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Exam (elaborations)

CA Life, Accident, & Health Practice Exam Questions and answers

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CA Life, Accident, & Health Practice Exam Questions and answers

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  • August 6, 2024
  • 123
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CA Life, Accident, & Health
  • CA Life, Accident, & Health
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CA Life, Accident, & Health Practice
Exam Questions and answers
Why would a large manufacturer choose to self-insure rather than buy an insurance policy
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from an insurance company? - to save insurance premiums by paying relatively minor
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losses out of company funds
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The federal Risk Retention Act of 1986 contains guidelines for which of the following
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entities? - Risk retention groups
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Which of the following is an example of an unauthorized insurance company in Illinois? -
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Company B, an Iowa-based company that does not hold a certificate of authority in Illinois
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and sells products that are not approved by the Illinois insurance department
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Which insurance company function calculates company mortality and morbidity rates as
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well as the dividends on participating life insurance policies? - Actuarial Division
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The purpose for the Buyer's Guide, which must be given to every insurance prospect in
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the first meeting with a producer, is to: - explain the general features, benefits, and
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conditions of the type of insurance being considered
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The purpose for the Policy Summary, which must be given to every insurance applicant
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before an application is signed, is to: - provide buyers with details of the specific
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insurance contract they are considering for purchase
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The main purpose for errors and omissions insurance (E&O) is to: - cover damages that
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arise due to services a producer non-willfully failed to render
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(does not protect against willful misconduct, and will not protect the producer who willfully
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engages in an unfair trade practice)
II II II II II II




Though not specifically cited in the producer's contract, the producer is expected to
II II II II II II II II II II II II II



telephone prospects on the insurer's behalf to arrange sales appointments. This is an
II II II II II II II II II II II II II



example of what kind of producer authority? - implied authority
II II II II II II II II II II II




Jerry owns a life insurance policy with premiums payable directly to the insurer's home
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office. However, for the past five years Jerry has sent his payments to his agent, who then
II II II II II II II II II II II II II II II II II



forwards them to the insurer. The insurer had accepted this arrangement but then tries to
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cancel Jerry's policy when it learns he had died while the premium was being forwarded
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by the agent. The insurer will probably not be able to cancel the policy in this case
II II II II II II II II II II II II II II II II II



because of which of the following legal principles?
II II II II II II II II




misrepresentation II



waiver II

,estoppel II



fraud - estoppel II II II




(In this case, the insurance company has allowed Jerry to send payments to his agent
II II II II II II II II II II II II II II



instead of directly to the home office for more than five years. As a result, the insurer has
II II II II II II II II II II II II II II II II II II



given up its right to have payments sent to the home office. The insurer is estopped from
II II II II II II II II II II II II II II II II II



later asserting its right to receive direct payment.)
II II II II II II II II




An applicant for a $500,000 whole life insurance policy pays the initial premium along with
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his application. In this case, what has the applicant done?
II II II II II II II II II II




accepted an offer from the insurer II II II II II



made a counteroffer to the insurer II II II II II



accepted a counteroffer from the insurer II II II II II



made an offer to the insurer - made an offer to the insurer
II II II II II II II II II II II II II




Ambiguities in an insurance contract are most often interpreted in favor of the policyowner
II II II II II II II II II II II II II II



because insurance contracts are:
II II II II




unilateral
conditional
contracts of adhesion II II



aleatory - contracts of adhesion II II II II II




For a life insurance contract to be enforceable, which of the following parties must be
II II II II II II II II II II II II II II II



legally competent?
II II




insurer
applicant, insurer, and beneficiary II II II



applicant and insurer II II



applicant - applicant and insurer II II II II II




II Specific to California, what does the term "twenty-four hour coverage" refer to?
II II II II II II II II II II II




-joint issue of a workers' compensation policy with non-occupational health insurance
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coverage
II



-a policy that is guaranteed to be issued within 24 hours of application
II II II II II II II II II II II II



-coverage that applies to personal property, such as a home or automobile II II II II II II II II II II II



-long-term care insurance - joint issue of a workers' compensation policy with non-
II II II II II II II II II II II II II



occupational health insurance coverage II II II




II Which of the following entities regulates the business of insurance in California?
II II II II II II II II II II II




the National Association of Insurance Commissioners
II II II II II



the state government
II II



the state and the federal governments
II II II II II

,the federal government - the state and federal governments
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(In addition to state authority, the business of insurance—to the extent it affects or is
II II II II II II II II II II II II II II



associated with interstate commerce—is also regulated by the federal government under
II II II II II II II II II II II



