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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Accident and Health — General Knowledge~68%- Insurance Concepts and Underwriting
  • 1. Application and Underwriting
  • 2. Insurance Basics and Risk
  • 3. Premiums and Renewal
- Social Insurance / Government Plans
  • 1. Medicare (Parts A, B, C, D)
  • 2. Medicaid
  • 3. Social Security Disability Benefits
- Types of Health Insurance Policies
  • 1. Accidental Death & Dismemberment
  • 2. Disability Income Insurance
  • 3. Long-Term Care (LTC) Insurance
  • 4. Medical Expense / Major Medical Insurance
  • 5. Medicare Supplement Policies
  • 6. Limited Benefit Plans
  • 7. Group Health Insurance
- Policy Provisions, Clauses & Riders
  • 1. Optional Provisions
  • 2. Common Riders
  • 3. Mandatory Uniform Provisions
  • 4. Other Provisions and Clauses
Topic 2: Nevada Statutes, Rules and Regulations~32%- Nevada Health-Specific Regulations
  • 1. Group and Credit Health Rules
  • 2. Replacement and Free-Look Provisions
  • 3. Advertising and Disclosure Rules
- General State Insurance Regulations
  • 1. Agent Licensing Requirements
  • 2. Insurance Commissioner Authority
  • 3. Marketing Practices and Unfair Trade
  • 4. Definitions and General Provisions
  • 5. Insurance Guaranty Associations

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InsNV_Health02 New Practice Questions - InsNV_Health02 Exam Duration

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Insurance Licensing NV Accident and Health Sample Questions (Q93-Q98):

NEW QUESTION # 93
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?

Answer: B


NEW QUESTION # 94
Insurance for the primary purpose of repaying a loan in the event of disability is referred to as:

Answer: B

Explanation:
Credit Accident and Health insurance is insurance on a debtor that provides indemnity for payments or debt becoming due on a specific loan or credit transaction while the debtor is disabled as defined by the policy. Its primary purpose is to protect the borrower and creditor by helping repay the outstanding debt when disability prevents the borrower from working or making scheduled payments.
The coverage may pay periodic loan installments during a qualifying disability or, depending on policy design, provide benefits related to the unpaid debt. It is connected to a specific credit obligation rather than serving as broad disability-income protection. The benefit is limited by the loan terms, policy provisions, waiting period, disability definition, and maximum benefit duration.
Guaranteed Asset Protection, or GAP, generally addresses the difference between an automobile's outstanding loan balance and its actual cash value after a covered total loss. Credit life insurance pays or reduces debt upon the debtor's death, not disability. "Loan Repayment policy" is not the standard statutory insurance term.
The examination distinction is that disability-related loan protection is Credit Accident and Health insurance, while death-related loan protection is Credit Life insurance.
Study Guide references/topics: credit insurance; disability protection; credit accident and health insurance; debtor; NRS 690A.0135 .


NEW QUESTION # 95
An applicant submits the first premium with a life insurance application and receives a conditional receipt.
When does coverage generally become effective?

Answer: A

Explanation:
A conditional receipt may provide temporary coverage from the application date or medical-examination date, but only if the conditions stated in the receipt are satisfied. A common condition is that the insurer, applying its normal underwriting standards, would have issued the policy to the applicant as applied for or at the requested rating. The receipt does not guarantee coverage for every applicant merely because the first premium was submitted.
The exact effect of a conditional receipt depends on its language. Some receipts use an "approval" approach, under which coverage begins only when the insurer approves the application. Others use an "insurability" approach, under which coverage may relate back to an earlier date if the applicant was insurable under the insurer's standards. A producer must not describe a conditional receipt as an unconditional binder or promise that the policy has been issued.
The producer should collect and transmit premium funds according to insurer instructions, deliver the receipt, explain its limited nature, and avoid making coverage representations outside the receipt's terms. If the insurer declines the application, the premium is ordinarily returned according to the applicable procedure.
Proper explanation is especially important because applicants may assume that payment alone creates permanent insurance.
References/topics from the Study Guide: Conditional Receipt; Premium with Application; Temporary Insurance; Underwriting Approval; Policy Delivery.


NEW QUESTION # 96
Which underwriting duty is most directly performed by a producer during a life insurance application interview?

Answer: C

Explanation:
A producer performs field underwriting by gathering complete and accurate application information, explaining questions to the applicant without coaching answers, observing relevant facts, and submitting the application promptly to the insurer. Relevant observations may include obvious health conditions, the applicant's demeanor, financial circumstances, hazardous occupation or avocation information, and whether answers appear complete and consistent. The producer must report material information obtained in the course of the sale rather than deciding independently that an unfavorable fact is unimportant.
The insurer, not the producer, makes the final underwriting decision. The insurer may use the application, medical records, attending-physician statements, inspection reports, prescription-history reports, credit-related information where permitted, and other lawful underwriting tools. Based on that review, the insurer may issue the policy as applied for, issue it with a rating or modification, postpone it, or decline it.
A producer must never alter an applicant's answers, conceal material information, or sign an application for an applicant without authority. Accurate field underwriting protects the applicant, insurer, producer, and beneficiaries by reducing the risk of misrepresentation, rescission, claim disputes, or regulatory action. The producer's role is factual collection and proper submission-not final risk selection.
References/topics from the Study Guide: Field Underwriting; Application Completion; Producer Responsibilities; Insurer Underwriting; Material Facts.


NEW QUESTION # 97
Nevada insurance laws define a domestic insurance company as one formed under the laws of:

Answer: B

Explanation:
A domestic insurer in Nevada is an insurer formed under the laws of Nevada, unless it has converted to foreign-insurer status. Therefore, "the state of Nevada only" is the correct answer.
The terms domestic, foreign, and alien describe the jurisdiction in which an insurer is formed or domiciled; they do not describe the insurer's size, financial condition, or whether it is authorized to do business in Nevada. A foreign insurer is formed under the laws of another jurisdiction, generally another U.S. state, but may be authorized to transact insurance in Nevada. An alien insurer is formed under the laws of a country other than the United States.
An insurer may be domestic in one state and foreign in every other state. For example, an insurer incorporated under Nevada law is domestic in Nevada but foreign in California, Arizona, or any other state. Conversely, a company formed in another state is foreign in Nevada even if it holds a Nevada certificate of authority.
Study Guide references/topics: domestic insurers; foreign insurers; alien insurers; insurer domicile; NRS
679A.090 .


NEW QUESTION # 98
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