
Concealment
8. Insurer has right to adjust (+ or -) death benefit if age or sex is misstated but normally doesn't void policy.
Concealment exceptions
Misstatement of Age/Sex provision
Employer-Administered plan
Whole (aka Permanent or Straight) Life policy
9. Allows for use of HMO/PPO or other private carrier to provide expanded benefits @ additional premium & if enrolled in BOTH Parts A & B.
Medicare Part C (aka Medicare Advantage)
Joint Life (aka "First to die") policy
Factors that determine premium
Group Disability plan
10. Same as WL but can be "paid-up" early by paying larger premium for shorter payment period (i.e. 10 Pay Life - 20 Pay Life).
Fraud
7 Pay Test
Limited Pay Whole Life policy
Convertibility provision
11. Provides coverage for specific disease(s) - such as cancer or leukemia.
Dread Disease policy
Types of Insurers (by authorization)
Social Security Benefit (Supplement) rider
Common Disaster (Simultaneous Death Act) clause/provision
12. 1: Surrender for cash value (taxable); 2: Buy equal-benefit paid-up Level Term policy; 3: Buy reduced-benefit paid-up WL policy.
Reinsurance
Family Maintenance policy
Loss of Earnings Test
Non-forfeiture options for WL policy
13. Receipt whereby coverage incepts immediately upon submission of full consideration - unless declined & premium refunded.
Annuity Classifications (5 of 5): # of lives
Blackout Period
Single Pay Whole Life policy
Binding receipt (aka Temporary Insurance Agreement)
14. Life license + NASD (FINRA) Series 6 or 7.
Settlement options for Life policy (1 of 2)
Policy delivery
Requirements to sell variable life products
Annuity Classifications (2 of 5): When benefits begin
15. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Dread Disease policy
Dental Plan
Medicaid/Medi-Cal
Annuity Classifications (1 of 5): How premium is paid
16. Provides disability income during surgery recovery from life-threatening condition (& sometimes cosmetic surgery).
Pure risk vs. Speculative risk
Cost of Living Adjustment (COLA) Life rider
Transplant/Cosmetic Surgery rider
Penalties for violating AIDS/HIV privacy laws
17. Covers disabilities occurring ONLY "off" job; benefits do not overlap work. comp. (i.e. Group plan).
Non-Occupational Disability policy
Survivorship (aka "Last to die") policy
Parole Pardon Rule
Medicare Part C (aka Medicare Advantage)
18. Prohibited w/ regard to testing for people of same class; test results must remain confidential; coverage may be declined (once discovered).
Dividend options
AIDS/HIV discrimination
Health Maintenance Organization (HMO)
Tax implications of medical plans
19. Insurance purchased by other Insurer(s) to spread or diversify risk; promotes industry stability.
Dread Disease policy
Retrocession
Reinsurance
Approval Type Conditional receipt
20. 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
Total disability (more restrictive definition)
Dividend options
Major Medical plan
21. Waives premium upon disability of Insured until return to work; disability must persist for 6 mths. or longer. Cash value & dividends not affected.
Dental Plan
Insurer (as defined by CIC)
Waiver of Premium (Waiver of Cost of Insurance) rider
1035 Exchange
22. Same as WL but death benefit decreases each yr. w/ dividends paid annually to offset decrease.
Point of Service plan
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Health Maintenance Organization (HMO)
Spendthrift provision
23. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Payment of Premium provision
Modified Endowment Contract (MEC)
Types of hazards
Reinstatement provision
24. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Primary Insurance Amount (PIA)
Employer Liability
Types of Insurers (by authorization)
Trusts
25. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Estoppel
Blue Cross/Blue Shield
Binding receipt (aka Temporary Insurance Agreement)
Levels of Long Term Care provided
26. If total premiums paid w/in 1st 7 yrs. exceed net level premium that should have been paid - policy is an MEC.
7 Pay Test
Claim Form (aka Proof of Loss Form) provision
Equity Index Whole Life policy
Policy loans
27. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Spendthrift provision
AIDS/HIV discrimination
Applicant Representations vs. Warranties
Family Maintenance policy
28. War/Military; Intentional self-inflicted; Aviation (non-commercial); Foreign country; Loss of professional license; Illegal activity; Mental disorders (after 1-2 yrs.).
