Insurance Licensing InsNV_Health02 : NV Accident and Health

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

Insurance Licensing NV Accident and Health Sample Questions:

1. An insured who owns a Disability Income policy forgot to pay the premium due on July 1. If the insured files a disability claim on July 31, the insurance company will MOST likely:

A) cancel the policy and return all premiums paid
B) deny the claim
C) reinstate the policy and then pay the claim
D) pay the claim but deduct the unpaid premium

2. Which of the following statements is generally CORRECT about a major medical policy?

A) It contains more limitations than a Basic Hospital, Medical, or Surgical policy.
B) It contains a 30-day Elimination period for losses due to sickness.
C) It provides benefits for in-hospital expenses only, subject to policy limits.
D) It provides benefits for reasonable and necessary medical expenses, subject to policy limits.

3. Which statement best describes a preferred provider organization (PPO)?

A) It requires all care to be obtained only from government hospitals.
B) It has no deductible, coinsurance, or utilization-management features.
C) It generally provides greater benefits when members use participating providers but may allow nonnetwork care at a reduced benefit level.
D) It pays only a fixed daily hospital benefit.

4. Which of the following persons is NOT required to be licensed by the Nevada Insurance Commissioner?

A) A salaried insurance company employee who performs clerical and administrative work
B) A salaried insurance agency clerk who also receives commissions on applications the clerk processes
C) A person who procures insurance for an insured
D) An adjuster's employee who assists in the investigation and settlement of insurance claims

5. A life policy lapses because a premium was not paid. To reinstate the policy, the insurer will generally require all of the following EXCEPT:

A) Payment of overdue premiums with interest
B) A new medical examination in every case
C) Reinstatement within the policy's permitted time limit
D) Evidence of insurability

Solutions: