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Test your basic knowledge |
CA Life Agent Exam
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Subject
:
certifications
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
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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. Covers disabilities occurring both "on" AND "off" job; "on" job benefits paid in addition to work. comp. - if applicable (i.e. individual plan).
Transplant/Cosmetic Surgery rider
Modified Endowment Contract (MEC)
Peril vs. Hazard
Occupational Disability policy
2. Prohibited w/ regard to testing for people of same class; test results must remain confidential; coverage may be declined (once discovered).
Health Maintenance Organization (HMO)
Penalties for violating AIDS/HIV privacy laws
AIDS/HIV discrimination
Insurance contract characteristics (2 of 2)
3. Periodic return of premium to policy owners from Mutual (Par) Companies; not guaranteed & not taxable as income; may be used in 6 ways.
Rehabilitation rider
Retrocession
Non-Occupational Disability policy
Dividends
4. Federally-funded but state-run program for truly indigent individuals & families providing medical care at Federal clinic.
Partial disability rider
Medicaid/Medi-Cal
Business Overhead Expense (BOE) Disability policy
Annuity surrender charges
5. Authorized (admitted) - can conduct business in state; Unauthorized (non-admitted) - cannot conduct business in state (w/ one exception).
Types of Term Life policies
Blue Cross/Blue Shield
Types of Insurers (by authorization)
Underwriting risk categories
6. 1: Immediate benefits rec'd w/in 30 days but premium must be paid by lump sum; 2: Deferred - usually until retirement.
Factors that determine premium
1035 Exchange
Annuity Classifications (2 of 5): When benefits begin
Guaranteed Insurability Life rider
7. Written policy terms supersede oral statements made prior to policy issue.
Dividends
Parole Pardon Rule
Peril vs. Hazard
Departments of an Insurer
8. Term Life policy w/ decreasing death benefit; usually used to secure credit (loan) w/ lender as beneficiary & borrower as Insured.
Annuity Classifications (3 of 5): Source of income
Guaranteed Insurability Life rider
Concealment exceptions
Credit Life policy
9. 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
Valid life insurance contracts must identify...
Considerations in replacing Health insurance
Exclusions to Work. Comp.
10. WL policy covering 2 or more Insureds but ONLY payable upon death of LAST Insured - generally low premium but high death benefit.
Total disability (more restrictive definition)
Health Reimbursement Account (HRA)
Adjustable Whole Life policy
Survivorship (aka "Last to die") policy
11. Savings account for medical expenses; Tax-deductible contributions; tax-deferred growth; tax-free for qualified use; taxable for non-qualified use.
Medicare Part A & B "Gaps"
Medical Savings Account (MSA) & Health Savings Account (HSA)
Single Pay Whole Life policy
Departments of an Insurer
12. Temp. coverage for set duration w/ death benefit ONLY (no cash value) - offers largest $ for lowest premium; renewable; convertible.
Peril vs. Hazard
Types of Medical Plans
CHAMPUS (aka TriCare)
Term Life policy
13. 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.
1035 Exchange
Legal Action provision
Blackout Period
Underwriting risk categories
14. Same as WL but premium low for set # yrs. - THEN premiums vary (+ or -) based on Insurer's investment returns - w/ Gmax.
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Dividends
Conformity with State Statute provision
Indeterminate Premium Whole Life policy
15. Req. by CA statute & may provide workers coverage for action-over claims.
Total disability (more restrictive definition)
Guaranteed Insurability Life rider
Employer Liability
Experience vs. Community rating in Group Health plan
16. Conditional - coverage is conditional; Personal - parties are people; Good faith - honesty/integrity; Fiduciary - req's financial trust.
