SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
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. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
Time Limit on Certain Defenses provision
Misstatement of Age/Sex provision
Types of Accident & Health (A&H) providers
COBRA Time Limitations
2. Death benefit determined by Insured's financial goals & needs (minus assets).
Needs approach (most common)
Modified Endowment Contract (MEC)
Dependent coverage
Settlement options for Life policy (2 of 2)
3. Same as WL but death benefit decreases each yr. w/ dividends paid annually to offset decrease.
Indeterminate Premium Whole Life policy
Reinsurance
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Cash value
4. Annuity distributions prior to age 59 1/2 incur a 10% IRS penalty EXCEPT for death - disability - immediate annuity - or rollover.
IRS Penalties for Annuities
Insurance contract characteristics (1 of 2)
Palliative vs. Curative care
Medicare Part A (aka Hospital Insurance or HI)
5. 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
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
Factors that determine premium
Types of Renewability provisions
6. Same as Comprehensive Major Medical but w/ integrated deductible; much more expensive.
Earned vs. Unearned premium
Modified Endowment Contract (MEC)
Supplemental Major Medical plan
Business Overhead Expense (BOE) Disability policy
7. Receipt whereby coverage incepts ONLY after underwriting approval.
Tax implications of Dividends - Loans & Interest
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Approval Type Conditional receipt
Free Look provision
8. 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.
Transplant/Cosmetic Surgery rider
Adjustable Whole Life policy
Tax implications of Disability policy
Tax implications of an Estate
9. 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.
Legal Action provision
Doctrine of Comity
Total disability (more restrictive definition)
Rate (as defined by CIC)
10. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Change of Occupation provision
Graded Premium Whole Life policy
Pure risk vs. Speculative risk
Premium modes
11. 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.
Factors that determine premium
Free Look provision
Types of Term Life policies
Preferred Provider Organization (PPO)
12. 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
CHAMPUS (aka TriCare)
Relation of Earnings to Insurance provision
Elimination (aka Waiting) period
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
13. 1: Non-cancelable; 2: Guaranteed renewable; 3: Cancelable; 4: Conditionally renewable; 5: Optionally renewable.
Dividends
Settlement options for Life policy (1 of 2)
Types of Renewability provisions
Tax implications of an Annuity (1 of 2)
14. 1: Skilled nursing care; 2: Intermediate care; 3: Custodial care; 4: Home health care.
Major Medical plan
Trial Application (aka Request for Offer)
Levels of Long Term Care provided
Tax implications of Disability policy
15. Provides hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay.
Cost of Living Adjustment (COLA) Disability rider
Medicare Part A (aka Hospital Insurance or HI)
Parole Pardon Rule
Needs approach (most common)
16. Premiums determined by target cash values or death benefit; partial cash value w/drawals allowed; transparent policy w/ unbundled premium.
CA Work. Comp. Statutes
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Incontestability clause/provision
Family policy
17. Business continuation funding plan whereby each partner agrees to buy Life policies on each other - but not themselves.
Cross Purchase Plan
Adjustable Whole Life policy
Insurance contract characteristics (2 of 2)
Retrocession
18. Potential circumstance that could cause a loss; measured in dollars.
Disability Income policy
Conformity with State Statute provision
Policy delivery
Loss exposure
19. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Medical Savings Account (MSA) & Health Savings Account (HSA)
Non-Occupational Disability policy
Dependent coverage
Trusts
20. A lapsed policy may be reinstated if not longer than 3-5 yrs. - & proof of insurability re-established - & back premiums + interest paid.
Policy loans
Reinstatement provision
Exclusions to Work. Comp.
Current Assumption (aka Interest-Sensitive) Whole Life policy
21. Same as WL but premium low for set # yrs. - THEN premiums vary (+ or -) based on Insurer's investment returns - w/ Gmax.
Flexible Spending Account (FSA)
Medicare Part A & B "Gaps"
Indeterminate Premium Whole Life policy
Mortality vs. Morbidity tables
22. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Types of Insurers (by ownership)
Health Reimbursement Account (HRA)
Proof of Loss provision
Accelerated Benefits (aka Terminal Illness or Living Benefits) rider
23. Federal law allows employees/their dependents to continue group benefits w/in 60 days after termination (if employer has 20+ employees); Insured pays premium @ 102% of group cost.
Annuity
Blue Cross/Blue Shield
Beneficiary provisions
Consolidated Omnibus Budget Reconciliation Act (COBRA)
24. Same as WL but can be "paid-up" early by paying larger premium for shorter payment period (i.e. 10 Pay Life - 20 Pay Life).
Beneficiary provisions
Limited Pay Whole Life policy
1035 Exchange
Graded Premium Whole Life policy
25. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Point of Service plan
Medicare Part C (aka Medicare Advantage)
Supplemental Major Medical plan
Time Limit on Certain Defenses provision
26. 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
Medicare Part A & B "Gaps"
Family policy
Health Maintenance Organization (HMO)
27. Policy owner has 90 days from date of loss to submit proof of loss to Insurer; valid claim must be paid immediately upon receipt.
