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Insurance Licensing NV Accident and Health - InsNV_Health02 dump torrent

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InsNV_Health02 Guide Torrent
  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Advertising
- Credit life and health insurance
- Group life and health insurance
  • 1. Required provisions
    • 2. Eligible groups
      Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Mandatory policy clauses and provisions
      • 1. Coverage for physical handicap or intellectual disability for dependent children
        • 2. Coverage for preventive healthcare services
          • 3. Coverage for newborn children
            - Medicare
            • 1. Medicare Advantage Plans
              • 2. Prescription Drug Plan
                • 3. Medicare supplement regulation
                  - Long Term Care
                  - Hospice care
                  - Coverage for reconstructive surgery
                  - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                  Accident & Health – General Knowledge50%- Types of Policies
                  • 1. Individual and Group Long Term Care
                    • Eligibility
                    • Levels of care
                  • 2. Disability income
                    • Individual disability income policy
                    • Business overhead expense policy
                    • Business disability buyout policy
                    • Group disability income policy
                    • Key employee policy
                  • 3. Group insurance
                    • Differences between individual and group contracts
                    • General characteristics
                    • COBRA
                  • 4. Other policies
                    • Dental
                    • Vision
                    • Cancer
                    • Critical illness or specified disease
                    • Worksite employer-sponsored
                    • Hospital indemnity
                    • Short-term medical
                    • Accident
                  • 5. Accidental death and dismemberment
                    • 6. Medical expense insurance
                      • Basic hospital, medical, and surgical policies
                      • Major medical policies
                      • Health Maintenance Organizations
                      • Preferred Provider Organizations
                      • Point of Service plans
                      • Flexible Spending Accounts
                      • High Deductible Health Plans and Health Savings Accounts
                      • Health Reimbursement Accounts
                    • 7. Medicare supplement policies
                      - Other Insurance Concepts
                      • 1. Modes of premium payments
                        • 2. Tax treatment of premiums and proceeds of insurance contracts
                          • 3. Dependent children benefits
                            • 4. Total, partial, recurrent, and residual disability
                              • 5. Occupational vs. non-occupational
                                • 6. Workers Compensation
                                  • 7. Primary and contingent beneficiaries
                                    • 8. Nonduplication and coordination of benefits
                                      • 9. Subrogation
                                        • 10. Managed care
                                          • 11. Owner's rights
                                            • 12. Cost containment
                                              - Policy Provisions, Clauses, and Riders
                                              • 1. Mandatory and optional provisions
                                                • Entire contract
                                                • Time limit on certain defenses
                                                • Grace period
                                                • Reinstatement
                                                • Notice of claim
                                                • Claim forms
                                                • Proof of loss
                                                • Time of payment of claims
                                                • Payment of claims
                                                • Physical examination and autopsy
                                                • Legal actions
                                                • Change of beneficiary
                                                • Misstatement of age or gender
                                                • Change of occupation
                                                • Illegal occupation
                                                • Relation of earnings to insurance
                                              • 2. Riders
                                                • Impairment and exclusions
                                                • Guaranteed insurability
                                                • Future increase option
                                              • 3. Rights of renewability
                                                • Noncancelable
                                                • Cancelable
                                                • Guaranteed renewable
                                              • 4. Other provisions and clauses
                                                • Insuring clause
                                                • Free look
                                                • Consideration clause
                                                • Probationary period
                                                • Elimination period
                                                • Waiver of premium
                                                • Exclusions and limitations
                                                • Preexisting conditions
                                                • Coinsurance
                                                • Deductibles
                                                • Eligible expenses
                                                • Copayments
                                                • Pre-authorizations and prior approval requirements
                                                • Usual, reasonable, and customary charges
                                                • Lifetime, annual, or per cause maximum benefit limits
                                              - Field Underwriting Procedures
                                              • 1. Policy delivery
                                                • 2. Contract law
                                                  • Elements of a contract
                                                  • Insurable interest
                                                  • Warranties and representations
                                                  • Unique aspects of the insurance contract
                                                • 3. Completing the application
                                                  • 4. Replacement
                                                    • 5. Initial premium payment and receipt
                                                      • 6. Sources of insurability and HIPAA privacy information
                                                        • 7. Explaining policy provisions, riders, exclusions, and ratings
                                                          • 8. Submitting application and initial premium to company for underwriting
                                                            - Social Insurance
                                                            • 1. Medicare Parts A, B, C, and D
                                                              • 2. Social Security benefits
                                                                • 3. Medicaid
                                                                  Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Nevada Life and Health Insurance Guaranty Association
                                                                  - Definitions
                                                                  • 1. Insurer
                                                                    • 2. Authorized and unauthorized
                                                                      • 3. Premiums
                                                                        • 4. Transacting insurance
                                                                          • 5. Cost-sharing
                                                                            • 6. Certificate of authority
                                                                              • 7. Domestic, foreign, and alien
                                                                                - Marketing Practices
                                                                                • 1. Affordable Care Act
                                                                                  • 2. Fiduciary responsibilities
                                                                                    • 3. Required records and record retention
                                                                                      • 4. Silver State Health Insurance Exchange
                                                                                        • 5. Unfair practices
                                                                                          • Unfair claims methods and practices and settlement of claims
                                                                                          • Rebating and inducement
                                                                                          • Twisting
                                                                                          • Misrepresentation
                                                                                          • Fraud
                                                                                          • Unfair discrimination
                                                                                          • Defamation
                                                                                        • 6. Commissions and payment restrictions
                                                                                          - Insurance Commissioner
                                                                                          • 1. General powers and duties
                                                                                            • 2. Examinations
                                                                                              • 3. Notice and hearings and penalties
                                                                                                - Licensing
                                                                                                • 1. Obtaining a license
                                                                                                  • 2. Name of licensee
                                                                                                    • 3. Renewal and continuing education
                                                                                                      • 4. Persons required to be licensed
                                                                                                        • 5. Termination of license
                                                                                                          • 6. Suspension, revocation, and refusal of license

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. 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) 30 days
                                                                                                            B) 15 days
                                                                                                            C) 45 days
                                                                                                            D) 31 days


                                                                                                            2. A whole life policyowner stops paying premiums and chooses to use the policy's cash value to purchase the same face amount of insurance for as long as that cash value will buy. Which nonforfeiture option was selected?

                                                                                                            A) Reduced paid-up insurance
                                                                                                            B) Extended term insurance
                                                                                                            C) Cash surrender
                                                                                                            D) Automatic premium loan


                                                                                                            3. A doctor who is receiving Disability Income benefits is not able to return to work full-time but continues practicing on a part-time basis. Which of the following policy features would allow the doctor to continue receiving benefits?

                                                                                                            A) A Contingent Benefit clause
                                                                                                            B) A Guaranteed Insurability rider
                                                                                                            C) A Concurrent Benefit clause
                                                                                                            D) A Residual Benefit clause


                                                                                                            4. An applicant unintentionally gives an incorrect answer about a material health condition on a life insurance application. This is best described as:

                                                                                                            A) A warranty that automatically voids the policy
                                                                                                            B) A representation that may be material to underwriting
                                                                                                            C) A rider
                                                                                                            D) A premium-payment mode


                                                                                                            5. Under a Medicare Supplement policy that is issued in response to a direct solicitation, a policyowner may return the policy to the insurance company for a full premium refund within a MAXIMUM of how many days?

                                                                                                            A) Forty-five
                                                                                                            B) Thirty
                                                                                                            C) Sixty
                                                                                                            D) Ten


                                                                                                            Solutions:

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

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