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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      1. Under a group health policy, which of the following coverages MUST be provided for newborn children?

                                                      A) Transportation costs from the hospital to the child ' s residence
                                                      B) Routine eye examinations
                                                      C) Congenital health defects
                                                      D) Genetic Testing


                                                      2. Which statement best describes a group life conversion privilege?

                                                      A) It allows the employer to convert all employees into beneficiaries.
                                                      B) It allows an insured leaving the group to obtain individual coverage without evidence of insurability, subject to the policy terms.
                                                      C) It guarantees that the group premium will never increase.
                                                      D) It transfers the employee's group policy cash value to a retirement account.


                                                      3. Which of the following groups is NOT eligible to purchase blanket health insurance to cover its members for a specific event or activity?

                                                      A) A newspaper corporation
                                                      B) A church
                                                      C) A family
                                                      D) A volunteer fire department


                                                      4. The Nevada Life and Health Insurance Guaranty Association is financed by which of the following methods?

                                                      A) Assessing a premium tax
                                                      B) Assessing agent association members
                                                      C) Assessing member insurance companies
                                                      D) Assessing insureds


                                                      5. Under a life insurance policy with a revocable beneficiary designation, who normally has the authority to change the beneficiary?

                                                      A) The insurer
                                                      B) The insured, regardless of ownership
                                                      C) The policyowner
                                                      D) The beneficiary


                                                      Solutions:

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

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