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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. Generally 10 days after policy delivery to cancel policy w/ full refund - except 30 days for seniors or for replacement policies.
Employee Retirement Income Security Act (ERISA)
CA Work. Comp. Statutes
Medicare Part C (aka Medicare Advantage)
Free Look provision
2. Excludes coverage for suicide during 1st 2 yrs. ONLY but - if it does - all premiums must be returned to beneficiary.
Suicide clause/provision
Small Employer Medical Expense plan
Types of Insurers (by domicile)
Beneficiary provisions
3. Federal law which prohibits companies w/ 15+ employees from decreasing coverage benefits for women affected by pregnancy or childbirth.
Considerations in replacing Health insurance
Major Medical plan
Endowment Life policy
Civil Rights/Pregnancy Discrimination Act
4. Insurance purchased by other Insurer(s) to spread or diversify risk; promotes industry stability.
Group Disability plan
Reinsurance
Types of Insurers (miscellaneous)
Levels of Long Term Care provided
5. Policy must be delivered w/ original (or copy of same) application attached.
Entire Contract provision
Types of Insurers (by ownership)
Basic Medical plan
Presumptive disability
6. Process whereby a reinsurer reinsures w/ another reinsurer.
Health Reimbursement Account (HRA)
Palliative vs. Curative care
Annuity Classifications (5 of 5): # of lives
Retrocession
7. Same as WL but premium low for set # yrs. - THEN premiums vary (+ or -) based on Insurer's investment returns - w/ Gmax.
Indeterminate Premium Whole Life policy
Annuity Classifications (5 of 5): # of lives
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Return of Premium rider
8. Combination of Basic Medical & Major Medical in one policy; Basic pays 1st - then Major Medical w/ corridor deductible.
Trial Application (aka Request for Offer)
Long Term Care (LTC) policy
Comprehensive Major Medical plan
Loss exposure
9. Covers entire family w/ WL for breadwinner & (convertible) Level Term for spouse & children (until certain age).
Family policy
Rehabilitation rider
Credit Life policy
Common Disability Exclusions
10. 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)
Law of Large Numbers
Types of Insurers (miscellaneous)
Consolidated Omnibus Budget Reconciliation Act (COBRA)
11. Non-qualified Annuity - Non-deductible contributions & tax-deferred growth. At pay-out - tax-free principal but taxable growth.
CA Work. Comp. Statutes
Accidental Death (aka Multiple Indemnity) rider
Tax implications of an Annuity (1 of 2)
Annuity
12. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Insurance contract characteristics (2 of 2)
Binding receipt (aka Temporary Insurance Agreement)
Flexible Spending Account (FSA)
Permanent vs. Temporary disability
13. Provides supplemental coverage for physician/surgeon fees if enrolled (during enrollment period ONLY) & pay monthly premium w/ deductible and co-insurance.
Health Insurance Portability and Accountability Act (HIPAA)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Free Look provision
Annuity Classifications (5 of 5): # of lives
14. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
Suicide clause/provision
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Social Security Benefit (Supplement) rider
Medicare Part D
15. Potential circumstance that could cause a loss; measured in dollars.
Loss exposure
Requirements to sell variable life products
Annuity surrender charges
Spendthrift provision
16. 1: Req. - unless self-employed; 2: 7-day wait for disability benefits; 3: Premium based on ex-mod; 4: Rates approved by CDI; 5: to sell - must satisfy education reqs.
Endowment Life policy
Waiver of Premium provision
CA Work. Comp. Statutes
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
17. Coverage remains in effect for 31 days past premium due date; benefits paid during grace period would be deducted from sum.
Grace Period provision
Return of Cash Value rider
Annuity Classifications (2 of 5): When benefits begin
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
18. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Market Value Adjusted (aka Modified Guaranteed) annuity
Basic Medical plan
CA Work. Comp. Statutes
Juvenile Life (aka Jumping Juvenile) policy
19. Expands individual WL policy to include Term Life for dependents (spouse - children - etc.).
Family or Dependents rider
Indemnify
IRS Penalties for Annuities
Dental Plan
20. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
Trial Application (aka Request for Offer)
Social Security Benefit (Supplement) rider
Tax implications of an Annuity (1 of 2)
Return of Premium rider
21. Agents - represent Insurer; Brokers - represent themselves & Insured; Solicitors - represent one agent to solicit leads.
