Insurance Licensing InsNV_Health02 Valid Q&A - in .pdf

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  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 16, 2026
  • Q & A: 132 Questions and Answers
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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Definitions
  • 1. Transacting insurance
    • 2. Domestic, foreign, and alien
      • 3. Certificate of authority
        • 4. Cost-sharing
          • 5. Premiums
            • 6. Authorized and unauthorized
              • 7. Insurer
                - Insurance Commissioner
                • 1. General powers and duties
                  • 2. Notice and hearings and penalties
                    • 3. Examinations
                      - Nevada Life and Health Insurance Guaranty Association
                      - Marketing Practices
                      • 1. Required records and record retention
                        • 2. Silver State Health Insurance Exchange
                          • 3. Unfair practices
                            • Unfair claims methods and practices and settlement of claims
                            • Rebating and inducement
                            • Twisting
                            • Misrepresentation
                            • Fraud
                            • Unfair discrimination
                            • Defamation
                          • 4. Fiduciary responsibilities
                            • 5. Commissions and payment restrictions
                              • 6. Affordable Care Act
                                - Licensing
                                • 1. Suspension, revocation, and refusal of license
                                  • 2. Persons required to be licensed
                                    • 3. Termination of license
                                      • 4. Renewal and continuing education
                                        • 5. Name of licensee
                                          • 6. Obtaining a license
                                            Accident & Health – General Knowledge50%- Social Insurance
                                            • 1. Medicare Parts A, B, C, and D
                                              • 2. Social Security benefits
                                                • 3. Medicaid
                                                  - Policy Provisions, Clauses, and Riders
                                                  • 1. Rights of renewability
                                                    • Noncancelable
                                                    • Cancelable
                                                    • Guaranteed renewable
                                                  • 2. Other provisions and clauses
                                                    • Insuring clause
                                                    • Free look
                                                    • Consideration clause
                                                    • Probationary period
                                                    • Elimination period
                                                    • Waiver of premium
                                                    • Exclusions and limitations
                                                    • Preexisting conditions
                                                    • Coinsurance
                                                    • Deductibles
                                                    • Eligible expenses
                                                    • Copayments
                                                    • Pre-authorizations and prior approval requirements
                                                    • Usual, reasonable, and customary charges
                                                    • Lifetime, annual, or per cause maximum benefit limits
                                                  • 3. Riders
                                                    • Impairment and exclusions
                                                    • Guaranteed insurability
                                                    • Future increase option
                                                  • 4. Mandatory and optional provisions
                                                    • Entire contract
                                                    • Time limit on certain defenses
                                                    • Grace period
                                                    • Reinstatement
                                                    • Notice of claim
                                                    • Claim forms
                                                    • Proof of loss
                                                    • Time of payment of claims
                                                    • Payment of claims
                                                    • Physical examination and autopsy
                                                    • Legal actions
                                                    • Change of beneficiary
                                                    • Misstatement of age or gender
                                                    • Change of occupation
                                                    • Illegal occupation
                                                    • Relation of earnings to insurance
                                                  - Other Insurance Concepts
                                                  • 1. Occupational vs. non-occupational
                                                    • 2. Workers Compensation
                                                      • 3. Managed care
                                                        • 4. Subrogation
                                                          • 5. Nonduplication and coordination of benefits
                                                            • 6. Total, partial, recurrent, and residual disability
                                                              • 7. Cost containment
                                                                • 8. Dependent children benefits
                                                                  • 9. Tax treatment of premiums and proceeds of insurance contracts
                                                                    • 10. Primary and contingent beneficiaries
                                                                      • 11. Modes of premium payments
                                                                        • 12. Owner's rights
                                                                          - Field Underwriting Procedures
                                                                          • 1. Submitting application and initial premium to company for underwriting
                                                                            • 2. Replacement
                                                                              • 3. Completing the application
                                                                                • 4. Policy delivery
                                                                                  • 5. Sources of insurability and HIPAA privacy information
                                                                                    • 6. Explaining policy provisions, riders, exclusions, and ratings
                                                                                      • 7. Initial premium payment and receipt
                                                                                        • 8. Contract law
                                                                                          • Elements of a contract
                                                                                          • Insurable interest
                                                                                          • Warranties and representations
                                                                                          • Unique aspects of the insurance contract
                                                                                        - Types of Policies
                                                                                        • 1. Accidental death and dismemberment
                                                                                          • 2. Individual and Group Long Term Care
                                                                                            • Eligibility
                                                                                            • Levels of care
                                                                                          • 3. Other policies
                                                                                            • Dental
                                                                                            • Vision
                                                                                            • Cancer
                                                                                            • Critical illness or specified disease
                                                                                            • Worksite employer-sponsored
                                                                                            • Hospital indemnity
                                                                                            • Short-term medical
                                                                                            • Accident
                                                                                          • 4. Disability income
                                                                                            • Individual disability income policy
                                                                                            • Business overhead expense policy
                                                                                            • Business disability buyout policy
                                                                                            • Group disability income policy
                                                                                            • Key employee policy
                                                                                          • 5. Medical expense insurance
                                                                                            • Basic hospital, medical, and surgical policies
                                                                                            • Major medical policies
                                                                                            • Health Maintenance Organizations
                                                                                            • Preferred Provider Organizations
                                                                                            • Point of Service plans
                                                                                            • Flexible Spending Accounts
                                                                                            • High Deductible Health Plans and Health Savings Accounts
                                                                                            • Health Reimbursement Accounts
                                                                                          • 6. Medicare supplement policies
                                                                                            • 7. Group insurance
                                                                                              • Differences between individual and group contracts
                                                                                              • General characteristics
                                                                                              • COBRA
                                                                                            Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Medicare
                                                                                            • 1. Medicare supplement regulation
                                                                                              • 2. Medicare Advantage Plans
                                                                                                • 3. Prescription Drug Plan
                                                                                                  - Coverage for reconstructive surgery
                                                                                                  - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                                                                  - Hospice care
                                                                                                  - Long Term Care
                                                                                                  - Mandatory policy clauses and provisions
                                                                                                  • 1. Coverage for preventive healthcare services
                                                                                                    • 2. Coverage for newborn children
                                                                                                      • 3. Coverage for physical handicap or intellectual disability for dependent children
                                                                                                        Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Group life and health insurance
                                                                                                        • 1. Required provisions
                                                                                                          • 2. Eligible groups
                                                                                                            - Credit life and health insurance
                                                                                                            - Advertising

