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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionObjectives
Topic 1: Health Insurance Policy Provisions- Claims and Benefits
  • 1. Claim procedures
    • 2. Benefit determination and payment
      - Mandatory and Optional Provisions
      • 1. Renewability provisions
        • 2. Policy requirements and clauses
          Topic 2: Accident and Health Insurance Fundamentals- Types of Health Insurance Policies
          • 1. Group health insurance
            • 2. Individual health insurance
              • 3. Managed care plans
                - Medical Expense Insurance
                • 1. Major medical plans
                  • 2. Hospital, surgical, and physician expense coverage
                    - Disability Income Insurance
                    • 1. Disability definitions and benefits
                      • 2. Elimination periods and benefit periods
                        Topic 3: Insurance Basics- Insurance Contracts
                        • 1. Policy provisions, riders, and exclusions
                          • 2. Contract elements
                            - Risk Management and Insurance Concepts
                            • 1. Types of risk and methods of handling risk
                              • 2. Insurance principles and contract characteristics
                                Topic 4: Producer Duties and Ethics- Sales Practices
                                • 1. Unfair trade practices
                                  • 2. Advertising and marketing rules
                                    - Ethical Responsibilities
                                    • 1. Fiduciary responsibilities
                                      • 2. Consumer protection requirements
                                        Topic 5: Government Health Insurance Programs- Medicare
                                        • 1. Medicare parts and eligibility
                                          • 2. Medicare supplement insurance
                                            - Medicaid and Other Programs
                                            • 1. Medicaid eligibility and coverage
                                              Topic 6: General Insurance Regulation- Licensing Requirements and Responsibilities
                                              • 1. Producer licensing requirements
                                                • 2. Continuing education and license maintenance
                                                  - Nevada Insurance Department and Regulatory Authority
                                                  • 1. Commissioner of Insurance powers and duties
                                                    • 2. Insurance laws, rules, and regulations

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      1. Which rider allows a terminally ill insured to receive part of the death benefit while still alive, subject to the policy terms?

                                                      A) Accidental death rider
                                                      B) Guaranteed insurability rider
                                                      C) Accelerated death benefit rider
                                                      D) Payor benefit rider


                                                      2. In a variable annuity, who bears the investment risk associated with the separate-account investment performance?

                                                      A) The beneficiary
                                                      B) The insurer
                                                      C) The producer
                                                      D) The contract owner


                                                      3. Insurance for the primary purpose of repaying a loan in the event of disability is referred to as:

                                                      A) Guaranteed Asset Protection policy
                                                      B) Credit Life and Major Medical policy
                                                      C) Loan Repayment policy
                                                      D) Credit Accident and Health policy


                                                      4. In Nevada, which life insurance policy is subject to a 30-day right to surrender for a premium refund after delivery?

                                                      A) A group life certificate
                                                      B) A standard nonreplacement life insurance policy
                                                      C) An industrial life policy
                                                      D) A replacement life insurance policy


                                                      5. J and K are married and have several children. J is the primary beneficiary on K ' s Accidental Death and Dismemberment (AD & D) policy, and K ' s sibling, L, is the contingent beneficiary. J, K, and L are involved in a train accident, and K and L are killed instantly. The Accidental Death benefits will be paid to:

                                                      A) J and K ' s estate
                                                      B) L ' s estate
                                                      C) J only
                                                      D) K ' s estate


                                                      Solutions:

                                                      Question # 1
                                                      Answer: C
                                                      Question # 2
                                                      Answer: D
                                                      Question # 3
                                                      Answer: D
                                                      Question # 4
                                                      Answer: D
                                                      Question # 5
                                                      Answer: C

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