Age Discrimination in Employment Act (ADEA)
Joint Life (aka "First to die") policy
Equity Indexed annuity
Types of Licensed Producers
22. Provides coverage for specific disease(s) - such as cancer or leukemia.
Relation of Earnings to Insurance provision
Proof of Loss provision
Dread Disease policy
Occupational Disability policy
23. 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
Medicare Supplement or Medigap policy
Exclusions for Major Medical plan
Insurance contract characteristics (2 of 2)
24. Written policy terms supersede oral statements made prior to policy issue.
Parole Pardon Rule
Types of Insurers (by domicile)
Insurance contract characteristics (2 of 2)
Employer Liability
25. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Accidental Death & Dismemberment (AD&D) Disability rider
Insurance contract characteristics (1 of 2)
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Supplemental Major Medical plan
26. An unintentional mistake committed by an insurance representative; may be covered by E&O insurance.
Modified Endowment Contract (MEC)
Policy delivery
Errors & Omissions (E&O)
Tax implications of an Estate
27. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Types of Accident & Health (A&H) providers
Permanent vs. Temporary disability
Key Employee Disability policy
Factors that determine premium
28. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Indemnify
Total disability (more restrictive definition)
Guaranteed Insurability Life rider
Transplant/Cosmetic Surgery rider
29. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Point of Service plan
Tax implications of an Annuity (1 of 2)
Loss exposure
Waiver of Premium (Waiver of Cost of Insurance) rider
30. Compensates business for loss due to death or disability of key employee; premiums not deductible but benefits tax-free.
Family or Dependents rider
Annuity Classifications (1 of 5): How premium is paid
Blackout Period
Key Employee policy
31. Insurer has right to rescind policy & return premium if material misrepresentation in application is found w/in 1st 2 yrs.
Medicare Part A & B "Gaps"
Retrocession
Risk management
Incontestability clause/provision
32. Req. by CA statute & may provide workers coverage for action-over claims.
Variable Life policy (1 of 2)
CA Work. Comp. Statutes
Types of Accident & Health insurance
Employer Liability
33. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
CHAMPUS (aka TriCare)
Estoppel
Recurrent disability clause/provision
Medi-Cal Share Cost plan
34. Policy provisions must conform to state regulations where policy is sold.
Indeterminate Premium Whole Life policy
7 Pay Test
Conformity with State Statute provision
Adjustable Whole Life policy
35. Federally-funded but state-run program for truly indigent individuals & families providing medical care at Federal clinic.
Revocable vs. Irrevocable beneficiary
Consolidated Omnibus Budget Reconciliation Act (COBRA)
1035 Exchange
Medicaid/Medi-Cal
36. No-charge annuity w/drawals allowed up to 10% of total - THEN penalized on sliding scale based on # policy yrs.; conditionally waived.
Return of Cash Value rider
Indemnify
Annuity surrender charges
Types of reinsurance
37. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Policy delivery
Employer-Administered plan
Small Employer Medical Expense plan
Concealment exceptions
38. The state in which the contract is accepted or delivered is the state that possesses regulatory jurisdiction over Group plan.
Supplemental Major Medical plan
Cost of Living Adjustment (COLA) Life rider
Pure risk vs. Speculative risk
Doctrine of Comity
39. If Insured & primary beneficiary die due to same act (w/in 14 days) - primary assumed 1st to die & contingent beneficiary paid death benefit.
Common Disaster (Simultaneous Death Act) clause/provision
Pure risk vs. Speculative risk
Types of Licensed Producers
IRS Penalties for Annuities
40. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Types of Agency Authority
Estoppel
Employer Liability
Exclusions for Major Medical plan
41. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
Social Security Benefit (Supplement) rider
Valid life insurance contracts must identify...
Blue Cross/Blue Shield
Indeterminate Premium Whole Life policy
42. Provides benefit during Social Security "black-out" period - up to 1 yr.
Common Disability Exclusions
Binding receipt (aka Temporary Insurance Agreement)
Social Security Benefit (Supplement) rider
Dental Plan
43. 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.
Business Overhead Expense (BOE) Disability policy
Types of Medical Plans
Approval Type Conditional receipt
Long Term Care (LTC) policy
44. Allows Insured to increase benefit w/out medical exam (subject to age max.) w/ additional premium rate determined @ attained age; must prove income increase.
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Common Disability Exclusions
Settlement options for Life policy (2 of 2)
Payment of Premium provision
45. Mathematical calculation based on overall FICA contributions used to determine retirement/disability/survivorship benefit.
Life insurance policy
Settlement options for Life policy (1 of 2)
Primary Insurance Amount (PIA)
Requirements to sell variable life products
46. Price of insurance per exposure unit.
Rate (as defined by CIC)
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Settlement options for Life policy (1 of 2)
Market Value Adjusted (aka Modified Guaranteed) annuity
47. Agreement - Offer & acceptance; Consideration - application + premium; Legal capacity - licensed &/or competent; Legal purpose - public good.
Adjustable Whole Life policy
Insuring clause/provision (aka Insuring Agreement)
Elements to contract
Medical Savings Account (MSA) & Health Savings Account (HSA)
48. 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.
Change of Occupation provision
COBRA Time Limitations
Underwriting risk categories
Social Security Benefit (Supplement) rider
49. Type of partial disability rider - which pays fluctuating % of lost income w/out time limit.
Types of Agency Authority
Misstatement of Age/Sex provision
Underwriting risk categories
Residual disability rider
50. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Return of Premium rider
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Life insurance policy
Types of Renewability provisions