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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

Insurance Licensing NV Accident and Health Sample Questions:

1. An individual health insurance policy contains a Change of Occupation provision. If the insured experiences a loss in a more hazardous occupation than when the policy was issued, the insurance company may:

A) increase the deductible to adjust for the occupational difference
B) deny any claim on the basis of misrepresentation
C) increase the waiting period to adjust for the occupational difference
D) adjust benefits to the amount the premium provides for the new occupation

2. Which of the following statements is correct about the Coordination of Benefits provision?

A) It permits an insurer to defer paying a claim for a work-related injury until Workers ' Compensation Benefits have expired.
B) It prevents an insured covered by two health plans from making a profit on a covered loss.
C) It allows an insured to change insurers without losing benefits.
D) It prohibits an insurer from selling a health policy to an applicant who already has similar coverage.

3. An insurer shall not issue an individual long-term care insurance contract in Nevada unless the insurer has received from the applicant:

A) a designation by at least one person, in addition to the applicant, to accept liability for services provided to the applicant
B) a written designation by the applicant to pay premium for long-term care insurance through either a payroll or pension deduction plan
C) a notarized waiver dated and signed by the applicant stating that the applicant has chosen not to designate another person to receive notice of any lapse or termination of coverage for nonpayment of premium
D) a written designation of at least one person, in addition to the applicant, who must receive notice of any lapse or termination of coverage under the policy for nonpayment of premium

4. In a typical HMO arrangement, what is the primary role of the primary care provider?

A) To sell insurance policies to other patients
B) To guarantee that all out-of-network care is covered
C) To coordinate routine care and referrals under the plan's rules
D) To determine the insurer's investment return

5. Which feature is most characteristic of universal life insurance?

A) Flexible premiums and adjustable death-benefit options, subject to policy requirements
B) A fixed premium and fixed death benefit with no flexibility
C) Investment risk borne entirely by the insurer in a separate account
D) Coverage that can never build cash value

Solutions: