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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. Actual/Expressed - written powers; Implied - unwritten but customary practices; Apparent - perceived powers.
Guaranteed Insurability Life rider
Partial disability rider
Types of Agency Authority
Return of Cash Value rider
2. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Modified Endowment Contract (MEC)
Conformity with State Statute provision
Spendthrift provision
Flexible Spending Account (FSA)
3. Receipt whereby coverage incepts conditionally upon submission of full consideration and that all underwriting reqs. are met.
Insurability Type Conditional receipt
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Palliative vs. Curative care
Comprehensive Major Medical plan
4. Part A - Inpatient hospital deductibles vary on # of days; limited reserve days; finite benefit; 1st 3 pints blood; Part B - 20% co-payment.
Annuity Classifications (3 of 5): Source of income
Reinstatement provision
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Medicare Part A & B "Gaps"
5. Process which prevents claim denial as a result of false statement or promise (made by Insurer) - which was relied upon by Insured.
Annuity Classifications (5 of 5): # of lives
Estoppel
Doctrine of Comity
Annuity Classifications (2 of 5): When benefits begin
6. Time period preceding each disability during which benefits are not paid; longer elimination periods = cheaper premium.
CA Work. Comp. Statutes
Annuity Classifications (4 of 5): Disposition "pay-out" of proceeds
Non-forfeiture options for WL policy
Elimination (aka Waiting) period
7. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Basic Medical plan
Dread Disease policy
Adjustable Whole Life policy
Common Disaster (Simultaneous Death Act) clause/provision
8. Provides hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay.
Basic Medical plan
Plans A-L of Medical Supplement or Medigap
Employer Liability
Medicare Part A (aka Hospital Insurance or HI)
9. 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;
Valid life insurance contracts must identify...
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Total disability (more restrictive definition)
Adjustable Whole Life policy
10. Policy owner has right to determine mode of premium payment but Insurer can charge admin. fee if not annual.
Payment of Premium provision
Types of Insurers (miscellaneous)
Exclusions to Work. Comp.
Permanent vs. Temporary disability
11. Identical to Incontestable Clause in Life policy.
Underwriting risk categories
Plans A-L of Medical Supplement or Medigap
Time Limit on Certain Defenses provision
Annuity surrender charges
12. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Misstatement of Age/Sex provision
Term Life policy
Automatic Premium Loan (APL) provision
Types of Agency Authority
13. 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.
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
COBRA Time Limitations
Civil Rights/Pregnancy Discrimination Act
Major Medical plan
14. Provides 24 hr. health coverage both "on" & "off" job - but may cause coverage duplication & coordination challenges.
Rescission
Health Reimbursement Account (HRA)
Supplemental Major Medical plan
24 Hour Coverage (CA)
15. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Retrocession
Misstatement of Age/Sex provision
Modified Premium Whole Life policy
Accidental Death & Dismemberment (AD&D) Life policy
16. Peril is the CAUSE of loss. Hazard is a condition that increases LIKELIHOOD of loss.
Health Reimbursement Account (HRA)
Peril vs. Hazard
Common Accident provision
Modified Endowment Contract (MEC)
17. Same as Term Life but provides living benefit (endowment) to policy owner if Insured survives entire term.
Endowment Life policy
Preferred Provider Organization (PPO)
Age Discrimination in Employment Act (ADEA)
Supplemental Major Medical plan
18. 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)
24 Hour Coverage (CA)
Types of Term Life policies
Family or Dependents rider
19. 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.
Waiver of Premium provision
Market Value Adjusted (aka Modified Guaranteed) annuity
Medicare Supplement or Medigap policy
Medicaid/Medi-Cal
20. Domestic - within home state; Foreign - outside home state; Alien - outside home country.
Modified Premium Whole Life policy
Types of Insurers (by domicile)
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Common Life Exclusions
21. Death benefits & premium automatically increase annually based on inflationary index (i.e. Consumer Price Index).
Errors & Omissions (E&O)
Cost of Living Adjustment (COLA) Life rider
Modified Endowment Contract (MEC)
Adverse selection
22. Prepaid med. benefits for members ONLY w/ approved primary care M.D. (HMO employee); focus on preventative care; low co-pay.
Family or Dependents rider
Return of Premium rider
24 Hour Coverage (CA)
Health Maintenance Organization (HMO)
23. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Long Term Care (LTC) policy
Insurance contract characteristics (1 of 2)
Annuity
Business Overhead Expense (BOE) Disability policy
24. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
Credit Life policy
Settlement options for Life policy (2 of 2)
Cost of Living Adjustment (COLA) Disability rider
Accidental Death (aka Multiple Indemnity) rider
25. Same as WL but premium low for 1st 5 yrs. - THEN has annual premium increases for set # yrs. - THEN level premium.
Beneficiary provisions
Graded Premium Whole Life policy
Retrocession
Elements to contract
26. Death benefit determined by Insured's projected lost earnings potential.
Human Life Value approach
Tax implications of medical plans
Insuring clause/provision (aka Insuring Agreement)
Types of hazards
27. 1: Individual; 2: Joint - multiple annuitants paid until 1st dies; 3: Joint & Survivor - multiple annuitants paid until 1st dies THEN survivors paid but @ reduced $.
