Insurance Licensing NV Accident and Health : InsNV_Health02

InsNV_Health02 pass collection

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Aug 18, 2026

Q & A: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. Which policy is designed to pay benefits upon diagnosis or treatment of a specifically named illness, such as cancer?

                                                                                                            A) Credit disability insurance
                                                                                                            B) Major medical insurance
                                                                                                            C) Group term life insurance
                                                                                                            D) Specified disease insurance


                                                                                                            2. In Nevada, a producer or examining physician who knowingly and willfully makes a false statement on an application for insurance may be guilty of:

                                                                                                            A) coercion
                                                                                                            B) twisting
                                                                                                            C) fraud
                                                                                                            D) misrepresentation


                                                                                                            3. Insurance for the primary purpose of repaying a loan in the event of disability is referred to as:

                                                                                                            A) Guaranteed Asset Protection policy
                                                                                                            B) Credit Life and Major Medical policy
                                                                                                            C) Loan Repayment policy
                                                                                                            D) Credit Accident and Health policy


                                                                                                            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) Sixty days
                                                                                                            B) Forty-five days
                                                                                                            C) Ten 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) Accidental death rider
                                                                                                            B) Payor benefit rider
                                                                                                            C) Guaranteed insurability rider
                                                                                                            D) Accelerated death benefit rider


                                                                                                            Solutions:

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

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