Peril vs. Hazard
Applicant Representations vs. Warranties
Common Disability Exclusions
Dividends
29. Expands individual WL policy to include Term Life for dependents (spouse - children - etc.).
Family or Dependents rider
Employer-Administered plan
Family policy
Insurance contract characteristics (1 of 2)
30. Waives premium upon disability of Insured until return to work; disability must persist for 90 days or longer; 1st 90 day premiums refunded after 90 days.
Annuity Classifications (1 of 5): How premium is paid
Types of Licensed Producers
Juvenile Life (aka Jumping Juvenile) policy
Waiver of Premium provision
31. 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.
Premium modes
Tax implications of an Annuity (1 of 2)
Recurrent disability clause/provision
Small Employer Medical Expense plan
32. Grows @ fixed interest rate for set term but cash value may adjust to prevailing rate (+ or -) if fully surrendered before term ends; % w/drawal ok.
Annuity Classifications (3 of 5): Source of income
Market Value Adjusted (aka Modified Guaranteed) annuity
Entire Contract provision
Binding receipt (aka Temporary Insurance Agreement)
33. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Endowment Life policy
Business Continuation (aka Buy-Sell) Disability policy
Types of Accident & Health (A&H) providers
Policy loans
34. WL policy covering 2 or more Insureds but ONLY payable upon death of LAST Insured - generally low premium but high death benefit.
Indemnify
Reinsurance
Single Pay Whole Life policy
Survivorship (aka "Last to die") policy
35. Unintentional - up to $1 -000 + legal $; Intentional - $1 -000-5 -000 + legal $; If harmful - misdemeanor + up to 1 yr. prison + up to $10 -000.
Types of Insurers (by ownership)
Common Disaster (Simultaneous Death Act) clause/provision
Dread Disease policy
Penalties for violating AIDS/HIV privacy laws
36. Prepaid med. benefits for members ONLY w/ approved primary care M.D. (HMO employee); focus on preventative care; low co-pay.
Accidental Death (aka Multiple Indemnity) rider
Factors that determine premium
Blue Cross/Blue Shield
Health Maintenance Organization (HMO)
37. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Medicaid/Medi-Cal
Family Income policy
Single Pay Whole Life policy
Policy delivery
38. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Exclusions for Major Medical plan
Impairment (Exclusion) rider
Group Disability plan
Medicare Supplement or Medigap policy
39. Provides supplemental coverage for physician/surgeon fees if enrolled (during enrollment period ONLY) & pay monthly premium w/ deductible and co-insurance.
Credit Life policy
1035 Exchange
Dependent coverage
Medicare Part B (aka Supplemental Medical Insurance or SMI)
40. Fraternal - non-profit - members only; Reciprocal - unincorp'd org. - members insure each other; Lloyd's Assoc. - groups sharing risks; Surplus lines - special market risks.
Types of Insurers (miscellaneous)
Indemnify
Palliative vs. Curative care
Disability Income policy
41. 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.
Annuity Classifications (1 of 5): How premium is paid
Incontestability clause/provision
Total disability (any-occupational definition)
Long Term Care (LTC) policy
42. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Annuity Classifications (5 of 5): # of lives
Health Reimbursement Account (HRA)
Indeterminate Premium Whole Life policy
Needs approach (most common)
43. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Relation of Earnings to Insurance provision
Misstatement of Age/Sex provision
Tax implications of Dividends - Loans & Interest
Revocable vs. Irrevocable beneficiary
44. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Types of Agency Authority
Joint Life (aka "First to die") policy
Proof of Loss provision
Flexible Spending Account (FSA)
45. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Types of Medical Plans
Trusts
Policy delivery
IRS Penalties for Annuities
46. Funding mechanism whereby employer & employee share cost of premium. Upon death - benefit is shared between employer & beneficiary.
Types of Accident & Health insurance
Rehabilitation rider
Split Dollar Plan
Estoppel
47. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Binding receipt (aka Temporary Insurance Agreement)
1035 Exchange
Change of Occupation provision
Modified Premium Whole Life policy
48. Permanent - not recoverable (spinal cord injury); Temporary - recoverable (temp. illness/injury - broken limb).
Blue Cross/Blue Shield
Permanent vs. Temporary disability
Medicare Part A & B "Gaps"
Levels of Long Term Care provided
49. Type of partial disability rider - which pays fluctuating % of lost income w/out time limit.
Residual disability rider
Errors & Omissions (E&O)
Social Security Benefit (Supplement) rider
Health Maintenance Organization (HMO)
50. 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)
Renewability provision
Preferred Provider Organization (PPO)
Blue Cross/Blue Shield
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