Types of Medical Plans
Annuity Classifications (5 of 5): # of lives
AIDS/HIV discrimination
Annuity Classifications (1 of 5): How premium is paid
28. Conditional - coverage is conditional; Personal - parties are people; Good faith - honesty/integrity; Fiduciary - req's financial trust.
Factors that determine premium
Insurance contract characteristics (2 of 2)
Employer-Administered plan
Types of Insurers (by sector)
29. 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.
Plans A-L of Medical Supplement or Medigap
Health Reimbursement Account (HRA)
Human Life Value approach
Convertibility provision
30. Pre-existing illness/injury; Waiting period; Elimination period; Probationary period; Benefits - Exclusions - Limitations; Underwriting reqs.
Workers' Compensation insurance
Loss exposure
Trial Application (aka Request for Offer)
Considerations in replacing Health insurance
31. Insurer has right to rescind policy & return premium if material misrepresentation in application is found w/in 1st 2 yrs.
Levels of Long Term Care provided
Relation of Earnings to Insurance provision
Incontestability clause/provision
Long Term Care (LTC) policy
32. Agents - represent Insurer; Brokers - represent themselves & Insured; Solicitors - represent one agent to solicit leads.
Types of reinsurance
Types of Licensed Producers
Binding receipt (aka Temporary Insurance Agreement)
Guaranteed Insurability Life rider
33. Savings account for medical expenses; Tax-deductible contributions; tax-deferred growth; tax-free for qualified use; taxable for non-qualified use.
Medical Savings Account (MSA) & Health Savings Account (HSA)
Types of Insurers (miscellaneous)
Medicare Supplement or Medigap policy
Types of Renewability provisions
34. IRS allows tax-free transfer of cash values between 2 LIKE policies (i.e. Life to Life - Annuity to Annuity - or Life to Annuity).
Legal Action provision
Total disability (any-occupational definition)
Health Insurance Portability and Accountability Act (HIPAA)
1035 Exchange
35. 1: Surrender for cash value (taxable); 2: Buy equal-benefit paid-up Level Term policy; 3: Buy reduced-benefit paid-up WL policy.
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Juvenile Life (aka Jumping Juvenile) policy
Dental Plan
Non-forfeiture options for WL policy
36. 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.
Disability Income policy
Cost of Living Adjustment (COLA) Life rider
Tax implications of Disability policy
Total disability (any-occupational definition)
37. Policy must be delivered w/ original (or copy of same) application attached.
Business Continuation (aka Buy-Sell) Disability policy
Entire Contract provision
Employee Retirement Income Security Act (ERISA)
Guaranteed Insurability Life rider
38. Available for any reason up to full cash value @ fixed (max 8%) OR variable interest rate; loan $ + interest deducted from benefit @ death.
Policy loans
CA Work. Comp. Statutes
Insurance contract characteristics (2 of 2)
Waiver of Premium (Waiver of Cost of Insurance) rider
39. Treating or mitigating loss exposures through 1: avoidance; 2: retention (deductibles); 3: sharing; 4: reduction; or 5: transfer.
Risk management
Grace Period provision
Tax implications of Dividends - Loans & Interest
Indeterminate Premium Whole Life policy
40. PURELY employer-funded account to reimburse employees for qualified medical expenses not covered by group health plan.
Return of Premium rider
Trial Application (aka Request for Offer)
Health Reimbursement Account (HRA)
Partial disability rider
41. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Exclusions for Major Medical plan
Beneficiary provisions
Exclusions to Work. Comp.
Age Discrimination in Employment Act (ADEA)
42. Experience - rates impacted by actual prior claim experience of actual group; Community - identical rates used for entire community - regardless of experience.
Dread Disease policy
Experience vs. Community rating in Group Health plan
Types of Insurers (by authorization)
Employer Liability
43. Beneficiary has right to leave death benefits / Insurer to protect $ from creditors; interest (taxable) paid on retained funds.
Point of Service plan
Non-forfeiture options for WL policy
Spendthrift provision
Cash value
44. 1: Cash (tax-free); 2: Apply to future premiums; 3: Retained by Insurer @ interest; 4: Buy Paid-up WL policy add-ons; 5: Pay-up existing policy; 6: Buy 1-yr. Term policy.
Recurrent disability clause/provision
Claim Form (aka Proof of Loss Form) provision
Dividend options
Tax implications of Death Benefit & Cash Value
45. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Business Overhead Expense (BOE) Disability policy
Indemnify
IRS Penalties for Annuities
Policy delivery
46. Death benefit determined by Insured's financial goals & needs (minus assets).
Needs approach (most common)
Indemnify
COBRA Time Limitations
Common Disaster (Simultaneous Death Act) clause/provision
47. Voiding an insurance contract based on fraud - concealment or material misrepresentation; premiums returned; policy treated as never existing.
Rescission
Types of Insurers (by sector)
Medicare Part A & B "Gaps"
Employee Retirement Income Security Act (ERISA)
48. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Life insurance policy
Relation of Earnings to Insurance provision
Total disability (as commonly defined)
Reinstatement provision
49. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Notice of Claim provision
Dividend options
Trusts
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
50. Federal law to protect Federal employees' (& their beneficiaries') pension - group insurance - & welfare benefits.
Employee Retirement Income Security Act (ERISA)
Types of Insurers (by sector)
Cost of Living Adjustment (COLA) Life rider
Flexible Spending Account (FSA)