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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Annuities and Retirement Plans | 10% | - Tax treatment and suitability - Fixed and variable annuities - Immediate and deferred annuities |
| Topic 2: General Insurance Concepts | 10% | - Basic insurance principles and terminology - Insurance marketplace and regulation overview - Insurance contract law and elements |
| Topic 3: Health Insurance | 25% | - Health policy provisions and exclusions - Disability income insurance - Long-term care insurance - Medical expense and major medical plans - Medicare and Medicare supplements |
| Topic 4: California Insurance Code & Ethics | 20% | - Policy delivery and replacement rules - State regulations and licensing rules - Unfair trade practices - Ethical standards and anti-fraud provisions |
| Topic 5: Life Insurance | 35% | - Policy provisions, riders, and options - Types of life insurance policies - Group life insurance - Beneficiary designations and settlement options |
California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:
1. Which policy pays the face amount if the insured survives to the end of a certain period?
A) Term insurance.
B) Universal life insurance.
C) Endowment insurance.
D) Whole life insurance.
2. A health insurance issuer offering coverage in the individual market must provide premium rebates if its medical loss ratio (MLR) is less than what percentage?
A) 75%
B) 70%
C) 80%
D) 85%
3. A life insurance policy written after 1988 that fails to meet the seven-pay test is known as
A) a single premium contract.
B) an endowment policy.
C) a modified life policy.
D) a modified endowment contract.
4. Every individual annuity policy that is sold to a senior in the State of California MUST include which of the following free look information?
A) The policy has a 30-day return for cancellation feature.
B) The insurer has the right to cancel if less than 30 days.
C) The insured forfeits any premiums paid if cancelled.
D) The premiums will not be invested during the return period.
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5. A commonly used cost containment measure for emergency hospital care under a major medical expense plan is the
A) deductible.
B) inpatient fee.
C) pre-admission test.
D) premium tax.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: C |
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