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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. Intentional deception; grounds for rescission.
Loss of Earnings Test
Common Life Exclusions
Fraud
Term Life policy
2. Federal law which prohibits companies w/ 20+ employees from denying work & medical benefits to employees due to age.
Return of Cash Value rider
Health Insurance Portability and Accountability Act (HIPAA)
Convertibility provision
Age Discrimination in Employment Act (ADEA)
3. 1: Tax-free lump sum; 2: Monthly pay-outs for fixed time; 3: Fixed monthly payments until depleted.
Policy delivery
Elements to contract
Settlement options for Life policy (1 of 2)
Health Maintenance Organization (HMO)
4. Period of time following any children's survivor benefit & before benefits are provided to employee's widow/widower.
Types of Insurers (miscellaneous)
Reinsurance
Return of Premium rider
Blackout Period
5. 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.
Pure risk vs. Speculative risk
Plans A-L of Medical Supplement or Medigap
Proof of Loss provision
Term Life policy
6. Although death benefit is tax-free - it is included in gross estate value so federal &/or state taxes may apply to a portion in excess of fixed federal limit.
Tax implications of an Estate
Residual disability rider
Types of Insurers (by ownership)
Policy loans
7. Qualified Annuity - Tax-deductible contributions & tax-deferred growth but fully taxable w/drawals.
Medicare Part D
Tax implications of an Annuity (1 of 2)
Partial disability rider
Employer Liability
8. Same as WL but premium low for 1st 3-5 yrs. - THEN has one-time premium increase.
Peril vs. Hazard
Business Continuation (aka Buy-Sell) policy
Claim Form (aka Proof of Loss Form) provision
Modified Premium Whole Life policy
9. Unilateral - Insurer provides contract; Adhesion - parties must adhere to terms; Aleatory - benefits may not inure equally.
Types of Insurers (miscellaneous)
Whole (aka Permanent or Straight) Life policy
Insurance contract characteristics (1 of 2)
Social Security Benefit (Supplement) rider
10. 1: mortality probability charge; 2: Insurer's investment return; 3: expenses (admin costs - commissions). 1 - 2 = net; 1 - 2 + 3 = gross.
Return of Premium rider
Types of Medical Plans
Factors that determine premium
Types of Renewability provisions
11. No deductible coverage for: daily room/board; ancillary costs; surgeon &/or physician expense (for added premium).
Premium modes
Basic Medical plan
Graded Premium Whole Life policy
Non-Occupational Disability policy
12. 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.
Mortality vs. Morbidity tables
Elements to contract
Employer-Administered plan
Medicare
13. Funding mechanism whereby employer & employee share cost of premium. Upon death - benefit is shared between employer & beneficiary.
Return of Premium rider
Health Maintenance Organization (HMO)
Split Dollar Plan
Tax implications of Death Benefit & Cash Value
14. 'The inability to perform ANY gainful occupation'.
Family Income policy
Total disability (any-occupational definition)
Accidental Death & Dismemberment (AD&D) Disability rider
Major Medical plan
15. Time period preceding each disability during which benefits are not paid; longer elimination periods = cheaper premium.
Types of Term Life policies
Peril vs. Hazard
Elimination (aka Waiting) period
Annuity Classifications (3 of 5): Source of income
16. Mortality is the statistical possibility of death @ each age. Morbidity is the statistical possibility & extent of disability @ each age.
Mortality vs. Morbidity tables
Cost of Living Adjustment (COLA) Disability rider
Age Discrimination in Employment Act (ADEA)
Employer Liability
17. Receipt whereby coverage incepts immediately upon submission of full consideration - unless declined & premium refunded.
Medicare Part A & B "Gaps"
Binding receipt (aka Temporary Insurance Agreement)
Rate (as defined by CIC)
Small Employer Medical Expense plan
18. 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
7 Pay Test
Premium modes
Dependent coverage
19. Employer w/ 25 or less employees must offer all eligible employees @ least 2 medical plan options where pre-existing conditions can't be excluded more than 1 yr.
