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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. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Experience vs. Community rating in Group Health plan
Family Income policy
Exclusions for Major Medical plan
Insuring clause/provision (aka Insuring Agreement)
2. 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.
Medicare Part D
Return of Cash Value rider
Tax implications of Disability policy
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
3. Refund of 50-80% of premium (minus claims paid) every 5-10 yrs. OR age 65; expensive!
Return of Premium rider
CHAMPUS (aka TriCare)
Medi-Cal Share Cost plan
Life insurance policy
4. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
Payor (aka Waiver of Payor's Premium) rider
Medicare Part D
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Convertibility provision
5. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Conformity with State Statute provision
Non-Occupational Disability policy
Dividends
Pure risk vs. Speculative risk
6. Application submitted w/out premium; no coverage until submission of full consideration & completed Statement of Continued Good Health.
Grace Period provision
Medical Savings Account (MSA) & Health Savings Account (HSA)
Trial Application (aka Request for Offer)
Concealment exceptions
7. Federal law which prohibits companies w/ 15+ employees from decreasing coverage benefits for women affected by pregnancy or childbirth.
Civil Rights/Pregnancy Discrimination Act
Automatic Premium Loan (APL) provision
Concealment
Claim Form (aka Proof of Loss Form) provision
8. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Annuity Classifications (5 of 5): # of lives
Earned vs. Unearned premium
Annuity Classifications (3 of 5): Source of income
Age Discrimination in Employment Act (ADEA)
9. Insurance purchased by other Insurer(s) to spread or diversify risk; promotes industry stability.
Annuity Classifications (1 of 5): How premium is paid
Total disability (more restrictive definition)
Reinsurance
Rehabilitation rider
10. Coverage remains in effect for 31 days past premium due date; benefits paid during grace period would be deducted from sum.
Grace Period provision
Types of hazards
Health Insurance Portability and Accountability Act (HIPAA)
Types of reinsurance
11. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Concealment
Employer-Administered plan
Health Maintenance Organization (HMO)
Cost of Living Adjustment (COLA) Life rider
12. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Joint Life (aka "First to die") policy
Dividends
Notice of Claim provision
Family policy
13. Permanent - not recoverable (spinal cord injury); Temporary - recoverable (temp. illness/injury - broken limb).
Permanent vs. Temporary disability
Approval Type Conditional receipt
Market Value Adjusted (aka Modified Guaranteed) annuity
Total disability (as commonly defined)
14. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Tax implications of an Annuity (1 of 2)
Elements to contract
Family Maintenance policy
Insurability Type Conditional receipt
15. 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.
Small Employer Medical Expense plan
Family Income policy
Revocable vs. Irrevocable beneficiary
Social Security Benefit (Supplement) rider
16. 1: Straight aka Pure Life - lifetime income but no survivorship refund; 2: Life w/ Period Certain - lifetime income w/ death benefit of monthly annuity for remaining predetermined term. 3: Annuity Certain - monthly income paid for predetermined term
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Conformity with State Statute provision
Market Value Adjusted (aka Modified Guaranteed) annuity
Revocable vs. Irrevocable beneficiary
17. Same as Comprehensive Major Medical but w/ integrated deductible; much more expensive.
Modified Endowment Contract (MEC)
Supplemental Major Medical plan
Term Life policy
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
18. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
Tax implications of an Annuity (1 of 2)
Group Disability plan
Common Accident provision
Types of Renewability provisions
19. Provides for continued operation of business if partner becomes disabled - by allowing other partner(s) to buy disabled partner's interest in business.
Equity Index Whole Life policy
Settlement options for Life policy (2 of 2)
Peril vs. Hazard
Business Continuation (aka Buy-Sell) Disability policy
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
Law of Large Numbers
Rehabilitation rider
Revocable vs. Irrevocable beneficiary
21. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Concealment
Payment of Premium provision
Exclusions for Major Medical plan
Relation of Earnings to Insurance provision
22. Annuity distributions prior to age 59 1/2 incur a 10% IRS penalty EXCEPT for death - disability - immediate annuity - or rollover.
Premium modes
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
1035 Exchange
IRS Penalties for Annuities
23. Specialized policy covering diagnostic & preventative dental care; often no deductible; co-insurance; expensive; may be included w/ medical plan.
Needs approach (most common)
Point of Service plan
Impairment (Exclusion) rider
Dental Plan
24. Info already known; Info that should have been known; Waived info; Irrelevant info.
Graded Premium Whole Life policy
Types of Agency Authority
Concealment exceptions
Peril vs. Hazard
25. 1: Fixed - guaranteed fixed monthly income & fixed interest rate; 2: Variable - unguaranteed; monthly income varies based on stocks/bond returns.
Insurable interest
Elements to contract
Types of Accident & Health (A&H) providers
Annuity Classifications (3 of 5): Source of income
26. 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.
Valid life insurance contracts must identify...
