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Insurance Licensing NV Accident and Health - InsNV_Health02 real prep

InsNV_Health02
  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 18, 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. Authorized and unauthorized
      • 3. Insurer
        • 4. Cost-sharing
          • 5. Certificate of authority
            • 6. Premiums
              • 7. Domestic, foreign, and alien
                - Licensing
                • 1. Persons required to be licensed
                  • 2. Name of licensee
                    • 3. Termination of license
                      • 4. Suspension, revocation, and refusal of license
                        • 5. Renewal and continuing education
                          • 6. Obtaining a license
                            - Marketing Practices
                            • 1. Commissions and payment restrictions
                              • 2. Silver State Health Insurance Exchange
                                • 3. Fiduciary responsibilities
                                  • 4. Unfair practices
                                    • Unfair claims methods and practices and settlement of claims
                                    • Rebating and inducement
                                    • Twisting
                                    • Misrepresentation
                                    • Fraud
                                    • Unfair discrimination
                                    • Defamation
                                  • 5. Affordable Care Act
                                    • 6. Required records and record retention
                                      - Nevada Life and Health Insurance Guaranty Association
                                      - Insurance Commissioner
                                      • 1. Examinations
                                        • 2. Notice and hearings and penalties
                                          • 3. General powers and duties
                                            Accident & Health – General Knowledge50%- Types of Policies
                                            • 1. 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
                                            • 2. Individual and Group Long Term Care
                                              • Eligibility
                                              • Levels of care
                                            • 3. Disability income
                                              • Individual disability income policy
                                              • Business overhead expense policy
                                              • Business disability buyout policy
                                              • Group disability income policy
                                              • Key employee policy
                                            • 4. Group insurance
                                              • Differences between individual and group contracts
                                              • General characteristics
                                              • COBRA
                                            • 5. Accidental death and dismemberment
                                              • 6. Other policies
                                                • Dental
                                                • Vision
                                                • Cancer
                                                • Critical illness or specified disease
                                                • Worksite employer-sponsored
                                                • Hospital indemnity
                                                • Short-term medical
                                                • Accident
                                              • 7. Medicare supplement policies
                                                - Social Insurance
                                                • 1. Medicare Parts A, B, C, and D
                                                  • 2. Social Security benefits
                                                    • 3. Medicaid
                                                      - Field Underwriting Procedures
                                                      • 1. Submitting application and initial premium to company for underwriting
                                                        • 2. Replacement
                                                          • 3. Sources of insurability and HIPAA privacy information
                                                            • 4. Contract law
                                                              • Elements of a contract
                                                              • Insurable interest
                                                              • Warranties and representations
                                                              • Unique aspects of the insurance contract
                                                            • 5. Policy delivery
                                                              • 6. Initial premium payment and receipt
                                                                • 7. Explaining policy provisions, riders, exclusions, and ratings
                                                                  • 8. Completing the application
                                                                    - Other Insurance Concepts
                                                                    • 1. Workers Compensation
                                                                      • 2. Modes of premium payments
                                                                        • 3. Managed care
                                                                          • 4. Primary and contingent beneficiaries
                                                                            • 5. Cost containment
                                                                              • 6. Occupational vs. non-occupational
                                                                                • 7. Total, partial, recurrent, and residual disability
                                                                                  • 8. Tax treatment of premiums and proceeds of insurance contracts
                                                                                    • 9. Subrogation
                                                                                      • 10. Dependent children benefits
                                                                                        • 11. Owner's rights
                                                                                          • 12. Nonduplication and coordination of benefits
                                                                                            - Policy Provisions, Clauses, and Riders
                                                                                            • 1. 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
                                                                                            • 2. Riders
                                                                                              • Impairment and exclusions
                                                                                              • Guaranteed insurability
                                                                                              • Future increase option
                                                                                            • 3. 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
                                                                                            • 4. Rights of renewability
                                                                                              • Noncancelable
                                                                                              • Cancelable
                                                                                              • Guaranteed renewable
                                                                                            Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Medicare
                                                                                            • 1. Medicare supplement regulation
                                                                                              • 2. Medicare Advantage Plans
                                                                                                • 3. Prescription Drug Plan
                                                                                                  - 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
                                                                                                        - Coverage for reconstructive surgery
                                                                                                        - Long Term Care
                                                                                                        - Hospice care
                                                                                                        - 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%- Credit life and health insurance
                                                                                                        - Advertising
                                                                                                        - Group life and health insurance
                                                                                                        • 1. Required provisions
                                                                                                          • 2. Eligible groups

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. When must insurable interest generally exist in a life insurance transaction?

                                                                                                            A) Only when the beneficiary is changed
                                                                                                            B) Only when the death benefit is paid
                                                                                                            C) Only after the policy has been in force for two years
                                                                                                            D) At the time the policy is issued


                                                                                                            2. An insured who owns a Disability Income policy forgot to pay the premium due on July 1. If the insured files a disability claim on July 31, the insurance company will MOST likely:

                                                                                                            A) reinstate the policy and then pay the claim
                                                                                                            B) deny the claim
                                                                                                            C) cancel the policy and return all premiums paid
                                                                                                            D) pay the claim but deduct the unpaid premium


                                                                                                            3. Which of the following statements is CORRECT about the Medicaid program?

                                                                                                            A) It is supplemented by Medicare for persons 62 years of age or older.
                                                                                                            B) Participants must be at least 55 years of age.
                                                                                                            C) The program is administered at the federal level.
                                                                                                            D) It provides medical assistance for participants who are blind.


                                                                                                            4. An applicant submits the first premium with a life insurance application and receives a conditional receipt.
                                                                                                            When does coverage generally become effective?

                                                                                                            A) Only when the producer promises that coverage exists
                                                                                                            B) Only after the policy has been in force for two years
                                                                                                            C) Immediately, regardless of the applicant's insurability
                                                                                                            D) When the conditions in the receipt are met, including required insurability


                                                                                                            5. The maximum cost share for preventive screening from an in-network provider is:

                                                                                                            A) 10%
                                                                                                            B) 0%
                                                                                                            C) 30%
                                                                                                            D) 20%


                                                                                                            Solutions:

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

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