Survivorship (aka "Last to die") policy
Small Employer Medical Expense plan
Mortality vs. Morbidity tables
Factors that determine premium
20. Temp. coverage for set duration w/ death benefit ONLY (no cash value) - offers largest $ for lowest premium; renewable; convertible.
Loss exposure
Approval Type Conditional receipt
Cost of Living Adjustment (COLA) Life rider
Term Life policy
21. Primary - if 2 or more - equally shared; Contingent (Secondary) - only if primary dead; Tertiary - only if both primary & secondary dead. If none listed - goes to estate.
Cross Purchase Plan
Insurability Type Conditional receipt
Beneficiary provisions
Primary Insurance Amount (PIA)
22. Provides % of monthly income benefit if Insured becomes disabled due to illness or accident.
Types of Term Life policies
Annuity surrender charges
Disability Income policy
Adjustable Whole Life policy
23. Financial interest in insured party that must exist @ time of application OR policy issuance. Requires consent (except minors).
Employer Liability
Major Medical plan
Insurable interest
Survivorship (aka "Last to die") policy
24. 1: Immediate benefits rec'd w/in 30 days but premium must be paid by lump sum; 2: Deferred - usually until retirement.
Common Disaster (Simultaneous Death Act) clause/provision
Plans A-L of Medical Supplement or Medigap
Needs approach (most common)
Annuity Classifications (2 of 5): When benefits begin
25. War; elective cosmetic surgery; routine dental; work. comp.-covered claims; self-inflicted (intentional); gov't. facility treatment; LTC; private nursing.
Legal Action provision
AIDS/HIV discrimination
Annuity Classifications (5 of 5): # of lives
Exclusions for Major Medical plan
26. 1: Surrender for cash value (taxable); 2: Buy equal-benefit paid-up Level Term policy; 3: Buy reduced-benefit paid-up WL policy.
Dividends
Tax implications of an Annuity (1 of 2)
Business Overhead Expense (BOE) Disability policy
Non-forfeiture options for WL policy
27. An unintentional mistake committed by an insurance representative; may be covered by E&O insurance.
Errors & Omissions (E&O)
Small Employer Medical Expense plan
Key Employee Disability policy
Return of Premium rider
28. Prevents overinsuring in order to profit from disability by coordinating benefits between Insurers.
Relation of Earnings to Insurance provision
Cash value
Workers' Compensation insurance
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
29. Physical - slippery floor; Moral - dishonest acts; Morale - carelessness or recklessness.
Types of hazards
Dependent coverage
Accidental Death (aka Multiple Indemnity) rider
Indeterminate Premium Whole Life policy
30. Compensates business for loss due to death or disability of key employee; premiums not deductible but benefits tax-free.
Misstatement of Age/Sex provision
Key Employee policy
Transplant/Cosmetic Surgery rider
Total disability (more restrictive definition)
31. Allows Insured to increase death benefit w/out medical exam (subject to age max.) w/ additional premium rate determined @ attained age.
Approval Type Conditional receipt
Types of Accident & Health (A&H) providers
Guaranteed Insurability Life rider
Tax implications of an Annuity (1 of 2)
32. Provides increased death benefit if death occurs w/in 90 days & as result of accident; relatively INexpensive add-on.
Accidental Death (aka Multiple Indemnity) rider
Convertibility provision
Types of Medical Plans
Policy loans
33. Combination of Basic Medical & Major Medical in one policy; Basic pays 1st - then Major Medical w/ corridor deductible.
Exclusions to Work. Comp.
Tax implications of Disability policy
Comprehensive Major Medical plan
AIDS/HIV discrimination
34. Reappearance of disability w/in 6 mth. period after "recovery" from same disability is considered recurrence - not new disability.
