Pass California Department of Insurance CA-Life-Accident-and-Health exam questions – convert Test Engine to PDF [Q17-Q36]

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Pass California Department of Insurance CA-Life-Accident-and-Health exam questions – convert Test Engine to PDF

Pass Your CA-Life-Accident-and-Health Exam Easily – Real CA-Life-Accident-and-Health Practice Dump Updated Nov 13, 2024

Q17. Which plan covers the medical expenses that are NOT covered by Medicare?

MediCal.

Long-term care.

Disability income.

Medicare supplement.

Q18. An insured is receiving benefits from a group health plan for a total disability. Which of the following happens if the existing plan is terminated?

The insured ceases to receive benefits.

The insured must apply for Social Security benefits.

The insured must apply for individual health coverage.

The insured receives benefits from the terminated plan.

Q19. Which of the following coverages is NOT one of the three traditional benefits of a group basic medical expense plan?

Hospital expense.

Surgical expense.

Private nursing expense.

Physician’s visit expense.

Q20. The primary objectives of insurance regulation include all of the following EXCEPT

rate regulation.

consumer protection.

solvency surveillance.

interpret policy provisions.

Q21. It is considered an unfair method of competition for an agent to advertise that the insurer the agent is appointed with is

highly rated by A.M. Best Company.

an admitted insurer in the state of California.

a member of the Insurance Guarantee Association.

fully authorized by certification to sell insurance.

Q22. What is the cost of service from the Health Insurance Counseling Advocacy Program (HICAP)?

$10 per appointment.

$25 per appointment.

$50 per appointment.

No charge.

Q23. According to the Employee Retirement Income Security Act of 1974 (ERISA) fiduciary standards, benefit plans are operated for

plan employees.

plan sponsors and employees.

plan sponsors and beneficiaries.

plan participants and beneficiaries.

Q24. The spendthrift clause in a life insurance policy

prevents a beneficiary from assigning interest in policy proceeds.

allows the payment of part of the death benefit for terminally ill insureds.

assumes that the insured survived the beneficiary if both die in a common accident.

requires the insurer to waive all premiums due when an insured is totally disabled.

Q25. When medical expense policies do not state specific dollar benefit amounts, but instead base payments upon the charges for like services in the same geographical area, benefits are designated as

usual, customary, and reasonable charges.

a percentage of stated charges.

designated charges.

stated charges.

Q26. Under PPACA, what is a health benefits exchange?

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.

A health benefits exchange is created by health insurers to allow individuals to access benefits in other insurers’ plans.

A health benefits exchange is created by employers to relieve them of having to provide health benefits to employees.

PPACA creates new entities called American Health Benefits Exchanges through which low-income individuals can access public health care programs.

Q27. Individual life insurance policies sold to seniors in the State of California must include aprominently placed statement that divulges all of the following information EXCEPT

the policy should be returned to the agent or insurer if not wanted.

proof of surrender must be notarized at the agent’s principal office.

a charge might apply if declined after the time allowed for surrender.

the policy can be returned during a free look period for a full refund.

Q28. Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), which of the following is a qualifying event?

Divorce

Marriage

Promotion

Relocation

Q29. A married couple who wants life insurance benefits to pay estate taxes when the second spouse dies should purchase what policy?

Family policy.

Joint life policy.

Survivorship policy.

Universal life policy.

Q30. Which tax advantage is available for individual nonqualified annuities?

Fully taxable distributions.

Deductibility of contributions.

Penalty-free early withdrawals.

Tax-deferred accumulation of earnings.

Q31. For Social Security purposes, a person with 40 quarters of coverage is considered

fully insured.

partially insured.

currently insured.

conditionally insured.

Q32. What policy is a savings instrument designed to first accumulate funds and then systematically to liquidate the funds?

Term life.

Deferred annuity.

Mortgage insurance.

Disability income insurance.

Q33. What rights do individuals have if they disagree with a decision on the amount Medicare will pay?

They can change Medicare carriers.

They can ask the Medicare carrier to review the decision.

They can request a second opinion by the state medical examiner.

They can terminate making premium payments until the claim is resolved.

Q34. As defined in the California Insurance Code, “insurance” is a

contract.

gamble.

peril.

risk.

Q35. Why is an injury caused by an accident at an employee’s workplace excluded from individual healthinsurance coverage?

It is covered by the employer’s group disability insurance plan.

It is covered by the employer’s group health insurance plan.

It is covered by the state Workers’ Compensation program.

It is covered by Social Security benefits.

Q36. As defined by the California Code of Regulations, a person who asserts a right of recovery under an insurance policy is called the

beneficiary.

claimant.

injured.

underinsured.

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Pass California Department of Insurance CA-Life-Accident-and-Health exam questions – convert Test Engine to PDF [Q17-Q36]

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