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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:

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.
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Correct Answer: B  🗳️

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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).
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Correct Answer: A  🗳️

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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.
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Correct Answer: B  🗳️

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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.
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Correct Answer: A  🗳️

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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.
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Correct Answer: D  🗳️

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