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Insurance Licensing InsNV_Health02 Value Package

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Exam Code: InsNV_Health02
Exam Name: NV Accident and Health
No. of Questions: 132 Questions and Answers
Updated: Oct 10, 2026

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance	20%	- Nevada Life and Health Insurance Guaranty Association - Definitions 1. Premiums 2. Cost-sharing 3. Transacting insurance 4. Insurer 5. Certificate of authority 6. Domestic, foreign, and alien 7. Authorized and unauthorized - Marketing Practices 1. Fiduciary responsibilities 2. Silver State Health Insurance Exchange 3. Commissions and payment restrictions 4. Affordable Care Act 5. Unfair practices Unfair claims methods and practices and settlement of claims Rebating and inducement Twisting Misrepresentation Fraud Unfair discrimination Defamation 6. Required records and record retention - Insurance Commissioner 1. Examinations 2. Notice and hearings and penalties 3. General powers and duties - Licensing 1. Renewal and continuing education 2. Persons required to be licensed 3. Termination of license 4. Suspension, revocation, and refusal of license 5. Obtaining a license 6. Name of licensee
Topic 2: Accident & Health – General Knowledge	50%	- 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. 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. Riders Impairment and exclusions Guaranteed insurability Future increase option - 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. Group insurance Differences between individual and group contracts General characteristics COBRA 4. Accidental death and dismemberment 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. Other policies Dental Vision Cancer Critical illness or specified disease Worksite employer-sponsored Hospital indemnity Short-term medical Accident - Field Underwriting Procedures 1. Initial premium payment and receipt 2. Policy delivery 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. Completing the application 7. Explaining policy provisions, riders, exclusions, and ratings 8. Replacement - Social Insurance 1. Social Security benefits 2. Medicare Parts A, B, C, and D 3. Medicaid - Other Insurance Concepts 1. Cost containment 2. Occupational vs. non-occupational 3. Workers Compensation 4. Dependent children benefits 5. Managed care 6. Modes of premium payments 7. Primary and contingent beneficiaries 8. Owner's rights 9. Total, partial, recurrent, and residual disability 10. Subrogation 11. Tax treatment of premiums and proceeds of insurance contracts 12. Nonduplication and coordination of benefits
Topic 3: Nevada Statutes and Codes Common to Life and Health Insurance Only	4%	- Credit life and health insurance - Advertising - Group life and health insurance 1. Eligible groups 2. Required provisions
Topic 4: Nevada Statutes and Codes Pertinent to Health Insurance Only	14%	- Medicare 1. Prescription Drug Plan 2. Medicare Advantage Plans 3. Medicare supplement regulation - Mandatory policy clauses and provisions 1. Coverage for physical handicap or intellectual disability for dependent children 2. Coverage for preventive healthcare services 3. Coverage for newborn children - Coverage for reconstructive surgery - Hospice care - Long Term Care - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse

Insurance Licensing NV Accident and Health Sample Questions:

Question #1

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

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

Reveal Solution Discussion 0

Correct Answer: A 🗳️