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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Health Insurance | 25% | - Long-term care insurance - Medical expense and major medical plans - Health policy provisions and exclusions - Disability income insurance - Medicare and Medicare supplements |
| Topic 2: General Insurance Concepts | 10% | - Basic insurance principles and terminology - Insurance contract law and elements - Insurance marketplace and regulation overview |
| Topic 3: California Insurance Code & Ethics | 20% | - Ethical standards and anti-fraud provisions - Policy delivery and replacement rules - Unfair trade practices - State regulations and licensing rules |
| Topic 4: Life Insurance | 35% | - Beneficiary designations and settlement options - Group life insurance - Types of life insurance policies - Policy provisions, riders, and options |
| Topic 5: Annuities and Retirement Plans | 10% | - Immediate and deferred annuities - Tax treatment and suitability - Fixed and variable annuities |
California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:
During the grace period, when may an insurer terminate medical coverage?
- A. The insured receives care from a physician who is not in the plan's network.
- B. The insured is hospitalized without giving the insurer prior notification.
- C. Policies cannot be terminated during the grace period.
- D. The insured requests termination in writing.
Correct Answer: D 🗳️
Explanation: Only visible for CertkingdomPDF members. You can sign-up / login (it's free).
Policies covered under the California Life and Health Insurance Guarantee Association include all of the following EXCEPT
- A. deferred annuities.
- B. self-funded group life.
- C. individual health.
- D. disability income.
Correct Answer: B 🗳️
Explanation: Only visible for CertkingdomPDF members. You can sign-up / login (it's free).
Why is an injury caused by an accident at an employee's workplace excluded from individual healthinsurance coverage?
- A. It is covered by the state Workers' Compensation program.
- B. It is covered by the employer's group disability insurance plan.
- C. It is covered by the employer's group health insurance plan.
- D. It is covered by Social Security benefits.
Correct Answer: A 🗳️
Explanation: Only visible for CertkingdomPDF members. You can sign-up / login (it's free).
According to the California Insurance Code, an insurance policy must specify all of the following EXCEPT the
- A. financial rating of the insurer.
- B. policy period.
- C. risks insured against.
- D. property or life being insured.
Correct Answer: A 🗳️
Explanation: Only visible for CertkingdomPDF members. You can sign-up / login (it's free).
A contract of indemnity is one in which
- A. one party is restored to the same financial position the party was in before the loss occurred.
- B. one party must adhere to the agreements written by the other party.
- C. one party is obligated to assume the legal liability of another party.
- D. both parties are expected to act in complete honesty.
Correct Answer: A 🗳️
Explanation: Only visible for CertkingdomPDF members. You can sign-up / login (it's free).
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