California Life Insurance Pre-Licensing

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Questions and Answers

When an insurance company requests an attending physician's report, what must be accompanied by it?

Copy of the signed authorization

Which of the following is NOT a required uniform provision in individual health policies?

Guaranteed renewability

Change of occupation (correct)

Pre-existing conditions

Cancellation terms

What does the phrase 'Life insurance creates an immediate estate' mean?

When the insured dies, a death benefit is paid

What do you call a person who asserts a right of recovery under an insurance policy?

Claimant Signup and view all the answers

What must be completed before an insurer is allowed to test an individual for HIV?

Consent Form Signup and view all the answers

If Jim holds 2 jobs, how will the insurer classify him concerning his risk?

According to the occupation that is most hazardous Signup and view all the answers

What will adult day care coverage under a long-term care insurance policy provide for?

Part time care at a facility for elderly individuals who live at home Signup and view all the answers

Which of the following is NOT true regarding a family policy that covers children?

Conversion of child's coverage to permanent insurance requires evidence of insurability Signup and view all the answers

How long is a person expected to be disabled in order to receive Social Security disability benefits?

12 months Signup and view all the answers

What does the term 'mortality rate' describe?

The number of deaths in a year compared to the number of people in a select group Signup and view all the answers

Which of the following is NOT required in the content of a policy?

Probability of loss Signup and view all the answers

What must Jim do regarding his past misdemeanor conviction when applying for an insurance license?

He must still disclose the conviction Signup and view all the answers

Which of the following is a life insurance policy that does NOT require a physical exam?

Non-medical Signup and view all the answers

What type of policy allows the insurer the option of terminating a health insurance policy on a date stated in the contract?

Optionally renewable Signup and view all the answers

What is an individual with 40 quarters of coverage considered for Social Security purposes?

Fully insured Signup and view all the answers

What constitutes the entire contract in a life insurance policy?

Policy and attached application Signup and view all the answers

Which of the following is NOT considered to be an act of insurance solicitation?

Publishing a magazine where one of the advertisers is an insurer Signup and view all the answers

Which of the following circumstances would EXCEPT make loss retention an effective risk management technique?

Probability of loss is unknown Signup and view all the answers

What rule demonstrates the importance of a representation?

Materiality of concealment Signup and view all the answers

Which word implies permissiveness according to the California Insurance Code?

May Signup and view all the answers

What do medical expense policies typically cover?

Injuries caused by accidents Signup and view all the answers

Which of the following is NOT protected under the California Life and Health Guarantee Association?

Insurers Signup and view all the answers

At what age do individuals become eligible for Medicare Part A benefits?

65 Signup and view all the answers

What is an agent's attempt to stop the replacement of an existing life insurance policy known as?

Conservation Signup and view all the answers

Which of the following is NOT an accurate description of Access for Infants and Mothers Program (AIM)?

Only women who have private insurance plans with a maternity-only deductible greater than $1,500 are eligible Signup and view all the answers

All of these statements concerning Medicare are true EXCEPT?

Long-term care is covered by Medicare Part C Signup and view all the answers

Which of the following is NOT considered to be an unfair claims settlement practice?

Advising a claimant to hire an attorney Signup and view all the answers

Under which government regulation are retirement plans prevented from favoring highly compensated employees?

Nondiscrimination Signup and view all the answers

Which statement about Health Maintenance Organizations is NOT true?

Members have more choices than traditional insurance Signup and view all the answers

Study Notes

Insurance Authorization and Reporting

An attending physician's report request must include a signed authorization copy.
Claimant refers to a person pursuing recovery under an insurance policy.

Health Insurance Provisions

Change of occupation is not a standard uniform provision in individual health policies.
Adult day care under long-term care insurance provides part-time care for elderly individuals at facilities while they live at home.

Life Insurance Essentials

The phrase "life insurance creates an immediate estate" means a death benefit is paid upon the insured's death.
Non-medical life insurance policies do not require a physical examination.

Risk Assessment and Categorization

Insurers may classify individuals based on the most hazardous occupation when assessing risk.
The mortality rate compares the number of deaths in a year to the population of a select group.

Insurance Policy Requirements

Policies are not required to include the probability of loss.
The content of a policy comprises the policy itself and any attached application.

Individuals must be disabled for at least 12 months to qualify for Social Security disability benefits.
A person with 40 quarters of coverage is considered fully insured under Social Security.

Licensing and Disclosure

Expunged misdemeanor convictions must still be disclosed on an insurance license application.

Policy Features and Coverage

Optionally renewable policies allow insurers to terminate health insurance on a specified date.
Medical expense policies typically cover injuries resulting from accidents.

Medicare and Eligibility

Eligibility for Medicare Part A benefits begins at age 65.
Medicare does not cover long-term care under Part C.

California Regulations and Practices

Insurers are not protected under the California Life and Health Guarantee Association.
Conservation is the term for an agent’s attempt to prevent the replacement of an existing life insurance policy.

Unfair Practices and Risk Management

Advising a claimant to hire an attorney is not an unfair claims settlement practice.
Effective risk management through loss retention cannot occur if the probability of loss is unclear.

Access for Infants and Mothers Program (AIM)

AIM eligibility does not require women to have private insurance plans with high maternity-only deductibles or copayments over $1,500.

Health Maintenance Organizations (HMOs)

Misconceptions about HMOs may include beliefs regarding costs when using out-of-network providers.

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Description

Test your knowledge on life, accident, and health insurance with this California pre-licensing education flashcards quiz. Cover essential terms and concepts required for the insurance licensure exam. Prepare yourself for success in the insurance industry!