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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. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Elimination (aka Waiting) period
Rate (as defined by CIC)
Medicare Part A & B "Gaps"
Settlement options for Life policy (2 of 2)
2. 'The inability to perform your OWN normal occupation or daily duties'.
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Law of Large Numbers
Accidental Death & Dismemberment (AD&D) Disability rider
Total disability (as commonly defined)
3. Allows for Term policy renewal @ higher premium w/out medical exam; guarantees insurability; based on actual/attained age.
Change of Occupation provision
Point of Service plan
Renewability provision
Types of Agency Authority
4. Experience - rates impacted by actual prior claim experience of actual group; Community - identical rates used for entire community - regardless of experience.
Experience vs. Community rating in Group Health plan
Requirements to sell variable life products
Employer-Administered plan
Health Insurance Portability and Accountability Act (HIPAA)
5. Same as Universal Life but cash value put in investment vehicles chosen by policy owner (stocks - bonds - munis.); cash value NOT guaranteed.
Survivorship (aka "Last to die") policy
Blackout Period
Annuity Classifications (2 of 5): When benefits begin
Variable Universal Life policy
6. Policy must be delivered w/ original (or copy of same) application attached.
Entire Contract provision
Transplant/Cosmetic Surgery rider
Misstatement of Age/Sex provision
Health Reimbursement Account (HRA)
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.
Tax implications of medical plans
Total disability (as commonly defined)
Binding receipt (aka Temporary Insurance Agreement)
Valid life insurance contracts must identify...
8. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Recurrent disability clause/provision
Waiver of Premium provision
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Earned vs. Unearned premium
9. Business continuation funding plan whereby each partner agrees to buy Life policies on each other - but not themselves.
Cross Purchase Plan
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Employer-Administered plan
Indemnify
10. Allows policy owner to w/draw set % of death benefit upon verification of terminal illness w/ expectancy 12-24 mths.; generally tax-free.
Notice of Claim provision
Employee Retirement Income Security Act (ERISA)
Health Maintenance Organization (HMO)
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
11. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Group Disability plan
Life insurance policy
Earned vs. Unearned premium
Cost of Living Adjustment (COLA) Disability rider
12. 1: Immediate benefits rec'd w/in 30 days but premium must be paid by lump sum; 2: Deferred - usually until retirement.
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Valid life insurance contracts must identify...
Parole Pardon Rule
Annuity Classifications (2 of 5): When benefits begin
13. Provides 24 hr. health coverage both "on" & "off" job - but may cause coverage duplication & coordination challenges.
Fraud
Medical cost containment (aka Managed care)
Employer Liability
24 Hour Coverage (CA)
14. Expands individual WL policy to include Term Life for dependents (spouse - children - etc.).
Suicide clause/provision
Change of Occupation provision
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Family or Dependents rider
15. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Parole Pardon Rule
Basic Medical plan
Joint Life (aka "First to die") policy
Valid life insurance contracts must identify...
16. The state in which the contract is accepted or delivered is the state that possesses regulatory jurisdiction over Group plan.
Partial disability rider
Doctrine of Comity
Common Disability Exclusions
Types of Insurers (by domicile)
17. Any person - assoc. - org. - partnership - business trust - LLC - or corp. capable of making an insurance contract.
Renewability provision
Insurer (as defined by CIC)
Preferred Provider Organization (PPO)
Common Disability Exclusions
18. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Policy delivery
Modified Endowment Contract (MEC)
Notice of Claim provision
Permanent vs. Temporary disability
19. Plan A is the CORE benefit & is least expensive; All other plans include Plan A + additional benefits. Plans F & J are high deductible. K & L are both deductible & co-pay plans.
Types of Insurers (by ownership)
Medi-Cal Share Cost plan
Medicare Part C (aka Medicare Advantage)
Plans A-L of Medical Supplement or Medigap
20. Partially state-funded benefits for low-income people whereby cost of care is shared between state & recipient - based on income.
Medi-Cal Share Cost plan
Cross Purchase Plan
Parole Pardon Rule
Cost of Living Adjustment (COLA) Life rider
21. Tendency of poorer risks to seek insurance.
Indemnify
Credit Life policy
Adverse selection
Errors & Omissions (E&O)
22. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
Common Disaster (Simultaneous Death Act) clause/provision
Medicare Part D
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Suicide clause/provision
23. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Flexible Spending Account (FSA)
Viatical Settlement Provider (VSP)
Major Medical plan
Types of Term Life policies
24. Both Contributory & Non-contributory Group policies are deductible to employer (not employee) but benefits are taxable. Individual policy premium is NOT deductible but benefit is received tax-free.
Convertibility provision
Tax implications of Disability policy
Levels of Long Term Care provided
Types of Insurers (miscellaneous)
25. Available for any reason up to full cash value @ fixed (max 8%) OR variable interest rate; loan $ + interest deducted from benefit @ death.
Policy loans
Renewability provision
Graded Premium Whole Life policy
Automatic Premium Loan (APL) provision
26. 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;
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Time Limit on Certain Defenses provision
Estoppel
27. Federally-funded but state-run program for truly indigent individuals & families providing medical care at Federal clinic.
