InsNV_Health02 exam dumps

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: Aug 21, 2026

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Accident & Health – General Knowledge50%- 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 2: 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
                                                      Topic 3: Nevada Statutes and Codes Pertinent to Health Insurance Only14%- 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
                                                                  Topic 4: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- 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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            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


                                                                                                            2. In order for a health insurance producer to be an Exchange Enrollment Facilitator (EEF), the producer:

                                                                                                            A) must surrender the producer ' s license and apply for an Exchange Enrollment Facilitator license
                                                                                                            B) can offer advice to consumers resulting in the " steering " of the selection of coverage
                                                                                                            C) can receive both commission and compensation as a facilitator
                                                                                                            D) can receive commissions from the company in addition to the compensation as a facilitator


                                                                                                            3. A client needs a $250,000 death benefit for exactly 20 years to protect a home mortgage. The client wants the lowest practical initial premium and does not need cash-value accumulation. Which policy is most appropriate?

                                                                                                            A) Level term life insurance
                                                                                                            B) Variable life insurance
                                                                                                            C) Universal life insurance
                                                                                                            D) Whole life insurance


                                                                                                            4. A person insured under a policy of Long Term Care insurance issued pursuant to a direct response solicitation has how many days after delivery to return the policy for a full refund?

                                                                                                            A) Ten days
                                                                                                            B) Sixty days
                                                                                                            C) Forty-five days
                                                                                                            D) Thirty days


                                                                                                            5. Which rider allows a terminally ill insured to receive part of the death benefit while still alive, subject to the policy terms?

                                                                                                            A) Guaranteed insurability rider
                                                                                                            B) Accelerated death benefit rider
                                                                                                            C) Payor benefit rider
                                                                                                            D) Accidental death rider


                                                                                                            Solutions:

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

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