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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. Prepaid med. benefits for "subscribers" @ approved facilities; many non-profit; Blue Cross - Hospital stays; Blue Shield - M.D. costs.
CHAMPUS (aka TriCare)
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Blackout Period
Blue Cross/Blue Shield
2. 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.
Universal (aka Flexible Premium Adjustable) Life policy (1 of 4)
Elements to contract
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Long Term Care (LTC) policy
3. 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
Policy loans
Employer-Administered plan
Dividends
4. Mandatory 100% employer-funded coverage for injuries/illnesses occurring "on" job; full-time employees only; exclusive remedy. Provides: 1: unlimited medical benefit; 2: survivor income replacement & funeral ($5 -000 max.); 3: disability benefit @ 66
5. 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.
Recurrent disability clause/provision
Legal Action provision
Business Continuation (aka Buy-Sell) Disability policy
Insurance contract characteristics (2 of 2)
6. After 2-3 yrs. - Whole Life policy equity builds tax-deferred @ fixed interest rate until it equals death benefit; borrowable but taxable.
Phases of an annuity
Variable Life policy (1 of 2)
Business Continuation (aka Buy-Sell) Disability policy
Cash value
7. Part of IRS Section 125 cafeteria plan - which allows pre-tax payroll deductions for qualified medical expenses or child/dependent care.
Small Employer Medical Expense plan
Medicare Part C (aka Medicare Advantage)
Flexible Spending Account (FSA)
Payor (aka Waiver of Payor's Premium) rider
8. Earned premium is $ paid for coverage to date. Unearned premium is $ paid & returnable due to coverage not provided.
Penalties for violating AIDS/HIV privacy laws
Types of Insurers (miscellaneous)
Earned vs. Unearned premium
Family policy
9. Dividends are NOT taxable but interest is. Loan interest is NOT tax-deductible. Interest paid by Insurer on retained funds is taxable.
Types of Licensed Producers
Beneficiary provisions
Tax implications of Dividends - Loans & Interest
Proof of Loss provision
10. 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.
Market Value Adjusted (aka Modified Guaranteed) annuity
Requirements to sell variable life products
Total disability (any-occupational definition)
Exclusions for Major Medical plan
11. Same as WL but policy owner can adjust death benefit w/ corresponding premium adjustments; mostly obsolete.
Term Life policy
Variable Life policy (1 of 2)
Adjustable Whole Life policy
Earned vs. Unearned premium
12. A lapsed policy may be reinstated if not longer than 3-5 yrs. - & proof of insurability re-established - & back premiums + interest paid.
Proof of Loss provision
Insurer (as defined by CIC)
Relation of Earnings to Insurance provision
Reinstatement provision
13. 1: Single (lump sum) premium; 2: Periodic premiums - can be level (fixed $) OR flexible from mth. to mth. (w/ req. min.)
Annuity Classifications (1 of 5): How premium is paid
Employer-Administered plan
Business Overhead Expense (BOE) Disability policy
Dependent coverage
14. Private sector (Commercial) - provides LA&H - P&C - & LTC; Public sector (Gov't) - provides flood - work. comp. - Medicare/Medicaid - Group Life (SGLI/FEGLI).
Levels of Long Term Care provided
Endowment Life policy
Dividends
Types of Insurers (by sector)
15. Same as WL but w/ Level Term rider; upon death - pays monthly income for FULL term AFTER which pays full death benefit.
Reinsurance
Social Security Benefit (Supplement) rider
Applicant Representations vs. Warranties
Family Maintenance policy
16. Insurer has right to adjust (+ or -) death benefit if age or sex is misstated but normally doesn't void policy.
Misstatement of Age/Sex provision
Insurability Type Conditional receipt
Dread Disease policy
Civil Rights/Pregnancy Discrimination Act
17. Experience - rates impacted by actual prior claim experience of actual group; Community - identical rates used for entire community - regardless of experience.
Types of Accident & Health insurance
1035 Exchange
Variable Life policy (1 of 2)
Experience vs. Community rating in Group Health plan
18. Any person - assoc. - org. - partnership - business trust - LLC - or corp. capable of making an insurance contract.
Indeterminate Premium Whole Life policy
Insurer (as defined by CIC)
Trial Application (aka Request for Offer)
Split Dollar Plan
19. Waives premium upon disability of Insured until return to work; disability must persist for 6 mths. or longer. Cash value & dividends not affected.
Free Look provision
Civil Rights/Pregnancy Discrimination Act
Insurability Type Conditional receipt
Waiver of Premium (Waiver of Cost of Insurance) rider
20. Insurance purchased by other Insurer(s) to spread or diversify risk; promotes industry stability.
Claim Form (aka Proof of Loss Form) provision
Reinsurance
Total disability (as commonly defined)
Major Medical plan
21. Federally-sponsored health care for individuals 65+ &/or w/ certain disabilities; may run concurrent w/ group plan but group plan would act primary - THEN Medicare.
Flexible Spending Account (FSA)
Departments of an Insurer
Medicare
Types of reinsurance
22. Policy must be delivered w/ original (or copy of same) application attached.
Entire Contract provision
Whole (aka Permanent or Straight) Life policy
Medicare Supplement or Medigap policy
Types of Accident & Health (A&H) providers
23. Provides for continued operation of business if partner becomes disabled - by allowing other partner(s) to buy disabled partner's interest in business.
Life insurance policy
Business Continuation (aka Buy-Sell) Disability policy
Family or Dependents rider
Medicare Part A & B "Gaps"
24. Govt. organization providing health care benefits for dependents of military personnel.
Tax implications of Death Benefit & Cash Value
Medi-Cal Share Cost plan
Impairment (Exclusion) rider
CHAMPUS (aka TriCare)
25. Disability income is based on "earned income" (salary - bonus - commission) - not unearned income (interest - investment - rents).
