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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. Provides hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay.
CHAMPUS (aka TriCare)
Spendthrift provision
Doctrine of Comity
Medicare Part A (aka Hospital Insurance or HI)
2. Available for any reason up to full cash value @ fixed (max 8%) OR variable interest rate; loan $ + interest deducted from benefit @ death.
Types of reinsurance
Mortality vs. Morbidity tables
24 Hour Coverage (CA)
Policy loans
3. Waives premium on Life policy for minor child until age 21 in event premium payor dies or becomes disabled.
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4. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Medicare Supplement or Medigap policy
Cash value
Dividend options
5. Pays death benefit until age 100 or death; builds equity (cash value); may be transferred or sold; generally level premium.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Types of Insurers (miscellaneous)
Elimination (aka Waiting) period
Whole (aka Permanent or Straight) Life policy
6. If Insured & primary beneficiary die due to same act (w/in 14 days) - primary assumed 1st to die & contingent beneficiary paid death benefit.
Current Assumption (aka Interest-Sensitive) Whole Life policy
Common Disaster (Simultaneous Death Act) clause/provision
Types of Medical Plans
Legal Action provision
7. 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
Indemnify
Single Pay Whole Life policy
Legal Action provision
8. Provides % of monthly income benefit if Insured becomes disabled due to illness or accident.
Disability Income policy
Concealment
Market Value Adjusted (aka Modified Guaranteed) annuity
Dread Disease policy
9. 1: Single (lump sum) premium; 2: Periodic premiums - can be level (fixed $) OR flexible from mth. to mth. (w/ req. min.)
Group Disability plan
Annuity Classifications (1 of 5): How premium is paid
Civil Rights/Pregnancy Discrimination Act
Cost of Living Adjustment (COLA) Life rider
10. Covers entire family w/ WL for breadwinner & (convertible) Level Term for spouse & children (until certain age).
Civil Rights/Pregnancy Discrimination Act
Loss of Earnings Test
Family policy
Exclusions for Major Medical plan
11. Provides for continued operation of business if partner dies - by allowing surviving partner(s) to buy deceased partner's interest in business.
Insurable interest
Dividends
COBRA Time Limitations
Business Continuation (aka Buy-Sell) policy
12. Mathematical law stating the larger # of occurrences - the more predictable the losses; used to calculate premiums.
Concealment
Law of Large Numbers
Proof of Loss provision
Health Reimbursement Account (HRA)
13. Generally 10 days after policy delivery to cancel policy w/ full refund - except 30 days for seniors or for replacement policies.
Total disability (more restrictive definition)
Free Look provision
Employee Retirement Income Security Act (ERISA)
Insurer (as defined by CIC)
14. Death benefit determined by Insured's financial goals & needs (minus assets).
Renewability provision
Needs approach (most common)
Tax implications of Dividends - Loans & Interest
Tax implications of Death Benefit & Cash Value
15. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Types of Renewability provisions
IRS Penalties for Annuities
Medi-Cal Share Cost plan
Convertibility provision
16. Tendency of poorer risks to seek insurance.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Civil Rights/Pregnancy Discrimination Act
Term Life policy
Adverse selection
17. Allows Insured to increase benefit w/out medical exam (subject to age max.) w/ additional premium rate determined @ attained age; must prove income increase.
Long Term Care (LTC) policy
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Modified Endowment Contract (MEC)
18. Provides benefit during Social Security "black-out" period - up to 1 yr.
Employer Liability
Medicare Part C (aka Medicare Advantage)
Medicare Part A & B "Gaps"
Social Security Benefit (Supplement) rider
19. Treating or mitigating loss exposures through 1: avoidance; 2: retention (deductibles); 3: sharing; 4: reduction; or 5: transfer.
Risk management
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Annuity Classifications (5 of 5): # of lives
Long Term Care (LTC) policy
20. 'The inability to perform your OWN normal occupation or daily duties'.
Cost of Living Adjustment (COLA) Life rider
Total disability (as commonly defined)
Employer Liability
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
21. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
Types of Insurers (by domicile)
Misstatement of Age/Sex provision
Claim Form (aka Proof of Loss Form) provision
Key Employee Disability policy
22. A company providing lump sum buyout (50-90% of total) of Life policy; becomes owner & beneficiary & assumes premium payments; usually terminally ill viator.
Types of Medical Plans
Departments of an Insurer
Types of Insurers (miscellaneous)
Viatical Settlement Provider (VSP)
23. Partially state-funded benefits for low-income people whereby cost of care is shared between state & recipient - based on income.
Retrocession
Mortality vs. Morbidity tables
Family Income policy
Medi-Cal Share Cost plan
24. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Equity Index Whole Life policy
Cross Purchase Plan
Tax implications of an Estate
Peril vs. Hazard
25. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Accidental Death & Dismemberment (AD&D) Disability rider
Estoppel
Types of Insurers (by authorization)
Total disability (as commonly defined)
26. Written contract to transfer risk of premature death from one party to another; pays stated sum upon death; creates instant estate.