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. A producer offers a prospective life insurance applicant a gift card that is not stated in the policy as an inducement to purchase coverage. Which prohibited practice is most directly implicated?

                                                                                                            A) Assignment
                                                                                                            B) Rebating
                                                                                                            C) Coinsurance
                                                                                                            D) Subrogation


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


                                                                                                            3. A producer who makes misleading policy comparisons for the purpose of inducing an insured to surrender an existing policy is guilty of:

                                                                                                            A) twisting
                                                                                                            B) coercion
                                                                                                            C) rebating
                                                                                                            D) defamation


                                                                                                            4. A $100,000 group Accidental Death and Dismemberment policy will pay double indemnity if the insured dies in a commercial airplane crash. If the insured is killed when flying to a business meeting on a commercial flight, the policy will pay a MAXIMUM of:

                                                                                                            A) $300,000
                                                                                                            B) $0
                                                                                                            C) $100,000
                                                                                                            D) $200,000


                                                                                                            5. Which of the following persons is NOT required to be licensed by the Nevada Insurance Commissioner?

                                                                                                            A) An adjuster's employee who assists in the investigation and settlement of insurance claims
                                                                                                            B) A person who procures insurance for an insured
                                                                                                            C) A salaried insurance agency clerk who also receives commissions on applications the clerk processes
                                                                                                            D) A salaried insurance company employee who performs clerical and administrative work


                                                                                                            Solutions:

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

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