Title 18 of the U.S. Code.)
II II II II II II




In California, which of the following statements is correct regarding the state's insurance
II II II II II II II II II II II II II



Commissioner?
II




He or she is appointed by the Governor.
II II II II II II II



He or she is mainly an advocate for licensed insurance companies and their interests.
II II II II II II II II II II II II II



He or she serves terms of six years.
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He or she is an elected official. - He or she is an elected official
II II II II II II II II II II II II II II II




(The people of the state of California elect the Insurance Commissioner for four-year
II II II II II II II II II II II II



terms. He or she is mainly an advocate for insurance consumers.)
II II II II II II II II II II II




II In California, the state's Insurance Commissioner
II II II II II




serves terms of six years. II II II II



is mainly an advocate for licensed insurance companies and their interests.
II II II II II II II II II II



is appointed by the Governor.
II II II II



is an elected official. - is an elected official
II II II II II II II II II




Which of the following best defines the main purpose of the California Department of
II II II II II II II II II II II II II II



Insurance?
II




to protect the interests of California insurance consumers
II II II II II II II



to set forth and pass insurance laws and regulations
II II II II II II II II



to serve as an advocate for California insurance companies and insurance licensees
II II II II II II II II II II II



to serve as a lobbyist for the interests of California insurance companies and the
II II II II II II II II II II II II II



insurance business at the federal level - to protect the interests of California insurance
II II II II II II II II II II II II II II II



consumers
II




(The main purpose of the California Department of Insurance is to serve as an advocate
II II II II II II II II II II II II II II



for insurance consumers and to protect their needs and interests. It administers and
II II II II II II II II II II II II II



enforces the laws that the state legislature passes. Through its enforcement capabilities,
II II II II II II II II II II II II



the Department also advances the interests of certified insurers and licensed producers;
II II II II II II II II II II II II



however, it does not actively lobby for the industry at the federal level.)
II II II II II II II II II II II II II




II In California, the insurance business is regulated by which of the following?
II II II II II II II II II II II




National Association of Insurance Commissioners II II II II



State and federal government II II II



State government II



Federal government - State and federal government
II II II II II II II

, (In addition to state authority, the business of insurance—to the extent it affects or is
II II II II II II II II II II II II II II



associated with interstate commerce—is also regulated by the federal government under
II II II II II II II II II II II



Title 18 of the U.S. Code.)
II II II II II II




Being admitted to operate as an insurer and to transact one or more lines of insurance in
II II II II II II II II II II II II II II II II II



California is
II II




automatically granted to any entity if it is admitted in at least one other state. II II II II II II II II II II II II II II



evidenced by a certificate of authority. II II II II II



limited to entities organized as stock insurers.
II II II II II II



restricted to organizations domiciled in California. - evidenced by a certificate of authority.
II II II II II II II II II II II II II




(Only those persons or entities that have been admitted to act as an insurer may transact
II II II II II II II II II II II II II II II



insurance business in California. Admission is secured by receiving a certificate of
II II II II II II II II II II II II



authority from the California Commissioner of Insurance.)
II II II II II II II




The prohibition against and penalty for acting on behalf of a non-admitted insurer does
II II II II II II II II II II II II II II



not apply to whom?
II II II II




licensed solicitors II



licensed life agents II II



licensed disability agents II II



licensed surplus lines brokers - licensed surplus lines brokers II II II II II II II II II




II A primary insurer is the insurer that
II II II II II II




is domiciled in California but is certified to transact insurance in other states.
II II II II II II II II II II II II



accepts ceding business and assumes a part of another insurer's loss exposure.
II II II II II II II II II II II



writes only one line of coverage. II II II II II



transfers its loss exposure to another insurer in a reinsurance transaction. - transfers its
II II II II II II II II II II II II II II



loss exposure to another insurer in a reinsurance transaction.
II II II II II II II II II




(A primary insurer is the insurer that transfers part of its liability or exposure to another
II II II II II II II II II II II II II II II



insurer in a reinsurance transaction.)
II II II II II




Which of the following statements is correct about authorization to act as an insurer in
II II II II II II II II II II II II II II II



California?
II




Authority is limited to entities organized as stock insurers. II II II II II II II II



Authority is evidenced by a certificate of authority. II II II II II II II



Only organizations domiciled in California can be authorized.
II II II II II II II



Authority is automatically granted to any entity if it is admitted in at least one other state. -
II II II II II II II II II II II II II II II II II II



Authority is evidenced by a certificate of authority.
II II II II II II II II

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