Loss of Earnings Test
Survivorship (aka "Last to die") policy
Current Assumption (aka Interest-Sensitive) Whole Life policy
Requirements to sell variable life products
26. Federal law which prohibits companies w/ 15+ employees from decreasing coverage benefits for women affected by pregnancy or childbirth.
Cash value
Revocable vs. Irrevocable beneficiary
Civil Rights/Pregnancy Discrimination Act
Comprehensive Major Medical plan
27. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Binding receipt (aka Temporary Insurance Agreement)
Indemnify
Family Income policy
Proof of Loss provision
28. Pays death benefit until age 100 or death; builds equity (cash value); may be transferred or sold; generally level premium.
Small Employer Medical Expense plan
CHAMPUS (aka TriCare)
Whole (aka Permanent or Straight) Life policy
Enhanced Ordinary (aka Extraordinary) Whole Life policy
29. If total premiums paid w/in 1st 7 yrs. exceed net level premium that should have been paid - policy is an MEC.
7 Pay Test
Plans A-L of Medical Supplement or Medigap
Indemnify
Comprehensive Major Medical plan
30. Allows Insured to increase death benefit w/out medical exam (subject to age max.) w/ additional premium rate determined @ attained age.
Survivorship (aka "Last to die") policy
Rate (as defined by CIC)
Guaranteed Insurability Life rider
Medi-Cal Share Cost plan
31. Savings account for medical expenses; Tax-deductible contributions; tax-deferred growth; tax-free for qualified use; taxable for non-qualified use.
Age Discrimination in Employment Act (ADEA)
Beneficiary provisions
Credit Life policy
Medical Savings Account (MSA) & Health Savings Account (HSA)
32. 1: Individual; 2: Joint - multiple annuitants paid until 1st dies; 3: Joint & Survivor - multiple annuitants paid until 1st dies THEN survivors paid but @ reduced $.
Annuity Classifications (5 of 5): # of lives
Non-forfeiture options for WL policy
Credit Life policy
Notice of Claim provision
33. Identical to Incontestable Clause in Life policy.
Insuring clause/provision (aka Insuring Agreement)
Survivorship (aka "Last to die") policy
Time Limit on Certain Defenses provision
Return of Premium rider
34. Provides coverage for specific disease(s) - such as cancer or leukemia.
Errors & Omissions (E&O)
Misstatement of Age/Sex provision
Cross Purchase Plan
Dread Disease policy
35. 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.
Proof of Loss provision
CA Work. Comp. Statutes
Basic Medical plan
Consolidated Omnibus Budget Reconciliation Act (COBRA)
36. Must be delivered in person or by certified - registered or 1st-class mail w/ signature - unless waived by Insurance Commissioner.
Medicare Supplement or Medigap policy
Civil Rights/Pregnancy Discrimination Act
Relation of Earnings to Insurance provision
Policy delivery
37. Same as WL but premium low for set # yrs. - THEN premiums vary (+ or -) based on Insurer's investment returns - w/ Gmax.
Point of Service plan
COBRA Time Limitations
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Indeterminate Premium Whole Life policy
38. Privately-provided or Medicare-provided (if no private carrier) prescription drug plans for qualified individuals but w/ premium - deductible & co-pay.
Group Disability plan
Needs approach (most common)
Types of hazards
Medicare Part D
39. Pure risk involves chance of loss ONLY (accident or misfortune). Speculative risk involves chance of loss OR gain (gambling - stock investment).
Insurance contract characteristics (2 of 2)
Pure risk vs. Speculative risk
Accidental Death & Dismemberment (AD&D) Disability rider
Basic Medical plan
40. Type of partial disability rider - which pays fluctuating % of lost income w/out time limit.
Suicide clause/provision
Medicare
Residual disability rider
Dividends
41. War - 2 types; Suicide (1st 2 yrs.); Aviation (non-commercial); Hazardous hobbies; Criminal acts; Alcohol/Drug influenced.
Adjustable Whole Life policy
Guaranteed Insurability Life rider
Exclusions for Major Medical plan
Common Life Exclusions
42. An attempt to contain costs by employing various strategies - including wellness programs - preventative testing - outpatient & alternative procedures.
Types of Medical Plans
Juvenile Life (aka Jumping Juvenile) policy
Relation of Earnings to Insurance provision
Medical cost containment (aka Managed care)
43. Voiding an insurance contract based on fraud - concealment or material misrepresentation; premiums returned; policy treated as never existing.
Concealment exceptions
Rescission
Limited Pay Whole Life policy
Risk management
44. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
Retrocession
Settlement options for Life policy (2 of 2)
Tax implications of medical plans
Requirements to sell variable life products
45. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Relation of Earnings to Insurance provision
Peril vs. Hazard
Health Maintenance Organization (HMO)
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
46. Underwriting - determines insurability; Marketing/Sales - determines products; Actuarial - determines rates; Claims - investigates/pays claims.
Departments of an Insurer
Rescission
Insurable interest
Return of Cash Value rider
47. Death benefit determined by Insured's projected lost earnings potential.
Variable Life policy (2 of 2)
7 Pay Test
Earned vs. Unearned premium
Human Life Value approach
48. Federal law which prohibits companies w/ 20+ employees from denying work & medical benefits to employees due to age.
Age Discrimination in Employment Act (ADEA)
Business Continuation (aka Buy-Sell) Disability policy
Trusts
Social Security Benefit (Supplement) rider
49. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Viatical Settlement Provider (VSP)
Automatic Premium Loan (APL) provision
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Plans A-L of Medical Supplement or Medigap
50. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Proof of Loss provision
Annuity Classifications (2 of 5): When benefits begin
Viatical Settlement Provider (VSP)
Trusts