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Insurance Licensing InsNV_Health02 real answers - NV Accident and Health

InsNV_Health02
  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 19, 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%- Nevada Life and Health Insurance Guaranty Association
- Insurance Commissioner
  • 1. Notice and hearings and penalties
    • 2. General powers and duties
      • 3. Examinations
        - Licensing
        • 1. Obtaining a license
          • 2. Suspension, revocation, and refusal of license
            • 3. Termination of license
              • 4. Name of licensee
                • 5. Renewal and continuing education
                  • 6. Persons required to be licensed
                    - Marketing Practices
                    • 1. Silver State Health Insurance Exchange
                      • 2. Fiduciary responsibilities
                        • 3. Commissions and payment restrictions
                          • 4. Unfair practices
                            • Unfair claims methods and practices and settlement of claims
                            • Rebating and inducement
                            • Twisting
                            • Misrepresentation
                            • Fraud
                            • Unfair discrimination
                            • Defamation
                          • 5. Required records and record retention
                            • 6. Affordable Care Act
                              - Definitions
                              • 1. Transacting insurance
                                • 2. Premiums
                                  • 3. Domestic, foreign, and alien
                                    • 4. Insurer
                                      • 5. Certificate of authority
                                        • 6. Authorized and unauthorized
                                          • 7. Cost-sharing
                                            Accident & Health – General Knowledge50%- Field Underwriting Procedures
                                            • 1. Submitting application and initial premium to company for underwriting
                                              • 2. Completing the application
                                                • 3. Policy delivery
                                                  • 4. Explaining policy provisions, riders, exclusions, and ratings
                                                    • 5. Initial premium payment and receipt
                                                      • 6. Sources of insurability and HIPAA privacy information
                                                        • 7. Replacement
                                                          • 8. Contract law
                                                            • Elements of a contract
                                                            • Insurable interest
                                                            • Warranties and representations
                                                            • Unique aspects of the insurance contract
                                                          - Social Insurance
                                                          • 1. Medicaid
                                                            • 2. Medicare Parts A, B, C, and D
                                                              • 3. Social Security benefits
                                                                - Other Insurance Concepts
                                                                • 1. Managed care
                                                                  • 2. Primary and contingent beneficiaries
                                                                    • 3. Workers Compensation
                                                                      • 4. Nonduplication and coordination of benefits
                                                                        • 5. Cost containment
                                                                          • 6. Total, partial, recurrent, and residual disability
                                                                            • 7. Occupational vs. non-occupational
                                                                              • 8. Owner's rights
                                                                                • 9. Tax treatment of premiums and proceeds of insurance contracts
                                                                                  • 10. Subrogation
                                                                                    • 11. Modes of premium payments
                                                                                      • 12. Dependent children benefits
                                                                                        - Policy Provisions, Clauses, and Riders
                                                                                        • 1. 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
                                                                                        • 2. Rights of renewability
                                                                                          • Noncancelable
                                                                                          • Cancelable
                                                                                          • Guaranteed renewable
                                                                                        • 3. 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
                                                                                        • 4. Riders
                                                                                          • Impairment and exclusions
                                                                                          • Guaranteed insurability
                                                                                          • Future increase option
                                                                                        - Types of Policies
                                                                                        • 1. Accidental death and dismemberment
                                                                                          • 2. Group insurance
                                                                                            • Differences between individual and group contracts
                                                                                            • General characteristics
                                                                                            • COBRA
                                                                                          • 3. Other policies
                                                                                            • Dental
                                                                                            • Vision
                                                                                            • Cancer
                                                                                            • Critical illness or specified disease
                                                                                            • Worksite employer-sponsored
                                                                                            • Hospital indemnity
                                                                                            • Short-term medical
                                                                                            • Accident
                                                                                          • 4. Individual and Group Long Term Care
                                                                                            • Eligibility
                                                                                            • Levels of care
                                                                                          • 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. Disability income
                                                                                            • Individual disability income policy
                                                                                            • Business overhead expense policy
                                                                                            • Business disability buyout policy
                                                                                            • Group disability income policy
                                                                                            • Key employee policy
                                                                                          • 7. Medicare supplement policies
                                                                                            Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Long Term Care
                                                                                            - Hospice care
                                                                                            - Mandatory policy clauses and provisions
                                                                                            • 1. Coverage for physical handicap or intellectual disability for dependent children
                                                                                              • 2. Coverage for newborn children
                                                                                                • 3. Coverage for preventive healthcare services
                                                                                                  - Medicare
                                                                                                  • 1. Prescription Drug Plan
                                                                                                    • 2. Medicare Advantage Plans
                                                                                                      • 3. Medicare supplement regulation
                                                                                                        - Coverage for reconstructive surgery
                                                                                                        - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                                                                        Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Advertising
                                                                                                        - Credit life and health insurance
                                                                                                        - Group life and health insurance
                                                                                                        • 1. Eligible groups
                                                                                                          • 2. Required provisions

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. Which of the following situations describes a representation?

                                                                                                            A) A prospect ' s statement on an application that is held to be absolutely true
                                                                                                            B) An insurance company guarantees that policy benefits will be paid promptly on receipt of a Proof of Loss
                                                                                                            C) A prospect ' s statement on an application that is held to be substantially true
                                                                                                            D) An insurance company guarantees that premiums paid will be refunded within 30 days after the policy ' s effective date if an insured is dissatisfied with the policy


                                                                                                            2. Which statement best describes Medicare Part B?

                                                                                                            A) It is medical insurance and generally requires enrollment and a monthly premium.
                                                                                                            B) It is automatic for every person at age 55.
                                                                                                            C) It is Medicaid coverage for low-income individuals.
                                                                                                            D) It provides only outpatient prescription-drug benefits.


                                                                                                            3. As a condition to granting a loan, a creditor can:

                                                                                                            A) accept assignment from an existing policy
                                                                                                            B) require insurance coverage through a specific insurer
                                                                                                            C) require insurance in an amount greater than the debt
                                                                                                            D) assess a higher interest rate if insurance is not purchased


                                                                                                            4. A consumer wishes to purchase an insurance policy that covers pre-existing illnesses. The consumer contacted the producer who informed the consumer:

                                                                                                            A) there are some health insurance plans that cover pre-existing conditions with a surcharge
                                                                                                            B) there are no out-of-pocket fees for persons with pre-existing conditions
                                                                                                            C) there are no plans that cover pre-existing conditions
                                                                                                            D) the consumer ' s pre-existing condition will not stop the consumer from enrolling in a Qualified Health Plan (QHP) on the Exchange


                                                                                                            5. Group vision insurance plans typically provide insurance benefits that cover the cost of:

                                                                                                            A) eye exams, lenses, frames, and contact lenses
                                                                                                            B) laser surgery, eye exams, lenses
                                                                                                            C) cataract removal, frames, lenses
                                                                                                            D) eye exams, lenses, retinal corrective surgery


                                                                                                            Solutions:

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

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