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

SectionWeightObjectives
General Insurance Concepts10%- Insurance contract law and elements
- Basic insurance principles and terminology
- Insurance marketplace and regulation overview
Life Insurance35%- Group life insurance
- Beneficiary designations and settlement options
- Types of life insurance policies
- Policy provisions, riders, and options
Annuities and Retirement Plans10%- Tax treatment and suitability
- Fixed and variable annuities
- Immediate and deferred annuities
Health Insurance25%- Medical expense and major medical plans
- Disability income insurance
- Medicare and Medicare supplements
- Long-term care insurance
- Health policy provisions and exclusions
California Insurance Code & Ethics20%- Ethical standards and anti-fraud provisions
- Policy delivery and replacement rules
- Unfair trade practices
- State regulations and licensing rules

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

1. All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT

A) Members pay higher monthly fees when out-of-network providers are utilized.
B) Out-of-pocket expenses are limited as long as the network is utilized.
C) Members receive care from providers in the HMO network.
D) Members pay fixed monthly fees to the HMO.


2. If a term life insurance policy is renewable, the renewal provision usually states that

A) evidence of insurability is required at the time renewal is requested.
B) a higher premium is payable at each renewal.
C) the policy can be renewed at any time, regardless of the insured's age.
D) the policy cash value increases at each renewal.


3. It representation in an insurance contract qualifies as which of the following?

A) An amendment.
B) An express warranty.
C) A policy provision.
D) An implied warranty.


4. In long-term care policies, which of the following is an activity of daily living?

A) Working
B) Breathing
C) Bathing
D) Driving


5. Under PPACA, what is a health benefits exchange?

A) 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.
B) A health benefits exchange is created by health insurers to allow individuals to access benefits in other insurers' plans.
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 low-income individuals can access public health care programs.


Solutions:

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

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