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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

SectionObjectives
Topic 1: California Insurance Laws and Regulations- State Regulatory Framework
  • 1. Producer Responsibilities
  • 2. Licensing Requirements
  • 3. California Insurance Code
  • 4. Consumer Protection Regulations
Topic 2: Life Insurance- Life Insurance Policies
  • 1. Whole Life Insurance
  • 2. Universal Life Insurance
  • 3. Variable Life Insurance
  • 4. Term Life Insurance
- Policy Provisions and Riders
  • 1. Policy Loans
  • 2. Nonforfeiture Options
  • 3. Beneficiary Designations
  • 4. Settlement Options
Topic 3: Ethics and Professional Conduct- Agent Responsibilities
  • 1. Unfair Trade Practices
  • 2. Privacy and Confidentiality
  • 3. Replacement Regulations
  • 4. Ethical Sales Practices
Topic 4: Accident and Health Insurance- Health Insurance Policies
  • 1. Medical Expense Plans
  • 2. Medicare and Medicaid
  • 3. Disability Income Insurance
  • 4. Long-Term Care Insurance
- Policy Provisions
  • 1. Managed Care Plans
  • 2. Coordination of Benefits
  • 3. Claims Procedures
  • 4. Eligibility and Renewability
Topic 5: Basic Insurance Concepts and Principles- Insurance Fundamentals
  • 1. Indemnity
  • 2. Utmost Good Faith
  • 3. Risk Management
  • 4. Insurable Interest

California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

1. Which group provides information about health-related issues to the elderly in California?

A) Long-term care insurance providers.
B) The Health Insurance Counseling and Advocacy Program (HICAP).
C) The National Health Care Anti-Fraud Association.
D) Medicare supplement insurers.


2. Regarding the Health Benefit Exchanges, as created by PPACA, all of the following statements are true EXCEPT

A) the name of California's Exchange is Covered California.
B) an individual may only receive a premium tax credit for a plan if purchased through the Exchange.
C) an individual whose household income is 400% of the federal poverty level may receive a premium tax credit.
D) an individual enrolling in a bronze level plan is not eligible for reduced cost-sharing.


3. A Hospital Confinement Indemnity insurance policy pays

A) an indemnity to the insured for all expenses incurred when the insured is confined in a hospital.
B) the daily benefit dollar amount stated in the policy for each day the insured is confined ina hospital.
C) 100% of the covered medical expenses less the deductible and coinsurance percentage.
D) the amount of the actual hospital expenses.


4. The use of non-medical life insurance accomplishes all of the following EXCEPT

A) the processing of life insurance applications is expedited.
B) insurer expenses are reduced by the cost of paying for medical examinations.
C) insureds can avoid answering medical questions on the application.
D) there is less demand on the medical profession.


5. To help keep premiums more affordable, which provision is included in a disability income policy?

A) Elimination period.
B) Automatic increase provision.
C) Residual benefits.
D) Cost of living rider.


Solutions:

Question # 1
Answer: B
Question # 2
Answer: C
Question # 3
Answer: B
Question # 4
Answer: C
Question # 5
Answer: A

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