Relation of Earnings to Insurance provision
Recurrent disability clause/provision
Medical cost containment (aka Managed care)
Health Insurance Portability and Accountability Act (HIPAA)
35. Same as WL but w/ Level Term rider; upon death - pays monthly income for FULL term AFTER which pays full death benefit.
Factors that determine premium
Family Maintenance policy
Grace Period provision
Considerations in replacing Health insurance
36. Partially state-funded benefits for low-income people whereby cost of care is shared between state & recipient - based on income.
Medi-Cal Share Cost plan
Types of reinsurance
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Dependent coverage
37. WL policy covering 2 or more Insureds but ONLY payable upon death of LAST Insured - generally low premium but high death benefit.
Guaranteed Insurability (aka Additional Purchase or Future Increase) Disability rider
Disability Income policy
Survivorship (aka "Last to die") policy
Penalties for violating AIDS/HIV privacy laws
38. Commercial (private) companies; HMOs; PPOs; Blue Cross/Blue Shield; Employer-sponsored plans; Government.
AIDS/HIV discrimination
Valid life insurance contracts must identify...
Types of Accident & Health (A&H) providers
Medicare Supplement or Medigap policy
39. Extreme form of Limited Pay Whole Life whereby entire premium is paid in a single payment.
Tax implications of an Annuity (1 of 2)
Tax implications of Death Benefit & Cash Value
Residual disability rider
Single Pay Whole Life policy
40. Hybrid of HMO & PPO w/ greater flexibility on choosing specialists outside network w/ benefits still provided but @ higher co-pay.
Comprehensive Major Medical plan
Point of Service plan
Suicide clause/provision
Annuity surrender charges
41. Provides hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay.
Policy loans
Medicare Part A (aka Hospital Insurance or HI)
Medicare Part B (aka Supplemental Medical Insurance or SMI)
Split Dollar Plan
42. Palliative - treatment to manage pain; Curative - treatment to cure illness/condition.
Palliative vs. Curative care
Types of Insurers (miscellaneous)
Tax implications of an Annuity (1 of 2)
Convertibility provision
43. Policy owner must notify Insurer of loss either in writing - in person or by phone w/in 20 days.
Variable Universal Life policy
Notice of Claim provision
Policy loans
Rehabilitation rider
44. Benefits automatically increase annually based on inflationary index (i.e. Consumer Price Index) OR flat rate (5% max.).
Accidental Death (aka Multiple Indemnity) rider
Modified Endowment Contract (MEC)
Cost of Living Adjustment (COLA) Disability rider
Indemnify
45. The state in which the contract is accepted or delivered is the state that possesses regulatory jurisdiction over Group plan.
Return of Premium rider
Palliative vs. Curative care
Occupational Disability policy
Doctrine of Comity
46. Unintentional - up to $1 -000 + legal $; Intentional - $1 -000-5 -000 + legal $; If harmful - misdemeanor + up to 1 yr. prison + up to $10 -000.
COBRA Time Limitations
Annuity
Misstatement of Age/Sex provision
Penalties for violating AIDS/HIV privacy laws
47. 4: Funds retained by Insurer until w/drawn - interest ONLY paid monthly (taxable); 5: Paid-up immediate annuity.
IRS Penalties for Annuities
Free Look provision
Settlement options for Life policy (2 of 2)
Pure risk vs. Speculative risk
48. Mathematical law stating the larger # of occurrences - the more predictable the losses; used to calculate premiums.
Law of Large Numbers
Convertibility provision
Basic Medical plan
Joint Life (aka "First to die") policy
49. Business continuation funding plan whereby each partner agrees to buy Life policies on each other - but not themselves.
Cross Purchase Plan
Concealment
Family Income policy
Modified Endowment Contract (MEC)
50. Death benefit determined by Insured's financial goals & needs (minus assets).
1035 Exchange
Types of Renewability provisions
Needs approach (most common)
Insurer (as defined by CIC)
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