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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Accident and Health — General Knowledge | ~68% | - Types of Health Insurance Policies
|
| Nevada Statutes, Rules and Regulations | ~32% | - General State Insurance Regulations
|
Insurance Licensing NV Accident and Health Sample Questions:
1. In Nevada, a producer or examining physician who knowingly and willfully makes a false statement on an application for insurance may be guilty of:
A) misrepresentation
B) twisting
C) fraud
D) coercion
2. A policyowner borrows money from the insurer using the cash value of a whole life policy as security. If the loan and accrued interest are unpaid when the insured dies, what is the usual result?
A) The cash value is transferred automatically to the beneficiary instead of the death benefit.
B) The beneficiary receives the full death benefit and the loan is forgiven.
C) The insurer cancels the policy immediately when the loan is made.
D) The death benefit is reduced by the outstanding loan and interest.
3. In a typical HMO arrangement, what is the primary role of the primary care provider?
A) To sell insurance policies to other patients
B) To determine the insurer's investment return
C) To guarantee that all out-of-network care is covered
D) To coordinate routine care and referrals under the plan's rules
4. 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) deny any claim on the basis of misrepresentation
B) increase the deductible to adjust for the occupational difference
C) adjust benefits to the amount the premium provides for the new occupation
D) increase the waiting period to adjust for the occupational difference
5. The maximum cost share for preventive screening from an in-network provider is:
A) 10%
B) 30%
C) 0%
D) 20%
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C |
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