Viatical Settlement Provider (VSP)
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Proof of Loss provision
Reinsurance
28. Type of partial disability rider - which pays fluctuating % of lost income w/out time limit.
Indeterminate Premium Whole Life policy
Annuity Classifications (2 of 5): When benefits begin
24 Hour Coverage (CA)
Residual disability rider
29. 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.
Requirements to sell variable life products
Non-Occupational Disability policy
Valid life insurance contracts must identify...
Dividend options
30. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Mortality vs. Morbidity tables
Insuring clause/provision (aka Insuring Agreement)
Variable Universal Life policy
Reinstatement provision
31. Prohibited w/ regard to testing for people of same class; test results must remain confidential; coverage may be declined (once discovered).
Suicide clause/provision
AIDS/HIV discrimination
Types of Agency Authority
Non-Occupational Disability policy
32. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Insurable interest
Tax implications of an Estate
Employer-Administered plan
7 Pay Test
33. Federal law which prohibits companies w/ 20+ employees from denying work & medical benefits to employees due to age.
Factors that determine premium
Insurance contract characteristics (1 of 2)
Exclusions to Work. Comp.
Age Discrimination in Employment Act (ADEA)
34. Same as WL but policy owner can adjust death benefit w/ corresponding premium adjustments; mostly obsolete.
Earned vs. Unearned premium
Loss exposure
Adjustable Whole Life policy
Basic Medical plan
35. Excludes coverage for specific injury/illness either temporarily or permanently in order to eliminate pre-existing condition.
Impairment (Exclusion) rider
Presumptive disability
Requirements to sell variable life products
Grace Period provision
36. Level - fixed death benefit - premium fixed until renewal; Decreasing - death benefit decreases over term - premium fixed until renewal; Increasing - death benefit increases over term - premium fixed until renewal.
Types of Term Life policies
7 Pay Test
Types of Insurers (by authorization)
Variable Life policy (1 of 2)
37. Provides usual & customary business expenses (rent - utilities - salaries - mortgage) if owner becomes disabled; premiums deductible - benefits taxable.
Joint Life (aka "First to die") policy
Business Overhead Expense (BOE) Disability policy
Current Assumption (aka Interest-Sensitive) Whole Life policy
Health Maintenance Organization (HMO)
38. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Insurance contract characteristics (1 of 2)
Earned vs. Unearned premium
Dividend options
Departments of an Insurer
39. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Tax implications of Death Benefit & Cash Value
Modified Endowment Contract (MEC)
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Loss exposure
40. Monthly; Quarterly; Semi-annually; Annually (cheapest due to less admin cost).
Premium modes
Experience vs. Community rating in Group Health plan
Beneficiary provisions
Key Employee Disability policy
41. A&H - A&S - Sickness only; Medical; Disability; Accident only; Travel accident; LTC; Medicare supplement; AD&D; Dental/Vision/Prescription; Limited.
Types of Accident & Health insurance
Key Employee policy
Types of reinsurance
Policy delivery
42. Insurance purchased by other Insurer(s) to spread or diversify risk; promotes industry stability.
Departments of an Insurer
Types of Term Life policies
Dividends
Reinsurance
43. Benefits NOT taxable; employer-paid premiums deductible to employer; individual plans not deductible unless over 7 1/2% of adjusted gross income - then excess deductible.
Juvenile Life (aka Jumping Juvenile) policy
Tax implications of medical plans
Concealment
Market Value Adjusted (aka Modified Guaranteed) annuity
44. Insurer has right to adjust (+ or -) death benefit if age or sex is misstated but normally doesn't void policy.
Penalties for violating AIDS/HIV privacy laws
Misstatement of Age/Sex provision
Medicare Part A & B "Gaps"
Annuity Classifications (3 of 5): Source of income
45. Allows for use of HMO/PPO or other private carrier to provide expanded benefits @ additional premium & if enrolled in BOTH Parts A & B.
Medicare Part C (aka Medicare Advantage)
Whole (aka Permanent or Straight) Life policy
Insurability Type Conditional receipt
1035 Exchange
46. Federal law which prohibits companies w/ 15+ employees from decreasing coverage benefits for women affected by pregnancy or childbirth.
Annuity surrender charges
Civil Rights/Pregnancy Discrimination Act
Occupational Disability policy
24 Hour Coverage (CA)
47. Palliative - treatment to manage pain; Curative - treatment to cure illness/condition.
Palliative vs. Curative care
Rehabilitation rider
Transplant/Cosmetic Surgery rider
Total disability (any-occupational definition)
48. Upon death - death benefit is paid + the aggregate of premiums paid to date; add-on to Term policy ONLY.
Renewability provision
Doctrine of Comity
Return of Premium rider
Fraud
49. Provides % of monthly income benefit if Insured becomes disabled due to illness or accident.
Disability Income policy
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Factors that determine premium
Residual disability rider
50. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Variable Life policy (1 of 2)
Key Employee Disability policy
Estoppel
Valid life insurance contracts must identify...