Revocable vs. Irrevocable beneficiary
Annuity
Medicaid/Medi-Cal
Loss of Earnings Test
28. Policy owner must notify Insurer of loss either in writing - in person or by phone w/in 20 days.
Risk management
Notice of Claim provision
Entire Contract provision
Mortality vs. Morbidity tables
29. An unintentional mistake committed by an insurance representative; may be covered by E&O insurance.
Renewability provision
Experience vs. Community rating in Group Health plan
Errors & Omissions (E&O)
Health Maintenance Organization (HMO)
30. Receipt whereby coverage incepts conditionally upon submission of full consideration and that all underwriting reqs. are met.
Insurability Type Conditional receipt
Annuity Classifications (3 of 5): Source of income
Limited Pay Whole Life policy
Dividend options
31. Provides increased death benefit if death occurs w/in 90 days & as result of accident; relatively INexpensive add-on.
Point of Service plan
Accidental Death (aka Multiple Indemnity) rider
Incontestability clause/provision
Risk management
32. Provides for continued operation of business if partner becomes disabled - by allowing other partner(s) to buy disabled partner's interest in business.
Current Assumption (aka Interest-Sensitive) Whole Life policy
Retrocession
Business Continuation (aka Buy-Sell) Disability policy
Enhanced Ordinary (aka Extraordinary) Whole Life policy
33. Funding mechanism whereby employer & employee share cost of premium. Upon death - benefit is shared between employer & beneficiary.
Split Dollar Plan
Cost of Living Adjustment (COLA) Disability rider
Types of Insurers (miscellaneous)
Waiver of Premium (Waiver of Cost of Insurance) rider
34. Insurer has right to adjust (+ or -) death benefit if age or sex is misstated but normally doesn't void policy.
Types of Renewability provisions
Misstatement of Age/Sex provision
Types of Insurers (by domicile)
Total disability (as commonly defined)
35. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Applicant Representations vs. Warranties
Fraud
Small Employer Medical Expense plan
Parole Pardon Rule
36. Policy owner has 90 days from date of loss to submit proof of loss to Insurer; valid claim must be paid immediately upon receipt.
Health Reimbursement Account (HRA)
Proof of Loss provision
Insurer (as defined by CIC)
Annuity Classifications (1 of 5): How premium is paid
37. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Health Maintenance Organization (HMO)
Levels of Long Term Care provided
Tax implications of an Annuity (1 of 2)
Types of Insurers (by authorization)
38. 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
Types of Licensed Producers
Types of hazards
Loss of Earnings Test
39. Potential circumstance that could cause a loss; measured in dollars.
1035 Exchange
Rescission
Requirements to sell variable life products
Loss exposure
40. 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.
Types of Insurers (by authorization)
Market Value Adjusted (aka Modified Guaranteed) annuity
Parole Pardon Rule
Medicare
41. Upon death - death benefit is paid + the aggregate of premiums paid to date; add-on to Term policy ONLY.
Types of Insurers (by authorization)
Conformity with State Statute provision
Social Security Benefit (Supplement) rider
Return of Premium rider
42. Same as Term Life but provides living benefit (endowment) to policy owner if Insured survives entire term.
Incontestability clause/provision
Endowment Life policy
Blue Cross/Blue Shield
Term Life policy
43. Pre-existing illness/injury; Waiting period; Elimination period; Probationary period; Benefits - Exclusions - Limitations; Underwriting reqs.
Types of Accident & Health (A&H) providers
Levels of Long Term Care provided
Variable Life policy (2 of 2)
Considerations in replacing Health insurance
44. Financial interest in insured party that must exist @ time of application OR policy issuance. Requires consent (except minors).
Relation of Earnings to Insurance provision
Types of Accident & Health insurance
Exclusions to Work. Comp.
Insurable interest
45. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Exclusions for Major Medical plan
Pure risk vs. Speculative risk
Annuity Classifications (3 of 5): Source of income
Total disability (as commonly defined)
46. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
Disability Income policy
Insurability Type Conditional receipt
Departments of an Insurer
Rehabilitation rider
47. Period of time following any children's survivor benefit & before benefits are provided to employee's widow/widower.
Payor (aka Waiver of Payor's Premium) rider
Rate (as defined by CIC)
Exclusions for Major Medical plan
Blackout Period
48. Preferred or Preferred Smoker; Standard or Standard Smoker; Substandard; Denied.
Accidental Death & Dismemberment (AD&D) Disability rider
Common Disaster (Simultaneous Death Act) clause/provision
Underwriting risk categories
Supplemental Major Medical plan
49. Provides for continued operation of business if partner dies - by allowing surviving partner(s) to buy deceased partner's interest in business.
Business Continuation (aka Buy-Sell) policy
Suicide clause/provision
Group Disability plan
Cost of Living Adjustment (COLA) Life rider
50. Guaranteed min. interest rate on cash value buildup but possible higher rate if short-term investment returns higher than expected.
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Total disability (as commonly defined)
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Reinsurance