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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Life Insurance Basics | 8% | - Factors in premium determination - Premiums - Insurable interest - Differences in life insurance policies - Licensee responsibilities - Individual underwriting by the insurer - Personal uses of life insurance - Business uses of life insurance - Determining amount of personal life insurance |
| Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health | 30% | - Penalties and offenses - Unfair trade practices - Agent conduct and trade practices - Licensing requirements - Pennsylvania Insurance Department |
| Group Health Insurance | - Group health insurance concepts - Group health insurance plans - Group health insurance provisions | |
| General Insurance | 6% | - Contracts - Concepts - Agents and general rules of agency - Insurers |
| Life Insurance Policies | 11% | - Specialized policies - Term life insurance - Group life insurance - Flexible premium policies - Whole life insurance |
| Annuities | - Annuity products - Annuity principles and concepts - Annuity taxation | |
| Individual Health Insurance Policy General Provisions | - Optional provisions - Other provisions - Uniform required provisions | |
| Health Insurance Basics | - Policy provisions and riders - Disability income insurance - Social insurance - Health insurance concepts - Medical expense insurance | |
| Insurance Regulation | 8% | - Federal regulation - Licensing - State regulation |
| Specialized Health Insurance for Qualified Individuals | - Medicaid - Long-term care insurance - Medicare - HIPAA |
Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:
1. Falsifying the terms, benefits, advantages, or conditions of an insurance policy is an example of which of the following?
A) Forgery
B) Concealment
C) Misrepresentation
D) Coercion
2. The group health insurance coordination of benefits provision is designed to provide
A) supplemental accident and dismemberment benefits.
B) supplemental dental and vision benefits.
C) as much insurance as possible while eliminating over-insurance.
D) a managed care program to control ongoing illnesses and diseases.
3. In Pennsylvania, when issuing a Medicare Supplement Policy, which form must be delivered to the applicant?
A) Policy Summary
B) Outline of Coverage
C) Company Brochure
D) Statement of Good Health
4. An individual who is NOT acceptable by an insurer at standard rates because of health, habits, or occupation is called a
A) standard risk.
B) preferred risk.
C) substandard risk.
D) rating risk.
5. Backdating on a life insurance policy is the practice of
A) making the policy effective on an earlier date than the present.
B) reinstating a lapsed policy.
C) accepting the premium after the expiration of the grace period.
D) excluding medical coverage for preexisting medical conditions.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: A |
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