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Insurance Licensing InsNV_Health02

InsNV_Health02

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Aug 20, 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
- Marketing Practices
  • 1. Unfair practices
    • Unfair claims methods and practices and settlement of claims
    • Rebating and inducement
    • Twisting
    • Misrepresentation
    • Fraud
    • Unfair discrimination
    • Defamation
  • 2. Fiduciary responsibilities
    • 3. Silver State Health Insurance Exchange
      • 4. Required records and record retention
        • 5. Affordable Care Act
          • 6. Commissions and payment restrictions
            - Insurance Commissioner
            • 1. Examinations
              • 2. Notice and hearings and penalties
                • 3. General powers and duties
                  - Licensing
                  • 1. Name of licensee
                    • 2. Termination of license
                      • 3. Suspension, revocation, and refusal of license
                        • 4. Persons required to be licensed
                          • 5. Obtaining a license
                            • 6. Renewal and continuing education
                              - Definitions
                              • 1. Cost-sharing
                                • 2. Insurer
                                  • 3. Domestic, foreign, and alien
                                    • 4. Certificate of authority
                                      • 5. Authorized and unauthorized
                                        • 6. Transacting insurance
                                          • 7. Premiums
                                            Accident & Health – General Knowledge50%- Other Insurance Concepts
                                            • 1. Cost containment
                                              • 2. Primary and contingent beneficiaries
                                                • 3. Owner's rights
                                                  • 4. Occupational vs. non-occupational
                                                    • 5. Total, partial, recurrent, and residual disability
                                                      • 6. Dependent children benefits
                                                        • 7. Nonduplication and coordination of benefits
                                                          • 8. Managed care
                                                            • 9. Modes of premium payments
                                                              • 10. Workers Compensation
                                                                • 11. Subrogation
                                                                  • 12. Tax treatment of premiums and proceeds of insurance contracts
                                                                    - Types of Policies
                                                                    • 1. Accidental death and dismemberment
                                                                      • 2. Other policies
                                                                        • Dental
                                                                        • Vision
                                                                        • Cancer
                                                                        • Critical illness or specified disease
                                                                        • Worksite employer-sponsored
                                                                        • Hospital indemnity
                                                                        • Short-term medical
                                                                        • Accident
                                                                      • 3. 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
                                                                      • 4. Group insurance
                                                                        • Differences between individual and group contracts
                                                                        • General characteristics
                                                                        • COBRA
                                                                      • 5. Medicare supplement policies
                                                                        • 6. Disability income
                                                                          • Individual disability income policy
                                                                          • Business overhead expense policy
                                                                          • Business disability buyout policy
                                                                          • Group disability income policy
                                                                          • Key employee policy
                                                                        • 7. Individual and Group Long Term Care
                                                                          • Eligibility
                                                                          • Levels of care
                                                                        - 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. Riders
                                                                          • Impairment and exclusions
                                                                          • Guaranteed insurability
                                                                          • Future increase option
                                                                        • 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. Rights of renewability
                                                                          • Noncancelable
                                                                          • Cancelable
                                                                          • Guaranteed renewable
                                                                        - Field Underwriting Procedures
                                                                        • 1. Contract law
                                                                          • Elements of a contract
                                                                          • Insurable interest
                                                                          • Warranties and representations
                                                                          • Unique aspects of the insurance contract
                                                                        • 2. Policy delivery
                                                                          • 3. Submitting application and initial premium to company for underwriting
                                                                            • 4. Sources of insurability and HIPAA privacy information
                                                                              • 5. Completing the application
                                                                                • 6. Replacement
                                                                                  • 7. Initial premium payment and receipt
                                                                                    • 8. Explaining policy provisions, riders, exclusions, and ratings
                                                                                      - Social Insurance
                                                                                      • 1. Medicaid
                                                                                        • 2. Social Security benefits
                                                                                          • 3. Medicare Parts A, B, C, and D
                                                                                            Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Medicare
                                                                                            • 1. Medicare supplement regulation
                                                                                              • 2. Prescription Drug Plan
                                                                                                • 3. Medicare Advantage Plans
                                                                                                  - Coverage for reconstructive surgery
                                                                                                  - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                                                                  - Hospice care
                                                                                                  - Long Term 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
                                                                                                        Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Credit life and health insurance
                                                                                                        - Advertising
                                                                                                        - Group life and health insurance
                                                                                                        • 1. Eligible groups
                                                                                                          • 2. Required provisions

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. Under a Gold health insurance plan, an insurer would be expected to pay which percentage of medical costs?

                                                                                                            A) 60%
                                                                                                            B) 90%
                                                                                                            C) 80%
                                                                                                            D) 70%


                                                                                                            2. A Long-Term Care policy provides coverage for:

                                                                                                            A) hospital expenses
                                                                                                            B) medical expenses
                                                                                                            C) Medicare Supplement coverage
                                                                                                            D) custodial care in a nursing home


                                                                                                            3. The Nevada Life and Health Insurance Guaranty Association is financed by which of the following methods?

                                                                                                            A) Assessing insureds
                                                                                                            B) Assessing member insurance companies
                                                                                                            C) Assessing a premium tax
                                                                                                            D) Assessing agent association members


                                                                                                            4. An insured who wants to guarantee that an Accident and Health policy will remain in force even in the event of being disabled should purchase which of the following riders?

                                                                                                            A) Double Indemnity
                                                                                                            B) Waiver of Premium
                                                                                                            C) Guaranteed Insurability
                                                                                                            D) Accidental Death and Dismemberment (AD & D)


                                                                                                            5. A prospect submits an Accident and Health application with the premium and receives a conditional receipt.
                                                                                                            The insurance company issues a policy and mails it to the insured, but the insured never receives it. Which of the following statements is CORRECT about this situation?

                                                                                                            A) The policy will be in force five business days after the prospect notifies the company that the prospect has not received the policy.
                                                                                                            B) The policy is in force.
                                                                                                            C) The policy is not in force because delivery was not completed.
                                                                                                            D) The policy will be in force as soon as the company issues a replacement policy.


                                                                                                            Solutions:

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

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