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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionObjectives
Topic 1: Producer Duties and Ethics- Ethical Responsibilities
  • 1. Consumer protection requirements
    • 2. Fiduciary responsibilities
      - Sales Practices
      • 1. Advertising and marketing rules
        • 2. Unfair trade practices
          Topic 2: Accident and Health Insurance Fundamentals- Types of Health Insurance Policies
          • 1. Managed care plans
            • 2. Individual health insurance
              • 3. Group health insurance
                - Medical Expense Insurance
                • 1. Hospital, surgical, and physician expense coverage
                  • 2. Major medical plans
                    - Disability Income Insurance
                    • 1. Elimination periods and benefit periods
                      • 2. Disability definitions and benefits
                        Topic 3: Insurance Basics- Insurance Contracts
                        • 1. Policy provisions, riders, and exclusions
                          • 2. Contract elements
                            - Risk Management and Insurance Concepts
                            • 1. Insurance principles and contract characteristics
                              • 2. Types of risk and methods of handling risk
                                Topic 4: Government Health Insurance Programs- Medicaid and Other Programs
                                • 1. Medicaid eligibility and coverage
                                  - Medicare
                                  • 1. Medicare parts and eligibility
                                    • 2. Medicare supplement insurance
                                      Topic 5: General Insurance Regulation- Nevada Insurance Department and Regulatory Authority
                                      • 1. Insurance laws, rules, and regulations
                                        • 2. Commissioner of Insurance powers and duties
                                          - Licensing Requirements and Responsibilities
                                          • 1. Producer licensing requirements
                                            • 2. Continuing education and license maintenance
                                              Topic 6: Health Insurance Policy Provisions- Mandatory and Optional Provisions
                                              • 1. Renewability provisions
                                                • 2. Policy requirements and clauses
                                                  - Claims and Benefits
                                                  • 1. Benefit determination and payment
                                                    • 2. Claim procedures

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      1. For a group health plan subject to the federal waiting-period rule, the waiting period for otherwise eligible employees generally may not exceed:

                                                      A) 90 calendar days
                                                      B) 30 calendar days
                                                      C) 60 calendar days
                                                      D) 180 calendar days


                                                      2. A Nevada producer wants to solicit an individual disability-income policy. Which license authority is required?

                                                      A) Property insurance authority
                                                      B) Personal lines authority
                                                      C) Casualty insurance authority
                                                      D) Accident and health insurance authority


                                                      3. A person insured under a policy of Long Term Care insurance issued pursuant to a direct response solicitation has how many days after delivery to return the policy for a full refund?

                                                      A) Thirty days
                                                      B) Sixty days
                                                      C) Forty-five days
                                                      D) Ten days


                                                      4. According to Nevada law, an authorized insurer is BEST defined as:

                                                      A) any insurer with minimum assets as required by this state
                                                      B) an insurer with a certificate of authority issued by the National Association of Insurance Commissioners (NAIC)
                                                      C) an insurer authorized under a certificate of authority issued by the Governor of Nevada
                                                      D) an insurer with a certificate of authority issued by the Insurance Commissioner of Nevada


                                                      5. The Nevada Insurance Commissioner may revoke the license of any licensed producer who:

                                                      A) is found liable by final judgment in a civil case
                                                      B) fails to notify the Commissioner of a change of address within forty-eight hours
                                                      C) fails to file an annual financial report with the Division of Insurance
                                                      D) misappropriates monies belonging to policyholders


                                                      Solutions:

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

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