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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      Question 1

                                                      When a nonqualified annuity is surrendered for more than the owner's investment in the contract, how is the gain generally treated for federal income-tax purposes?

                                                      A. As ordinary income
                                                      B. As a deductible business loss
                                                      C. As a tax-free return of principal only
                                                      D. As a long-term capital gain in all cases


                                                      Question 2

                                                      For Social Security disability benefits, which statement is generally correct?

                                                      A. The program uses a strict definition of disability involving inability to perform substantial work for a required duration.
                                                      B. Benefits are payable for any short-term illness that prevents work for one week.
                                                      C. The program is funded entirely by private insurance premiums.
                                                      D. Benefits are available only to persons age 65 or older.


                                                      Question 3

                                                      Group coverage for a handicapped dependent child may be continued if the primary insured submits the required proof to the insurance company within what MAXIMUM period of time after the child reaches the limiting age?

                                                      A. 45 days
                                                      B. 15 days
                                                      C. 31 days
                                                      D. 30 days


                                                      Question 4

                                                      Life insurance death proceeds paid to a named beneficiary are generally:

                                                      A. Subject to ordinary federal income tax in every case
                                                      B. Received free of federal income tax, subject to exceptions and special circumstances
                                                      C. Treated as a deductible premium refund
                                                      D. Taxed as capital gains


                                                      Question 5

                                                      Under federal law, a tax exempt Health Savings Account can only be opened for an individual who is:

                                                      A. covered by a qualified High Deductible Health Plan
                                                      B. covered by Long Term Care Insurance
                                                      C. entitled to Medicare benefits
                                                      D. eligible to be claimed as a dependent on another person ' s tax return


                                                      Solutions:

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

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