California Life, Accident and Health State Exam Practice Questions Part 1 And Answers 100% Pass
2 views 0 purchase
Course
California Life, Accident and Health State
Institution
California Life, Accident And Health State
California Life, Accident and Health State
Exam Practice Questions Part 1 And
Answers 100% Pass.
What area of group health insurance is regulated under the Employee Retirement Security Act of
1974 (ERISA)? - answerDisclosure and Reporting
A Worker is entitled to Social Security Benefits if all...
California Life, Accident and Health State
Exam Practice Questions Part 1 And
Answers 100% Pass.
What area of group health insurance is regulated under the Employee Retirement Security Act of
1974 (ERISA)? - answer✔Disclosure and Reporting
A Worker is entitled to Social Security Benefits if all of the following are true, Except for:
A. Worker is under age 65
B. Worker cannot perform his or her current job, but is actively seeking other employment
C. Worker is insured for disability benefits
D. Disability is expected to continue for 12 months or result in death. - answer✔B. Worker
cannot perform his or her current job, but is actively seeking other employment
Which type of annuity guarantees a stated number of income payments, whether or not the
annuitant is still alive to receive them? - answer✔Life annuity certain
Which of the following is NOT a true description of non-medical life insurance?
A. Quicker processing of life insurance application
B. Demand on the medical Profession reduced.
C. Less cost involved with underwriting the application
D. Applicants are not required to answer medical questions on the application. - answer✔D.
Applicants are not required to answer medical questions on the application.
People with higher loss exposure have the tendency to purchase insurance more often than those
at average risk. This is called - answer✔Adverse Selection
All of the following are characteristics of a Group Life Insurance Plan EXCEPT
A. Probationary Period
D. Group Underwriting - answer✔C. Individual underwriting
Which type of health insurance policy cannot be canceled by the insurer nor increase the
premiums? - answer✔Noncancellable.....cannot be cancelled nor can its premium rates be
increased under any circumstances.
The waiver of premium does NOT include which provision?
A. The insured must be disabled for a set period of time before benefits begin
B. The waiver of premium generally does not extend past the insured's age 60 or 65
C. All future premiums are waived if the insured recovers from the disability
D. If the insured qualifies, the premiums are waived retroactively to the beginning of the
disability. - answer✔C. All future premiums are waived if the insured recovers from the
disability
Lynn owns a life policy that guarantees the right to renew the policy each year, regardless of
health, but at an increased premium. What kind of policy is this? - answer✔Renewable term
An insurance policy written after 1988 that fails to pass the seven-pay test is known as -
answer✔a modified endowment contract
Which course of action is the insurer entitled to when deliberate concealment is committed by
the insured? - answer✔Rescinding the contract......Intentional concealment committed by the
insured entitles the insurance company to void the policy.
According to the California Insurance Code, how is the word "may" interpreted? -
answer✔Permissive
How is an agent's first year commission calculated for a replacement long-term policy? -
answer✔Based on the difference between the new and original policy annual premiums.
Cindy buys a 10-year certain annuity with an installment refund. After receiving monthly
payments for 5 years, Cindy dies. How many remaining payments will the insurer make to her
beneficiary? - answer✔60 Payments.........The installment refund option guarantees that the total
annuity fund will be paid to the annuitant or to the annuitant's beneficiary. In this situation, the
annuitant dies 5 years into a 10 year certain annuity. This leaves the remaining 5 years (60
monthly payments) payable to her beneficiary.
A health insurance policy will typically cover - answer✔preventative health services
Preventative health services are normally covered under a health insurance policy.
A contract requires - answer✔an offer and acceptance of the contract terms
An insurer having a large number of similar exposure units is considered important because -
answer✔the greater the number insured, the more accurately the insurer can predict losses and
set appropriate premiums
According to the PPACA, the medical enrollment tier that has 80% actuarial value is called -
answer✔
Which of the following is present when an applicant stands to lose value if the insured dies? -
answer✔Insurable Interest
Insurable interests means that the person acquiring the contract (the applicant) must be subject to
loss upon the death, illness, or disability of the person being insured
Sharon is the policyowner of a $50,000 life insurance policy. Her son, Mike, is the beneficiary. If
Sharon MUST obtain Mike's signature in order to change the beneficiary, what kind of
beneficiary designation is this? - answer✔Irrevocable
Irrevocable beneficiary designation requires the beneficiary's signature.
What type of coverage pays a benefit for part-time nursing care that can be provided in a
patient's home? - answer✔Home health care
Which of the following is NOT considered to be an unfair claims settlement practice?
A. Advising a claimant to hire an attorney
B. Misrepresenting to insureds pertinent facts or policy provisions relating to coverage at issue
C. Failing to adopt and implement reasonable standards for prompt investigation and processing
of insured's claims
D. Failing to provide a reasonable basis for the denial of a claim upon request - answer✔A.
Advising a claimant to hire an attorney
Jon's health plan pays benefits of 90% for in-network providers and 70% for out-of-network
providers. What kind of plan is this? - answer✔PPO
A Preferred Provider Organization (PPO) pays more for care received from a network provider
than it pays for care from a non-network provider.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Brightstars. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
