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

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

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

1. The term for an insurer which has met the conditions required to transact business in the State of California is

A) admitted.
B) authorized.
C) eligible.
D) entitled.


2. Under PPACA, what is a health benefits exchange?

A) A health benefits exchange is created by employers to relieve them of having to provide health benefits to employees.
B) PPACA creates new entities called American Health Benefits Exchanges through which low-income individuals can access public health care programs.
C) PPACA creates new entities called American Health Benefits Exchanges through which individuals, small businesses, and those who do not have access to affordable employer coverage, can purchase coverage.
D) A health benefits exchange is created by health insurers to allow individuals to access benefits in other insurers' plans.


3. During the grace period, when may an insurer terminate medical coverage?

A) The insured is hospitalized without giving the insurer prior notification.
B) The insured receives care from a physician who is not in the plan's network.
C) The insured requests termination in writing.
D) Policies cannot be terminated during the grace period.


4. When is the automatic loan provision activated?

A) On the premium due date.
OB. At the end of the grace period.
B) At the end of the free-look period.
C) At the end of the incontestability period.


5. Which of the following is NOT a characteristic of a contributory group insurance plan?

A) The policy owner pays all of the cost.
B) The member pays a portion of the cost.
C) The employer pays a portion of the cost.
D) The member pays all of the cost.


Solutions:

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

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