Free PDF InsNV_Health02 - Authoritative NV Accident and Health Pdf Torrent

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionObjectives
Insurance Basics- Risk Management and Insurance Concepts
  • 1. Insurance principles and contract characteristics
    • 2. Types of risk and methods of handling risk
      - Insurance Contracts
      • 1. Policy provisions, riders, and exclusions
        • 2. Contract elements
          Accident and Health Insurance Fundamentals- Disability Income Insurance
          • 1. Elimination periods and benefit periods
            • 2. Disability definitions and benefits
              - Medical Expense Insurance
              • 1. Major medical plans
                • 2. Hospital, surgical, and physician expense coverage
                  - Types of Health Insurance Policies
                  • 1. Group health insurance
                    • 2. Individual health insurance
                      • 3. Managed care plans
                        General Insurance Regulation- Nevada Insurance Department and Regulatory Authority
                        • 1. Commissioner of Insurance powers and duties
                          • 2. Insurance laws, rules, and regulations
                            - Licensing Requirements and Responsibilities
                            • 1. Continuing education and license maintenance
                              • 2. Producer licensing requirements
                                Government Health Insurance Programs- Medicare
                                • 1. Medicare parts and eligibility
                                  • 2. Medicare supplement insurance
                                    - Medicaid and Other Programs
                                    • 1. Medicaid eligibility and coverage
                                      Health Insurance Policy Provisions- Claims and Benefits
                                      • 1. Claim procedures
                                        • 2. Benefit determination and payment
                                          - Mandatory and Optional Provisions
                                          • 1. Policy requirements and clauses
                                            • 2. Renewability provisions
                                              Producer Duties and Ethics- Sales Practices
                                              • 1. Advertising and marketing rules
                                                • 2. Unfair trade practices
                                                  - Ethical Responsibilities
                                                  • 1. Fiduciary responsibilities
                                                    • 2. Consumer protection requirements

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                                                      Insurance Licensing NV Accident and Health Sample Questions (Q128-Q133):

                                                      NEW QUESTION # 128
                                                      An insurance company MUST take which of the following actions to terminate a producer ' s appointment?

                                                      Answer: B

                                                      Explanation:
                                                      When an insurer terminates the appointment, employment, or other relationship of a producer, it must notify the Nevada Insurance Commissioner. The notice must be made in the form prescribed by the Commissioner within 30 days after the effective date of termination.
                                                      An appointment is the insurer's authorization for a licensed producer to act as its agent. Ending an appointment does not automatically cancel the producer's underlying license. A producer may remain properly licensed and may be appointed by another insurer or operate as a broker when permitted by law.
                                                      Therefore, option B is incorrect.
                                                      The insurer must provide the required notice to the Commissioner; it is not required to obtain a hearing before ending the appointment. The producer is sent a copy of the insurer's notification after the Commissioner is notified, but the statute does not require the insurer to provide 30 days' advance notice to the producer. The producer has an opportunity to file written comments concerning the report with the Commissioner.
                                                      The reporting rule supports regulatory oversight and helps the Division identify whether a termination involved conduct that may warrant disciplinary action.
                                                      Study Guide references/topics: producer appointments; appointment termination; insurer reporting duties; NRS 683A.331 .


                                                      NEW QUESTION # 129
                                                      A corporation purchases life insurance on a highly valuable executive and is named as owner, premium payer, and beneficiary. What is the primary purpose of this arrangement?

                                                      Answer: A

                                                      Explanation:
                                                      Key person insurance is life insurance purchased by a business on the life of an employee, owner, executive, or specialist whose death would create a significant financial loss for the business. The business is generally the owner, premium payer, and beneficiary. If the key person dies, the death proceeds can help the business offset lost revenue, recruit and train a replacement, protect credit relationships, reassure customers, or meet other financial obligations during the transition.
                                                      The key person must consent to the insurance, and the business must have a legitimate insurable interest at the time coverage is issued. Key person insurance is not designed to provide personal family protection to the employee. It protects the business against the financial consequences of losing an important contributor.
                                                      Credit life insurance is designed to help pay an outstanding debt upon the debtor's death. Family maintenance insurance is generally personal coverage intended to replace income or support dependents. A viatical settlement involves the sale of an existing life insurance policy to a third party, typically when the insured has a serious illness.
                                                      The producer should conduct a financial-needs analysis and coordinate with legal and tax advisers because ownership, consent, accounting treatment, and tax consequences require careful planning.
                                                      References/topics from the Study Guide: Key Person Insurance; Business Uses of Life Insurance; Insurable Interest; Business Continuation Planning; Executive Protection.


