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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. Partially state-funded benefits for low-income people whereby cost of care is shared between state & recipient - based on income.
Payor (aka Waiver of Payor's Premium) rider
Medi-Cal Share Cost plan
Blue Cross/Blue Shield
Key Employee Disability policy
2. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Annuity Classifications (3 of 5): Source of income
Joint Life (aka "First to die") policy
Rate (as defined by CIC)
Estoppel
3. Excludes coverage for suicide during 1st 2 yrs. ONLY but - if it does - all premiums must be returned to beneficiary.
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Suicide clause/provision
Exclusions for Major Medical plan
Law of Large Numbers
4. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Common Disaster (Simultaneous Death Act) clause/provision
Medi-Cal Share Cost plan
Medical cost containment (aka Managed care)
Health Reimbursement Account (HRA)
5. 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;
Risk management
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Primary Insurance Amount (PIA)
Single Pay Whole Life policy
6. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Experience vs. Community rating in Group Health plan
Free Look provision
Flexible Spending Account (FSA)
Claim Form (aka Proof of Loss Form) provision
7. 1: parties to contract; 2: insured party or life; 3: insurable interest - if 3rd party; 4: risks insured against; 5: policy period (term); 6: premium & mode.
Annuity surrender charges
Rate (as defined by CIC)
Valid life insurance contracts must identify...
Health Maintenance Organization (HMO)
8. Savings account for medical expenses; Tax-deductible contributions; tax-deferred growth; tax-free for qualified use; taxable for non-qualified use.
Types of Term Life policies
Medical Savings Account (MSA) & Health Savings Account (HSA)
Approval Type Conditional receipt
Consolidated Omnibus Budget Reconciliation Act (COBRA)
9. Provides supplemental coverage for physician/surgeon fees if enrolled (during enrollment period ONLY) & pay monthly premium w/ deductible and co-insurance.
Tax implications of Dividends - Loans & Interest
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Juvenile Life (aka Jumping Juvenile) policy
Family or Dependents rider
10. Mathematical calculation based on overall FICA contributions used to determine retirement/disability/survivorship benefit.
Primary Insurance Amount (PIA)
Disability Income policy
Presumptive disability
CA Work. Comp. Statutes
11. Covers disabilities occurring both "on" AND "off" job; "on" job benefits paid in addition to work. comp. - if applicable (i.e. individual plan).
Settlement options for Life policy (2 of 2)
Workers' Compensation insurance
Common Disaster (Simultaneous Death Act) clause/provision
Occupational Disability policy
12. A&H - A&S - Sickness only; Medical; Disability; Accident only; Travel accident; LTC; Medicare supplement; AD&D; Dental/Vision/Prescription; Limited.
Tax implications of medical plans
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Medical cost containment (aka Managed care)
Types of Accident & Health insurance
13. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Rehabilitation rider
Policy delivery
Elements to contract
Blue Cross/Blue Shield
14. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Insurance contract characteristics (1 of 2)
Plans A-L of Medical Supplement or Medigap
Pure risk vs. Speculative risk
Modified Premium Whole Life policy
15. Authorized (admitted) - can conduct business in state; Unauthorized (non-admitted) - cannot conduct business in state (w/ one exception).
Types of Term Life policies
Approval Type Conditional receipt
Concealment
Types of Insurers (by authorization)
16. Allows policy owner to w/draw set % of death benefit upon verification of terminal illness w/ expectancy 12-24 mths.; generally tax-free.
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Modified Endowment Contract (MEC)
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Return of Cash Value rider
17. Policyholders - Mutual (participating) co. - may pay dividends; Stockholders - Stock (non-participating) co. - no dividends.
Types of Insurers (by ownership)
Policy delivery
Settlement options for Life policy (2 of 2)
Errors & Omissions (E&O)
18. If 2 or more family members are injured in the same accident - only payment of a single deductible is required.
Common Disability Exclusions
Common Accident provision
Accidental Death (aka Multiple Indemnity) rider
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
19. Req. by CA statute & may provide workers coverage for action-over claims.
Types of Medical Plans
Employer Liability
Annuity Classifications (3 of 5): Source of income
Medical cost containment (aka Managed care)
20. Domestic - within home state; Foreign - outside home state; Alien - outside home country.
Life insurance policy
Dependent coverage
Types of Insurers (by authorization)
Types of Insurers (by domicile)
21. Expands individual WL policy to include Term Life for dependents (spouse - children - etc.).
Family or Dependents rider
Types of Renewability provisions
Types of Accident & Health insurance
Incontestability clause/provision
22. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Key Employee Disability policy
Pure risk vs. Speculative risk
Doctrine of Comity
Business Continuation (aka Buy-Sell) policy
23. 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
Workers' Compensation insurance
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Suicide clause/provision
24. Private sector (Commercial) - provides LA&H - P&C - & LTC; Public sector (Gov't) - provides flood - work. comp. - Medicare/Medicaid - Group Life (SGLI/FEGLI).
