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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. 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.
Types of Licensed Producers
Rehabilitation rider
Legal Action provision
Civil Rights/Pregnancy Discrimination Act
2. 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.
Earned vs. Unearned premium
Medical cost containment (aka Managed care)
Presumptive disability
Tax implications of medical plans
3. Refund of 50-80% of premium (minus claims paid) every 5-10 yrs. OR age 65; expensive!
Tax implications of Disability policy
Return of Premium rider
Types of Accident & Health insurance
Common Disaster (Simultaneous Death Act) clause/provision
4. 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.
Beneficiary provisions
Approval Type Conditional receipt
Equity Indexed annuity
CA Work. Comp. Statutes
5. Excludes coverage for suicide during 1st 2 yrs. ONLY but - if it does - all premiums must be returned to beneficiary.
Employee Retirement Income Security Act (ERISA)
Suicide clause/provision
Incontestability clause/provision
Payor (aka Waiver of Payor's Premium) rider
6. Basic Medical; Major Medical; Comprehensive Major Medical
IRS Penalties for Annuities
Rehabilitation rider
Types of Medical Plans
Types of Insurers (by domicile)
7. Funding mechanism whereby employer & employee share cost of premium. Upon death - benefit is shared between employer & beneficiary.
Types of Licensed Producers
Medicare Part A & B "Gaps"
Common Accident provision
Split Dollar Plan
8. Financial interest in insured party that must exist @ time of application OR policy issuance. Requires consent (except minors).
Health Maintenance Organization (HMO)
Insurable interest
Life insurance policy
Considerations in replacing Health insurance
9. 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.
Residual disability rider
COBRA Time Limitations
Relation of Earnings to Insurance provision
Departments of an Insurer
10. Application submitted w/out premium; no coverage until submission of full consideration & completed Statement of Continued Good Health.
Trusts
Family Maintenance policy
Types of hazards
Trial Application (aka Request for Offer)
11. Federal law which prohibits companies w/ 15+ employees from decreasing coverage benefits for women affected by pregnancy or childbirth.
Civil Rights/Pregnancy Discrimination Act
Insurance contract characteristics (2 of 2)
Graded Premium Whole Life policy
Cross Purchase Plan
12. Combination of Basic Medical & Major Medical in one policy; Basic pays 1st - then Major Medical w/ corridor deductible.
Occupational Disability policy
Types of hazards
Comprehensive Major Medical plan
Health Reimbursement Account (HRA)
13. 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.
Valid life insurance contracts must identify...
Types of Accident & Health insurance
Policy loans
Grace Period provision
14. Federal law which prohibits companies w/ 20+ employees from denying work & medical benefits to employees due to age.
Common Accident provision
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Tax implications of an Annuity (1 of 2)
Age Discrimination in Employment Act (ADEA)
15. Policy owner has 90 days from date of loss to submit proof of loss to Insurer; valid claim must be paid immediately upon receipt.
Preferred Provider Organization (PPO)
Proof of Loss provision
Accidental Death (aka Multiple Indemnity) rider
Cost of Living Adjustment (COLA) Disability rider
16. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
Tax implications of an Estate
Peril vs. Hazard
Settlement options for Life policy (2 of 2)
Major Medical plan
17. To "make whole again" w/out benefit or detriment; neither monetary profit nor loss.
Loss of Earnings Test
Current Assumption (aka Interest-Sensitive) Whole Life policy
Indemnify
Accidental Death & Dismemberment (AD&D) Life policy
18. Revocable - changeable anytime w/ Change of Beneficiary Form; Irrevocable - not changeable w/out beneficiary permission.
Revocable vs. Irrevocable beneficiary
Beneficiary provisions
Universal (aka Flexible Premium Adjustable) Life policy (2 of 4)
Total disability (any-occupational definition)
19. Facultative - case by case agreements; Automatic/Treaty - automatic acceptance of risk percentage per previous agreement.
Types of reinsurance
Time Limit on Certain Defenses provision
Conformity with State Statute provision
7 Pay Test
20. Policy must be delivered w/ original (or copy of same) application attached.
Entire Contract provision
Revocable vs. Irrevocable beneficiary
Equity Index Whole Life policy
Indemnify
21. Price of insurance per exposure unit.
AIDS/HIV discrimination
Rate (as defined by CIC)
Notice of Claim provision
Parole Pardon Rule
22. Fraternal - non-profit - members only; Reciprocal - unincorp'd org. - members insure each other; Lloyd's Assoc. - groups sharing risks; Surplus lines - special market risks.
Concealment exceptions
Types of Insurers (miscellaneous)
Indemnify
Family or Dependents rider
23. Death benefit determined by Insured's projected lost earnings potential.
Types of Insurers (miscellaneous)
Trial Application (aka Request for Offer)
CHAMPUS (aka TriCare)
Human Life Value approach
24. Req. by CA statute & may provide workers coverage for action-over claims.
Notice of Claim provision
Levels of Long Term Care provided
Employer Liability
Universal (aka Flexible Premium Adjustable) Life policy (4 of 4)
25. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Cost of Living Adjustment (COLA) Disability rider
Key Employee policy
1035 Exchange
Age Discrimination in Employment Act (ADEA)
26. Same as WL but w/ Level Term rider; upon death - pays monthly income for FULL term AFTER which pays full death benefit.
Common Disability Exclusions
Health Maintenance Organization (HMO)
Employer Liability
Family Maintenance policy
27. 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.