                                                      NEW QUESTION # 130
                                                      The Fair Credit Reporting Act requires that:

                                                      Answer: D

                                                      Explanation:
                                                      The Fair Credit Reporting Act governs the collection, use, and disclosure of consumer-report information.
                                                      Choice B is correct because an insurance applicant must receive appropriate notice when an insurer may obtain a consumer report or investigative consumer report in connection with underwriting. Consumer reports can contain information relevant to an insurer's evaluation of risk, including credit-related information and other data permitted by law. The notice requirement promotes transparency and gives applicants the opportunity to understand that reporting information may be used in the underwriting process. The remaining choices concern different legal issues. Interest on premium loans is governed by policy and insurance-law rules, not the FCRA. Unfair discrimination is addressed through insurance regulation and unfair-trade-practice standards. Interest for late claim payments is governed by applicable claims-handling requirements, not the FCRA. The FCRA permits insurance companies to obtain consumer reports only for a permissible purpose and imposes duties regarding notices and adverse actions when report information is used. See the Consumer Financial Protection Bureau's FCRA guidance . Study Guide References/Topics: Nevada Insurance Regulation and Licensing; Consumer Reports; Fair Credit Reporting Act.


                                                      NEW QUESTION # 131
                                                      For which of the following losses would an insurance company MOST likely pay benefits under an Accidental Death and Dismemberment policy?

                                                      Answer: C

                                                      Explanation:
                                                      Choice B is correct because accidental loss of eyesight is a standard covered dismemberment loss under most AD & D policies. These policies pay benefits for accidental death and for specifically listed losses, often including loss of life, both hands, both feet, one h and and one foot, sight in one or both eyes, hearing, speech, or specified paralysis. The loss must result directly from accidental bodily injury and occur within the policy's required loss period. Death from a heart attack is generally illness-related rather than accidental. Loss of the spleen, even when caused by an accident, is not usually one of the specifically scheduled losses in a basic AD
                                                      & D policy. Partial paralysis due to a stroke is caused by illness rather than accidental injury. AD & D policies are limited-benefit contracts, so the policy does not pay merely because an injury is serious; the loss must match the policy's defined covered loss. The benefit amount varies according to the loss, with full principal sums often payable for death or loss of both eyes and smaller percentages for certain partial losses.
                                                      Study Guide References/Topics: Types of Health Insurance Policies; Accidental Death and Dismemberment; Covered Losses.


                                                      NEW QUESTION # 132
                                                      What is the primary purpose of a waiver-of-premium rider on a life insurance policy?

                                                      Answer: B

                                                      Explanation:
                                                      A waiver-of-premium rider keeps qualifying life insurance coverage in force by waiving required premiums when the insured becomes totally disabled as defined in the rider. The rider protects against the risk that disability will interrupt income and make premium payments unaffordable. Once the rider's requirements are satisfied, the insurer pays or waives the premium according to the policy terms, allowing the coverage and any applicable cash-value features to continue.
                                                      The definition of total disability, the waiting period, the age limitation, proof-of-disability requirements, and the duration of the waiver are contractual matters. The rider does not usually mean that premiums are waived for every illness, injury, or temporary work interruption. The insured must meet the stated definition and provide required evidence. Some riders also require that disability begin before a specified age.
                                                      This rider should not be confused with disability-income insurance. Disability income pays a periodic benefit to replace a portion of income. Waiver of premium does not provide an income payment; it protects the life policy from lapse due to qualifying disability. It also differs from a payor-benefit rider, which is commonly used with juvenile policies and protects the policy when the premium-paying adult dies or becomes disabled.
                                                      References/topics from the Study Guide: Waiver of Premium Rider; Total Disability; Disability Income; Payor Benefit Rider; Policy Continuation.


                                                      NEW QUESTION # 133
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