Life insurance policy
Single Pay Whole Life policy
Concealment exceptions
Legal Action provision
27. Voiding an insurance contract based on fraud - concealment or material misrepresentation; premiums returned; policy treated as never existing.
Rescission
Modified Endowment Contract (MEC)
Preferred Provider Organization (PPO)
Levels of Long Term Care provided
28. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
Types of Insurers (by ownership)
Employee Retirement Income Security Act (ERISA)
Long Term Care (LTC) policy
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
29. 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.
Medicaid/Medi-Cal
Equity Index Whole Life policy
Waiver of Premium provision
Dental Plan
30. 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.
Medi-Cal Share Cost plan
Underwriting risk categories
Permanent vs. Temporary disability
Preferred Provider Organization (PPO)
31. Prohibited w/ regard to testing for people of same class; test results must remain confidential; coverage may be declined (once discovered).
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Total disability (as commonly defined)
AIDS/HIV discrimination
CA Work. Comp. Statutes
32. Funding mechanism whereby employer & employee share cost of premium. Upon death - benefit is shared between employer & beneficiary.
Age Discrimination in Employment Act (ADEA)
Split Dollar Plan
Types of Insurers (by ownership)
Types of Licensed Producers
33. Agents - represent Insurer; Brokers - represent themselves & Insured; Solicitors - represent one agent to solicit leads.
Incontestability clause/provision
Types of Licensed Producers
Key Employee policy
Tax implications of Dividends - Loans & Interest
34. 1: Fixed - guaranteed fixed monthly income & fixed interest rate; 2: Variable - unguaranteed; monthly income varies based on stocks/bond returns.
1035 Exchange
Revocable vs. Irrevocable beneficiary
Indemnify
Annuity Classifications (3 of 5): Source of income
35. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Accidental Death & Dismemberment (AD&D) Disability rider
Dividend options
Medicare Part A & B "Gaps"
1035 Exchange
36. Provides coverage for specific disease(s) - such as cancer or leukemia.
Levels of Long Term Care provided
Single Pay Whole Life policy
Dread Disease policy
Endowment Life policy
37. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Cost of Living Adjustment (COLA) Disability rider
Law of Large Numbers
Indemnify
Dividend options
38. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Misstatement of Age/Sex provision
Civil Rights/Pregnancy Discrimination Act
Policy delivery
Medi-Cal Share Cost plan
39. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Elements to contract
Considerations in replacing Health insurance
Annuity Classifications (1 of 5): How premium is paid
CHAMPUS (aka TriCare)
40. No-charge annuity w/drawals allowed up to 10% of total - THEN penalized on sliding scale based on # policy yrs.; conditionally waived.
Annuity surrender charges
Types of Accident & Health (A&H) providers
Types of Agency Authority
Medicare Part D
41. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
Medicare Part C (aka Medicare Advantage)
Tax implications of an Annuity (1 of 2)
Impairment (Exclusion) rider
CHAMPUS (aka TriCare)
42. Experience - rates impacted by actual prior claim experience of actual group; Community - identical rates used for entire community - regardless of experience.
Indeterminate Premium Whole Life policy
1035 Exchange
Valid life insurance contracts must identify...
Experience vs. Community rating in Group Health plan
43. Mathematical calculation based on overall FICA contributions used to determine retirement/disability/survivorship benefit.
Adjustable Whole Life policy
Convertibility provision
Indemnify
Primary Insurance Amount (PIA)
44. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Premium modes
Employer-Administered plan
Insurance contract characteristics (2 of 2)
Endowment Life policy
45. Actual/Expressed - written powers; Implied - unwritten but customary practices; Apparent - perceived powers.
Grace Period provision
Accidental Death & Dismemberment (AD&D) Disability rider
Occupational Disability policy
Types of Agency Authority
46. Dependent children are covered until 19 or 23 (full-time student only) or until self-sufficient (if handicapped).
Dependent coverage
Modified Premium Whole Life policy
Human Life Value approach
Indemnify
47. 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
Law of Large Numbers
Point of Service plan
Settlement options for Life policy (2 of 2)
48. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
Loss exposure
Convertibility provision
1035 Exchange
Blue Cross/Blue Shield
49. Identical to Incontestable Clause in Life policy.
Incontestability clause/provision
Notice of Claim provision
Time Limit on Certain Defenses provision
Impairment (Exclusion) rider
50. If 2 or more family members are injured in the same accident - only payment of a single deductible is required.
Pure risk vs. Speculative risk
Common Accident provision
Waiver of Premium provision
Annuity Classifications (3 of 5): Source of income