Long Term Care (LTC) policy
Mortality vs. Morbidity tables
Adjustable Whole Life policy
Waiver of Premium provision
28. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
Tax implications of an Annuity (1 of 2)
COBRA Time Limitations
Fraud
Civil Rights/Pregnancy Discrimination Act
29. 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;
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
Civil Rights/Pregnancy Discrimination Act
Employer Liability
Total disability (as commonly defined)
30. 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.
Estoppel
Health Insurance Portability and Accountability Act (HIPAA)
Medical Savings Account (MSA) & Health Savings Account (HSA)
Concealment exceptions
31. Group plan initially self-funded by employer (like SIR); after which - group plan Insurer covers (up to policy limit); requires TPA.
Common Disability Exclusions
Medicare Part A (aka Hospital Insurance or HI)
Employer-Administered plan
7 Pay Test
32. Same as Term Life but provides living benefit (endowment) to policy owner if Insured survives entire term.
Annuity Classifications (5 of 5): # of lives
Endowment Life policy
Payment of Premium provision
CHAMPUS (aka TriCare)
33. A&H - A&S - Sickness only; Medical; Disability; Accident only; Travel accident; LTC; Medicare supplement; AD&D; Dental/Vision/Prescription; Limited.
CHAMPUS (aka TriCare)
Age Discrimination in Employment Act (ADEA)
Medicare
Types of Accident & Health insurance
34. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Modified Premium Whole Life policy
Types of Term Life policies
Spendthrift provision
Limited Pay Whole Life policy
35. 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).
Limited Pay Whole Life policy
Modified Endowment Contract (MEC)
Family Income policy
Relation of Earnings to Insurance provision
36. 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
Settlement options for Life policy (1 of 2)
Spendthrift provision
Waiver of Premium provision
37. Compensates business for loss due to disability of key employee; premiums not deductible but benefits tax-free.
Key Employee Disability policy
Single Pay Whole Life policy
Tax implications of an Annuity (1 of 2)
Social Security (aka Old Age Survivors Disability Health Insurance or OASDHI)
38. WL policy covering 2 or more Insureds but payable upon death of FIRST Insured - after which policy ends.
Variable Life policy (2 of 2)
Adverse selection
Joint Life (aka "First to die") policy
Factors that determine premium
39. WL policy covering 2 or more Insureds but ONLY payable upon death of LAST Insured - generally low premium but high death benefit.
Non-forfeiture options for WL policy
Entire Contract provision
Survivorship (aka "Last to die") policy
Medicare Supplement or Medigap policy
40. Grows @ fixed min. interest rate but w/ possible higher rate tied to equity index (i.e S&P Equity Index) appreciation; gains shared w/ Insurer.
Approval Type Conditional receipt
Equity Indexed annuity
CHAMPUS (aka TriCare)
Incontestability clause/provision
41. Generally 10 days after policy delivery to cancel policy w/ full refund - except 30 days for seniors or for replacement policies.
Impairment (Exclusion) rider
Free Look provision
Reinsurance
Settlement options for Life policy (1 of 2)
42. Provides professional services - rehabilitation - training/re-training & related costs to assist Insured in returning to work.
Settlement options for Life policy (1 of 2)
Rehabilitation rider
Dental Plan
Peril vs. Hazard
43. 1: Tax-free lump sum; 2: Monthly pay-outs for fixed time; 3: Fixed monthly payments until depleted.
Whole (aka Permanent or Straight) Life policy
Settlement options for Life policy (1 of 2)
Health Maintenance Organization (HMO)
Cash value
44. Federally-funded but state-run program for truly indigent individuals & families providing medical care at Federal clinic.
Doctrine of Comity
Medicaid/Medi-Cal
Impairment (Exclusion) rider
Medicare Part B (aka Supplemental Medical Insurance or SMI)
45. Taxable income (unlike individual plans); can be either short-term - 13-52 wks. max. or long-term - longer than 52 wks.
Group Disability plan
Medical cost containment (aka Managed care)
Multiple Employer Trust (MET) aka Multiple Employer Welfare Association (MEWA)
Common Accident provision
46. Provides coverage for specific disease(s) - such as cancer or leukemia.
Workers' Compensation insurance
Dread Disease policy
Guaranteed Insurability Life rider
Change of Occupation provision
47. Any person - assoc. - org. - partnership - business trust - LLC - or corp. capable of making an insurance contract.
Universal (aka Flexible Premium Adjustable) Life policy (3 of 4)
Insurer (as defined by CIC)
Transplant/Cosmetic Surgery rider
Return of Premium rider
48. Same as WL but w/ Decreasing Term rider; upon death - pays monthly income for REMAINING term AFTER which pays full death benefit.
Misstatement of Age/Sex provision
Enhanced Ordinary (aka Extraordinary) Whole Life policy
Group Disability plan
Family Income policy
49. Time period preceding each disability during which benefits are not paid; longer elimination periods = cheaper premium.
Types of Insurers (by ownership)
Elimination (aka Waiting) period
Employer Liability
Family Income policy
50. No-cost provision that authorizes Insurer to borrow from cash value to pay unpaid premiums after grace period; must ask for @ app. time.
Key Employee policy
Annuity Classifications (2 of 5): When benefits begin
Transplant/Cosmetic Surgery rider
Automatic Premium Loan (APL) provision