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

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

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

1. Which health insurance contract provision addresses the problem of over insurance?

A) Reinstatement.
B) Incontestability.
C) Coordination of benefits.
D) Assignment of benefits.


2. It is considered an unfair method of competition for an agent to advertise that the insurer the agent is appointed with is

A) highly rated by A.M. Best Company.
B) a member of the Insurance Guarantee Association.
C) an admitted insurer in the state of California.
D) fully authorized by certification to sell insurance.


3. All of the following are requirements of a contract EXCEPT

A) the parties to the contract must be legally competent.
B) there must be an offer and acceptance of the contract terms.
C) there must be equal consideration between the parties.
D) the contract must have a legal purpose.


4. According to the California Insurance Code, an "insurance broker" is

A) employed to assist an insurance agent in transacting insurance.
B) compensated for transacting insurance on behalf of another person with an insurer.
C) authorized by an insurer to transact insurance.
D) hired by an insured to give advice about insurance transactions.


5. All of the following are standard exclusions in individual disability income policies EXCEPT

A) self-inflicted injuries.
B) preexisting conditions.
C) accidental injuries.
D) active military duty.


Solutions:

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

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