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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

SectionObjectives
Basic Insurance Concepts and Principles- Insurance Fundamentals
  • 1. Risk Management
  • 2. Utmost Good Faith
  • 3. Insurable Interest
  • 4. Indemnity
California Insurance Laws and Regulations- State Regulatory Framework
  • 1. Producer Responsibilities
  • 2. California Insurance Code
  • 3. Consumer Protection Regulations
  • 4. Licensing Requirements
Life Insurance- Life Insurance Policies
  • 1. Term Life Insurance
  • 2. Whole Life Insurance
  • 3. Universal Life Insurance
  • 4. Variable Life Insurance
- Policy Provisions and Riders
  • 1. Settlement Options
  • 2. Nonforfeiture Options
  • 3. Beneficiary Designations
  • 4. Policy Loans
Ethics and Professional Conduct- Agent Responsibilities
  • 1. Unfair Trade Practices
  • 2. Privacy and Confidentiality
  • 3. Replacement Regulations
  • 4. Ethical Sales Practices
Accident and Health Insurance- Health Insurance Policies
  • 1. Disability Income Insurance
  • 2. Medical Expense Plans
  • 3. Long-Term Care Insurance
  • 4. Medicare and Medicaid
- Policy Provisions
  • 1. Coordination of Benefits
  • 2. Managed Care Plans
  • 3. Eligibility and Renewability
  • 4. Claims Procedures

California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

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

A) consumer protection.
B) rate regulation.
C) interpret policy provisions.
D) solvency surveillance.


2. Under the PPACA, which medical enrollment tier is 80% actuarial value?

A) gold
B) silver
C) platinum
D) bronze


3. Policies covered under the California Life and Health Insurance Guarantee Association include all of the following EXCEPT

A) deferred annuities.
B) disability income.
C) individual health.
D) self-funded group life.


4. The guaranteed insurability option provides the ability to

A) access a portion of the death benefit in the event of serious illness.
B) double the amount of the death benefit in the event of accidental death.
C) purchase additional insurance regardless of insurability.
D) waive premium payments in the event of disability.


5. All of the following statements apply to the child coverage in a family policy EXCEPT

A) children are covered until reaching a specified age.
B) coverage applies only to children born before the policy is issued.
C) child coverage is convertible to whole life coverage.
D) child coverage is term insurance.


Solutions:

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

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