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

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

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

Question 1

In health insurance the coinsurance is

A. a portion of the premium paid by the insured and insurer for each covered service.
B. a percentage paid for covered expenses by the insured and insurer after the deductible is satisfied.
C. a percentage of the cost for covered expenses paid by more than one insurer.
D. a payment shared by the insured and provider of covered service minus the deductible.


Question 2

What is the definition of premium?

A. Money an insured pays an insurer to obtain benefits provided in the policy.
B. Money an insurer pays to an insured to obtain the benefits provided in the policy.
C. Bonus paid by an agent to convince an insured to buy a policy.
D. Amount the insured pays per unit of coverage (e.g., $10 per $1,000 of coverage).


Question 3

The spendthrift clause in a life insurance policy

A. allows the payment of part of the death benefit for terminally ill insureds.
B. prevents a beneficiary from assigning interest in policy proceeds.
C. requires the insurer to waive all premiums due when an insured is totally disabled.
D. assumes that the insured survived the beneficiary if both die in a common accident.


Question 4

A life insurance policy written after 1988 that fails to meet the seven-pay test is known as

A. a modified endowment contract.
B. a single premium contract.
C. a modified life policy.
D. an endowment policy.


Question 5

A terminating employee who wants to exercise the conversion privilege must meet all of the following requirements EXCEPT

A. pay the premium.
B. fill out the required forms.
C. apply within 31 days of termination.
D. supply evidence of insurability.


Solutions:

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

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