Experience vs. Community rating in Group Health plan
Proof of Loss provision
Insurance contract characteristics (2 of 2)
Blackout Period
17. Govt. organization providing health care benefits for dependents of military personnel.
Current Assumption (aka Interest-Sensitive) Whole Life policy
Whole (aka Permanent or Straight) Life policy
CHAMPUS (aka TriCare)
Business Continuation (aka Buy-Sell) policy
18. Premiums determined by target cash values or death benefit; partial cash value w/drawals allowed; transparent policy w/ unbundled premium.
Rate (as defined by CIC)
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Payor (aka Waiver of Payor's Premium) rider
19. 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.
Policy loans
Recurrent disability clause/provision
Survivorship (aka "Last to die") policy
Preferred Provider Organization (PPO)
20. Intentional deception; grounds for rescission.
Juvenile Life (aka Jumping Juvenile) policy
Comprehensive Major Medical plan
Split Dollar Plan
Fraud
21. Policy owner must notify Insurer of loss either in writing - in person or by phone w/in 20 days.
CA Work. Comp. Statutes
Retrocession
Tax implications of Death Benefit & Cash Value
Notice of Claim provision
22. 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.
Notice of Claim provision
Cost of Living Adjustment (COLA) Life rider
Valid life insurance contracts must identify...
Survivorship (aka "Last to die") policy
23. Provides supplemental coverage for physician/surgeon fees if enrolled (during enrollment period ONLY) & pay monthly premium w/ deductible and co-insurance.
Business Continuation (aka Buy-Sell) policy
Flexible Spending Account (FSA)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Insurability Type Conditional receipt
24. Actual/Expressed - written powers; Implied - unwritten but customary practices; Apparent - perceived powers.
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
Conformity with State Statute provision
Transplant/Cosmetic Surgery rider
Types of Agency Authority
25. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Types of Medical Plans
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Recurrent disability clause/provision
Blue Cross/Blue Shield
26. Federal law which allows health coverage portability when changing jobs - so long as previous coverage was in effect 63+ days; allows some tax deductibility for LTC.
Valid life insurance contracts must identify...
Settlement options for Life policy (2 of 2)
Elimination (aka Waiting) period
Health Insurance Portability and Accountability Act (HIPAA)
27. Responsible adult trustee designated to manage death benefits for minor child beneficiary until adulthood.
Notice of Claim provision
Trusts
Juvenile Life (aka Jumping Juvenile) policy
Grace Period provision
28. Summary of coverage including premium & mode of payment - death benefit - beneficiary(ies) - exclusions - & promise to pay.
Insuring clause/provision (aka Insuring Agreement)
Key Employee Disability policy
Guaranteed Insurability Life rider
Types of Renewability provisions
29. Provides benefit during Social Security "black-out" period - up to 1 yr.
Social Security Benefit (Supplement) rider
Non-Occupational Disability policy
Limited Pay Whole Life policy
Partial disability rider
30. Policy must be delivered w/ original (or copy of same) application attached.
IRS Penalties for Annuities
Primary Insurance Amount (PIA)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Entire Contract provision
31. No coverage for injuries while: 1: @ voluntary social event; 2: self-inflicted (intentional); 3: under alcohol/drug influence; 4: committing criminal act; 5: aggressor in workplace fight; 6: participating in athletic event (non-pro. athletes) 7: par
Exclusions to Work. Comp.
Blackout Period
Settlement options for Life policy (1 of 2)
24 Hour Coverage (CA)
32. An irrevocable IRS classification of a policy (determined by the 7 Pay Test) whereby tax advantages are lost for all distributions ONLY.
Medical cost containment (aka Managed care)
24 Hour Coverage (CA)
Tax implications of an Annuity (1 of 2)
Modified Endowment Contract (MEC)
33. Disability income is based on "earned income" (salary - bonus - commission) - not unearned income (interest - investment - rents).
Loss of Earnings Test
Fraud
Employer Liability
Viatical Settlement Provider (VSP)
34. War/Military; Intentional self-inflicted; Aviation (non-commercial); Foreign country; Loss of professional license; Illegal activity; Mental disorders (after 1-2 yrs.).
