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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

1. Which of the following coverages is NOT one of the three traditional benefits of a group basic medical expense plan?

A) Private nursing expense.
B) Physician's visit expense.
C) Hospital expense.
D) Surgical expense.

2. All of the following qualify as "background information" as defined in Section 1729.2 of the California Insurance Code, EXCEPT

A) a misdemeanor or felony conviction or a filing of felony criminal charges in state or federal court.
B) misdemeanor charges filed, not resulting in a conviction.
C) an administrative action regarding a professional or occupational license.
D) any admission, or judicial finding or determination, of fraud, misappropriation or conversion of funds, misrepresentation, or breach of fiduciary duty.

3. Health Insurance Counseling and Advocacy Program (HICAP) counselors can do all of the following EXCEPT

A) assist in medical record keeping.
B) explain Medicare supplement coverages.
C) charge for their services.
D) help evaluate policies.

4. All of the following are characteristics of adverse selection EXCEPT

A) poor underwriting results may occur if too many of the applicants accepted for insurance are those most likely to incur serious losses.
B) people with the greatest probability of loss are the ones most likely to buy insurance.
C) it normally occurs if the premium is low relative to the loss exposure.
D) insurance companies cannot discriminate against applicants who have a higher probability of loss.

5. Medicare Part B pays for

A) hospice care.
B) prescription drugs.
C) the first 60 days of hospitalization.
D) physicians' services.

Solutions: