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Insurance Licensing Nevada Insurance InsNV_Health02

InsNV_Health02

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Oct 11, 2026

Q & A: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Coverage for reconstructive surgery
- Medicare
  • 1. Medicare supplement regulation
    • 2. Prescription Drug Plan
      • 3. Medicare Advantage Plans
        - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
        - 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
              - Long Term Care
              Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Advertising
              - Group life and health insurance
              • 1. Eligible groups
                • 2. Required provisions
                  - Credit life and health insurance
                  Accident & Health – General Knowledge50%- Social Insurance
                  • 1. Social Security benefits
                    • 2. Medicaid
                      • 3. Medicare Parts A, B, C, and D
                        - Types of Policies
                        • 1. Accidental death and dismemberment
                          • 2. 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
                          • 3. Medicare supplement policies
                            • 4. Group insurance
                              • Differences between individual and group contracts
                              • General characteristics
                              • COBRA
                            • 5. Individual and Group Long Term Care
                              • Eligibility
                              • Levels of care
                            • 6. Other policies
                              • Dental
                              • Vision
                              • Cancer
                              • Critical illness or specified disease
                              • Worksite employer-sponsored
                              • Hospital indemnity
                              • Short-term medical
                              • Accident
                            • 7. Disability income
                              • Individual disability income policy
                              • Business overhead expense policy
                              • Business disability buyout policy
                              • Group disability income policy
                              • Key employee policy
                            - Other Insurance Concepts
                            • 1. Tax treatment of premiums and proceeds of insurance contracts
                              • 2. Dependent children benefits
                                • 3. Total, partial, recurrent, and residual disability
                                  • 4. Managed care
                                    • 5. Owner's rights
                                      • 6. Nonduplication and coordination of benefits
                                        • 7. Workers Compensation
                                          • 8. Primary and contingent beneficiaries
                                            • 9. Modes of premium payments
                                              • 10. Occupational vs. non-occupational
                                                • 11. Cost containment
                                                  • 12. Subrogation
                                                    - Field Underwriting Procedures
                                                    • 1. Replacement
                                                      • 2. Completing the application
                                                        • 3. Sources of insurability and HIPAA privacy information
                                                          • 4. Submitting application and initial premium to company for underwriting
                                                            • 5. Contract law
                                                              • Elements of a contract
                                                              • Insurable interest
                                                              • Warranties and representations
                                                              • Unique aspects of the insurance contract
                                                            • 6. Initial premium payment and receipt
                                                              • 7. Explaining policy provisions, riders, exclusions, and ratings
                                                                • 8. Policy delivery
                                                                  - Policy Provisions, Clauses, and Riders
                                                                  • 1. Rights of renewability
                                                                    • Noncancelable
                                                                    • Cancelable
                                                                    • Guaranteed renewable
                                                                  • 2. 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
                                                                  • 3. Riders
                                                                    • Impairment and exclusions
                                                                    • Guaranteed insurability
                                                                    • Future increase option
                                                                  • 4. 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
                                                                  Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Definitions
                                                                  • 1. Cost-sharing
                                                                    • 2. Authorized and unauthorized
                                                                      • 3. Certificate of authority
                                                                        • 4. Insurer
                                                                          • 5. Premiums
                                                                            • 6. Transacting insurance
                                                                              • 7. Domestic, foreign, and alien
                                                                                - Nevada Life and Health Insurance Guaranty Association
                                                                                - Licensing
                                                                                • 1. Suspension, revocation, and refusal of license
                                                                                  • 2. Renewal and continuing education
                                                                                    • 3. Persons required to be licensed
                                                                                      • 4. Obtaining a license
                                                                                        • 5. Termination of license
                                                                                          • 6. Name of licensee
                                                                                            - Insurance Commissioner
                                                                                            • 1. General powers and duties
                                                                                              • 2. Examinations
                                                                                                • 3. Notice and hearings and penalties
                                                                                                  - Marketing Practices
                                                                                                  • 1. Required records and record retention
                                                                                                    • 2. Silver State Health Insurance Exchange
                                                                                                      • 3. Fiduciary responsibilities
                                                                                                        • 4. Affordable Care Act
                                                                                                          • 5. Commissions and payment restrictions
                                                                                                            • 6. Unfair practices
                                                                                                              • Unfair claims methods and practices and settlement of claims
                                                                                                              • Rebating and inducement
                                                                                                              • Twisting
                                                                                                              • Misrepresentation
                                                                                                              • Fraud
                                                                                                              • Unfair discrimination
                                                                                                              • Defamation

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            Question #1
                                                                                                            The Nevada Insurance Commissioner may revoke the license of any licensed producer who:

                                                                                                            A. misappropriates monies belonging to policyholders
                                                                                                            B. is found liable by final judgment in a civil case
                                                                                                            C. fails to file an annual financial report with the Division of Insurance
                                                                                                            D. fails to notify the Commissioner of a change of address within forty-eight hours


                                                                                                            Question #2
                                                                                                            What is the principal purpose of Medicare supplement insurance?

                                                                                                            A. To help pay certain deductibles, coinsurance, and other gaps in Original Medicare
                                                                                                            B. To replace Medicare Part A and Part B entirely
                                                                                                            C. To provide Medicaid eligibility
                                                                                                            D. To pay only long-term custodial care


                                                                                                            Question #3
                                                                                                            Which of the following information is included in the Consideration clause in an Accident and Health policy?

                                                                                                            A. Explanation of the Contestable periods
                                                                                                            B. Description of the coverage provided
                                                                                                            C. Schedule and amount of premium payments
                                                                                                            D. Duration of the Grace Period


                                                                                                            Question #4
                                                                                                            When must insurable interest generally exist in a life insurance transaction?

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


                                                                                                            Question #5
                                                                                                            Which of the following BEST describes Medicare Advantage Plans?

                                                                                                            A. Government Subsidized private insurance
                                                                                                            B. Privately subsidized government insurance
                                                                                                            C. Federally funded welfare benefit plans
                                                                                                            D. Long-Term care benefits rider added to basic Medicare benefits


                                                                                                            Solutions:

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

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