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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| General Insurance Concepts | 10% | - Insurance marketplace and regulation overview - Insurance contract law and elements - Basic insurance principles and terminology |
| Health Insurance | 25% | - Disability income insurance - Medical expense and major medical plans - Long-term care insurance - Medicare and Medicare supplements - Health policy provisions and exclusions |
| Annuities and Retirement Plans | 10% | - Immediate and deferred annuities - Tax treatment and suitability - Fixed and variable annuities |
| California Insurance Code & Ethics | 20% | - Unfair trade practices - State regulations and licensing rules - Ethical standards and anti-fraud provisions - Policy delivery and replacement rules |
| Life Insurance | 35% | - Beneficiary designations and settlement options - Group life insurance - Policy provisions, riders, and options - Types of life insurance policies |
California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:
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. 70%
- B. 85%
- C. 75%
- D. 80%
Correct Answer: D 🗳️
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A situation in which there is a possibility of a loss or a gain is a
- A. particular risk.
- B. speculative risk.
- C. pure risk.
- D. fundamental risk.
Correct Answer: B 🗳️
Explanation: Only visible for TestValid members. You can sign-up / login (it's free).
What Medicare coverage automatically begins at age 65?
- A. Part A
- B. Part C
- C. Part B
- D. Part D
Correct Answer: A 🗳️
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Which statement about Medicare is NOT correct?
- A. Medicare Part B covers physician services.
- B. Medicare is a federal health insurance program.
- C. Medicare Part C covers long-term care.
- D. Medicare Part A covers hospital care.
Correct Answer: C 🗳️
Explanation: Only visible for TestValid members. You can sign-up / login (it's free).
Under PPACA, what is a health benefits exchange?
- A. A health benefits exchange is created by health insurers to allow individuals to access benefits in other insurers' plans.
- B. PPACA creates new entities called American Health Benefits Exchanges through which low-income individuals can access public health care programs.
- C. A health benefits exchange is created by employers to relieve them of having to provide health benefits to employees.
- D. PPACA creates new entities called American Health Benefits Exchanges through which individuals, small businesses, and those who do not have access to affordable employer coverage, can purchase coverage.
Correct Answer: B 🗳️
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