Insurance Licensing NV Accident and Health : InsNV_Health02

InsNV_Health02 real exams

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. An insurance company MUST take which of the following actions to terminate a producer ' s appointment?

                                                                                                            A) Send notice of the termination to the Insurance Commissioner
                                                                                                            B) Notify the producer of the termination at least thirty days before the effective date of termination
                                                                                                            C) Request a hearing before the Insurance Commissioner
                                                                                                            D) Request that the Division of Insurance cancel the producer ' s license


                                                                                                            2. Under an Accidental Death and Dismemberment policy, in which of the following circumstances will an autopsy NOT be performed?

                                                                                                            A) When the beneficiary refuses to give consent
                                                                                                            B) When the cause of death was an accident
                                                                                                            C) When it is prohibited by law
                                                                                                            D) When the cause of death was an illness


                                                                                                            3. Under federal law, a tax exempt Health Savings Account can only be opened for an individual who is:

                                                                                                            A) entitled to Medicare benefits
                                                                                                            B) covered by Long Term Care Insurance
                                                                                                            C) eligible to be claimed as a dependent on another person ' s tax return
                                                                                                            D) covered by a qualified High Deductible Health Plan


                                                                                                            4. Under a group health policy, which of the following coverages MUST be provided for newborn children?

                                                                                                            A) Congenital health defects
                                                                                                            B) Transportation costs from the hospital to the child ' s residence
                                                                                                            C) Genetic Testing
                                                                                                            D) Routine eye examinations


                                                                                                            5. In a typical HMO arrangement, what is the primary role of the primary care provider?

                                                                                                            A) To coordinate routine care and referrals under the plan's rules
                                                                                                            B) To determine the insurer's investment return
                                                                                                            C) To sell insurance policies to other patients
                                                                                                            D) To guarantee that all out-of-network care is covered


                                                                                                            Solutions:

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

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