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

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

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

Question 1

The term for an insurer which has met the conditions required to transact business in the State of California is

A. admitted.
B. authorized.
C. entitled.
D. eligible.


Question 2

Which plan covers the medical expenses that are NOT covered by Medicare?

A. Medicare supplement.
B. Long-term care.
C. Disability income.
D. MediCal.


Question 3

All of the following describe examples of risk avoidance EXCEPT the insured

A. sensing the chance of a lawsuit and therefore giving his pet Bengal tiger to a local zoo.
B. recognizing that his driving skills are deteriorating and therefore increasing the liability limits of his auto policy.
C. never flying in airplanes.
D. never leaving his house after dark.


Question 4

A life insurance application is important for all of the following reasons EXCEPT

A. statements made in the application are required to be true to the best of the applicant's knowledge.
B. the application becomes a part of the policy, if a copy is attached.
C. the application contains essential information about the applicant.
D. the beneficiary must sign the application before the insurer will issue the policy.


Question 5

Each of the following terms is an important characteristic of a Major Medical policy EXCEPT

A. coinsurance.
B. deductible.
C. copayments.
D. capitation fee.


Solutions:

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

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