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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      1. When a nonqualified annuity is surrendered for more than the owner's investment in the contract, how is the gain generally treated for federal income-tax purposes?

                                                      A) As a tax-free return of principal only
                                                      B) As a deductible business loss
                                                      C) As a long-term capital gain in all cases
                                                      D) As ordinary income


                                                      2. The Affordable Care Act (ACA) requires every individual policy to provide minimum coverages known as:

                                                      A) Essential Health Benefits
                                                      B) Medicaid Buy-Back coverage
                                                      C) Silver Saver Value coverages
                                                      D) Gold Value coverages


                                                      3. A doctor who is receiving Disability Income benefits is not able to return to work full-time but continues practicing on a part-time basis. Which of the following policy features would allow the doctor to continue receiving benefits?

                                                      A) A Residual Benefit clause
                                                      B) A Contingent Benefit clause
                                                      C) A Guaranteed Insurability rider
                                                      D) A Concurrent Benefit clause


                                                      4. For Social Security disability benefits, which statement is generally correct?

                                                      A) The program is funded entirely by private insurance premiums.
                                                      B) Benefits are payable for any short-term illness that prevents work for one week.
                                                      C) The program uses a strict definition of disability involving inability to perform substantial work for a required duration.
                                                      D) Benefits are available only to persons age 65 or older.


                                                      5. Under federal law, a tax exempt Health Savings Account can only be opened for an individual who is:

                                                      A) eligible to be claimed as a dependent on another person ' s tax return
                                                      B) covered by Long Term Care Insurance
                                                      C) entitled to Medicare benefits
                                                      D) covered by a qualified High Deductible Health Plan


                                                      Solutions:

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

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