Common Disability Exclusions
Endowment Life policy
Factors that determine premium
Payment of Premium provision
35. Accumulation or "pay-in" - contributions & interest earned are tax-deferred; Annuity or "pay-out" - monthly annuity (taxable) paid.
Types of Insurers (by ownership)
Equity Indexed annuity
Phases of an annuity
Cost of Living Adjustment (COLA) Disability rider
36. Provides for continued operation of business if partner becomes disabled - by allowing other partner(s) to buy disabled partner's interest in business.
Residual disability rider
Equity Indexed annuity
Revocable vs. Irrevocable beneficiary
Business Continuation (aka Buy-Sell) Disability policy
37. Federal law which prohibits companies w/ 15+ employees from decreasing coverage benefits for women affected by pregnancy or childbirth.
Tax implications of an Annuity (1 of 2)
Civil Rights/Pregnancy Discrimination Act
Disability Income policy
Phases of an annuity
38. 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.
Comprehensive Major Medical plan
Types of Term Life policies
Types of Insurers (by domicile)
Insurer (as defined by CIC)
39. Treating or mitigating loss exposures through 1: avoidance; 2: retention (deductibles); 3: sharing; 4: reduction; or 5: transfer.
Types of reinsurance
Phases of an annuity
Risk management
Peril vs. Hazard
40. Policyholders - Mutual (participating) co. - may pay dividends; Stockholders - Stock (non-participating) co. - no dividends.
Supplemental Major Medical plan
AIDS/HIV discrimination
Types of Insurers (by ownership)
CA Work. Comp. Statutes
41. Same as Term Life but provides living benefit (endowment) to policy owner if Insured survives entire term.
Endowment Life policy
Permanent vs. Temporary disability
Annuity Classifications (5 of 5): # of lives
Levels of Long Term Care provided
42. Allows Term policy conversion to Permanent policy w/out medical exam; must be identical or lower death benefit; based on either attained OR original age.
Waiver of Premium (Waiver of Cost of Insurance) rider
Annuity Classifications (1 of 5): How premium is paid
Convertibility provision
Departments of an Insurer
43. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Law of Large Numbers
Relation of Earnings to Insurance provision
Annuity Classifications (2 of 5): When benefits begin
Settlement options for Life policy (2 of 2)
44. Palliative - treatment to manage pain; Curative - treatment to cure illness/condition.
Variable Universal Life policy
Employer Liability
Health Maintenance Organization (HMO)
Palliative vs. Curative care
45. Written contract to transfer risk of premature death from one party to another; pays stated sum upon death; creates instant estate.
Human Life Value approach
Applicant Representations vs. Warranties
Entire Contract provision
Life insurance policy
46. Partially state-funded benefits for low-income people whereby cost of care is shared between state & recipient - based on income.
Blackout Period
Considerations in replacing Health insurance
Medi-Cal Share Cost plan
Limited Pay Whole Life policy
47. Same as WL but policy owner can adjust death benefit w/ corresponding premium adjustments; mostly obsolete.
Adjustable Whole Life policy
Insurance contract characteristics (2 of 2)
Life insurance policy
Relation of Earnings to Insurance provision
48. Allows Insured to increase benefit w/out medical exam (subject to age max.) w/ additional premium rate determined @ attained age; must prove income increase.
Incontestability clause/provision
Key Employee policy
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Types of Renewability provisions
49. Time period preceding each disability during which benefits are not paid; longer elimination periods = cheaper premium.
Annuity Classifications (5 of 5): # of lives
Primary Insurance Amount (PIA)
Concealment
Elimination (aka Waiting) period
50. An attempt to contain costs by employing various strategies - including wellness programs - preventative testing - outpatient & alternative procedures.
CHAMPUS (aka TriCare)
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Medical cost containment (aka Managed care)
Cost of Living Adjustment (COLA) Life rider
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