Disability Income policy
Age Discrimination in Employment Act (ADEA)
Workers' Compensation insurance
27. Prohibited w/ regard to testing for people of same class; test results must remain confidential; coverage may be declined (once discovered).
Common Life Exclusions
Return of Premium rider
AIDS/HIV discrimination
Medi-Cal Share Cost plan
28. 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.
Long Term Care (LTC) policy
Reinsurance
Accidental Death & Dismemberment (AD&D) Disability rider
Insurer (as defined by CIC)
29. Same as WL but death benefit decreases each yr. w/ dividends paid annually to offset decrease.
Cash value
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Annuity Classifications (3 of 5): Source of income
Annuity
30. Combination of Basic Medical & Major Medical in one policy; Basic pays 1st - then Major Medical w/ corridor deductible.
Variable Life policy (2 of 2)
Long Term Care (LTC) policy
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Comprehensive Major Medical plan
31. 1: Surrender for cash value (taxable); 2: Buy equal-benefit paid-up Level Term policy; 3: Buy reduced-benefit paid-up WL policy.
Parole Pardon Rule
Market Value Adjusted (aka Modified Guaranteed) annuity
Non-forfeiture options for WL policy
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
32. Representation - oral or written statement made to best of knowledge or belief; Warranty - statement guaranteed/presumed/understood to be true.
Considerations in replacing Health insurance
Applicant Representations vs. Warranties
Group Disability plan
Concealment
33. Same as WL but policy owner can adjust death benefit w/ corresponding premium adjustments; mostly obsolete.
Types of reinsurance
Cross Purchase Plan
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Adjustable Whole Life policy
34. Waives premium on Life policy for minor child until age 21 in event premium payor dies or becomes disabled.
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35. Compensates business for loss due to death or disability of key employee; premiums not deductible but benefits tax-free.
Key Employee policy
Estoppel
Employer-Administered plan
Insurance contract characteristics (1 of 2)
36. Tendency of poorer risks to seek insurance.
Medicaid/Medi-Cal
Phases of an annuity
Adverse selection
Term Life policy
37. Private sector (Commercial) - provides LA&H - P&C - & LTC; Public sector (Gov't) - provides flood - work. comp. - Medicare/Medicaid - Group Life (SGLI/FEGLI).
Medi-Cal Share Cost plan
Types of Insurers (by sector)
Doctrine of Comity
Insurable interest
38. Revocable - changeable anytime w/ Change of Beneficiary Form; Irrevocable - not changeable w/out beneficiary permission.
Market Value Adjusted (aka Modified Guaranteed) annuity
1035 Exchange
Revocable vs. Irrevocable beneficiary
Annuity Classifications (3 of 5): Source of income
39. 1: Immediate benefits rec'd w/in 30 days but premium must be paid by lump sum; 2: Deferred - usually until retirement.
Entire Contract provision
Key Employee Disability policy
Annuity Classifications (2 of 5): When benefits begin
Point of Service plan
40. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Change of Occupation provision
Types of reinsurance
Cost of Living Adjustment (COLA) Life rider
Reinstatement provision
41. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Rescission
Preferred Provider Organization (PPO)
Estoppel
42. Upon notice - Insurer must provide Claim Form (Proof of Loss Form) to Insured w/in 15 days.
IRS Penalties for Annuities
Needs approach (most common)
Claim Form (aka Proof of Loss Form) provision
Grace Period provision
43. 'The inability to perform ANY gainful occupation'.
Business Overhead Expense (BOE) Disability policy
Concealment exceptions
Modified Premium Whole Life policy
Total disability (any-occupational definition)
44. Accumulation or "pay-in" - contributions & interest earned are tax-deferred; Annuity or "pay-out" - monthly annuity (taxable) paid.
Split Dollar Plan
Grace Period provision
Phases of an annuity
Cross Purchase Plan
45. If Insured & primary beneficiary die due to same act (w/in 14 days) - primary assumed 1st to die & contingent beneficiary paid death benefit.
Term Life policy
Cost of Living Adjustment (COLA) Life rider
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Common Disaster (Simultaneous Death Act) clause/provision
46. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Health Reimbursement Account (HRA)
Cash value
Experience vs. Community rating in Group Health plan
Juvenile Life (aka Jumping Juvenile) policy
47. Policyholders - Mutual (participating) co. - may pay dividends; Stockholders - Stock (non-participating) co. - no dividends.
Types of Insurers (by ownership)
Fraud
Medicare Part C (aka Medicare Advantage)
Waiver of Premium (Waiver of Cost of Insurance) rider
48. 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;
Doctrine of Comity
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Policy loans
Key Employee Disability policy
49. Life license + NASD (FINRA) Series 6 or 7.
Credit Life policy
Requirements to sell variable life products
Human Life Value approach
Phases of an annuity
50. Guaranteed min. interest rate on cash value buildup but possible higher rate if short-term investment returns higher than expected.
Conformity with State Statute provision
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Reinsurance
Group Disability plan