24 Hour Coverage (CA)
Types of Insurers (by sector)
Impairment (Exclusion) rider
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
25. Provides hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay.
Rehabilitation rider
Concealment
Medicare Part A (aka Hospital Insurance or HI)
Business Continuation (aka Buy-Sell) policy
26. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Cost of Living Adjustment (COLA) Disability rider
Types of reinsurance
Exclusions for Major Medical plan
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
27. Death benefits & premium automatically increase annually based on inflationary index (i.e. Consumer Price Index).
Insurable interest
Cost of Living Adjustment (COLA) Life rider
Experience vs. Community rating in Group Health plan
Types of Medical Plans
28. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
Departments of an Insurer
Supplemental Major Medical plan
Limited Pay Whole Life policy
Total disability (more restrictive definition)
29. Same as WL but death benefit decreases each yr. w/ dividends paid annually to offset decrease.
Employee Retirement Income Security Act (ERISA)
Presumptive disability
Comprehensive Major Medical plan
Enhanced Ordinary (aka Extraordinary) Whole Life policy
30. 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.
Dread Disease policy
Family Income policy
Long Term Care (LTC) policy
Loss exposure
31. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Law of Large Numbers
Earned vs. Unearned premium
Risk management
Elements to contract
32. Period of time following any children's survivor benefit & before benefits are provided to employee's widow/widower.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Experience vs. Community rating in Group Health plan
Blackout Period
Key Employee Disability policy
33. Permanent disability due to total loss of sight - hearing - speech or use of 2 + limbs; benefits paid even while continuing to work.
Family policy
Presumptive disability
Types of hazards
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
34. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Insuring clause/provision (aka Insuring Agreement)
Departments of an Insurer
Return of Premium rider
Term Life policy
35. Death benefit determined by Insured's projected lost earnings potential.
Human Life Value approach
Revocable vs. Irrevocable beneficiary
Dread Disease policy
Elements to contract
36. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
Employee Retirement Income Security Act (ERISA)
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Time Limit on Certain Defenses provision
Needs approach (most common)
37. A company providing lump sum buyout (50-90% of total) of Life policy; becomes owner & beneficiary & assumes premium payments; usually terminally ill viator.
Non-Occupational Disability policy
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Annuity Classifications (5 of 5): # of lives
Viatical Settlement Provider (VSP)
38. 1: Immediate benefits rec'd w/in 30 days but premium must be paid by lump sum; 2: Deferred - usually until retirement.
Types of Insurers (by sector)
Workers' Compensation insurance
Waiver of Premium provision
Annuity Classifications (2 of 5): When benefits begin
39. Funding mechanism whereby employer & employee share cost of premium. Upon death - benefit is shared between employer & beneficiary.
Split Dollar Plan
Indemnify
Types of Accident & Health (A&H) providers
Business Continuation (aka Buy-Sell) Disability policy
40. Financial interest in insured party that must exist @ time of application OR policy issuance. Requires consent (except minors).
Viatical Settlement Provider (VSP)
Insurable interest
Penalties for violating AIDS/HIV privacy laws
Elimination (aka Waiting) period
41. Same as WL but death benefit increases annually - linked to Consumer Price Index; premium increases annually OR is set high from start.
Elements to contract
Reinsurance
Trial Application (aka Request for Offer)
Equity Index Whole Life policy
42. Death benefit determined by Insured's financial goals & needs (minus assets).
Market Value Adjusted (aka Modified Guaranteed) annuity
Mortality vs. Morbidity tables
Exclusions for Major Medical plan
Needs approach (most common)
43. IRS allows tax-free transfer of cash values between 2 LIKE policies (i.e. Life to Life - Annuity to Annuity - or Life to Annuity).
1035 Exchange
Policy loans
Health Insurance Portability and Accountability Act (HIPAA)
Automatic Premium Loan (APL) provision
44. 1: Tax-free lump sum; 2: Monthly pay-outs for fixed time; 3: Fixed monthly payments until depleted.
IRS Penalties for Annuities
CA Work. Comp. Statutes
Settlement options for Life policy (1 of 2)
Life insurance policy
45. 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
Incontestability clause/provision
Transplant/Cosmetic Surgery rider
Adjustable Whole Life policy
46. Multiple small employers w/ common affiliation (trade assoc. OR Chamber of Commerce) band together to purchase group plan.
CHAMPUS (aka TriCare)
Annuity Classifications (3 of 5): Source of income
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Change of Occupation provision
47. Provides coverage for specific disease(s) - such as cancer or leukemia.
Settlement options for Life policy (1 of 2)
Parole Pardon Rule
Dread Disease policy
Equity Index Whole Life policy
48. 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.
Whole (aka Permanent or Straight) Life policy
Return of Premium rider
Credit Life policy
Waiver of Premium provision
49. Same as Comprehensive Major Medical but w/ integrated deductible; much more expensive.
Parole Pardon Rule
Types of Insurers (miscellaneous)
Human Life Value approach
Supplemental Major Medical plan
50. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Viatical Settlement Provider (VSP)
Payment of Premium provision
Survivorship (aka "Last to die") policy
Social Security Benefit (Supplement) rider