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

  • Exam Code: CA-Life-Accident-and-Health
  • Exam Name: CA Life, Accident and Health or Sickness Examination
  • Updated: Jul 30, 2026
  • Q&As: 157 Questions and Answers

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

SectionObjectives
Topic 1: Life Insurance- Life Insurance Policies
  • 1. Term Life Insurance
  • 2. Whole Life Insurance
  • 3. Universal Life Insurance
  • 4. Variable Life Insurance
- Policy Provisions and Riders
  • 1. Settlement Options
  • 2. Beneficiary Designations
  • 3. Nonforfeiture Options
  • 4. Policy Loans
Topic 2: Accident and Health Insurance- Health Insurance Policies
  • 1. Medical Expense Plans
  • 2. Disability Income Insurance
  • 3. Medicare and Medicaid
  • 4. Long-Term Care Insurance
- Policy Provisions
  • 1. Eligibility and Renewability
  • 2. Managed Care Plans
  • 3. Coordination of Benefits
  • 4. Claims Procedures
Topic 3: Ethics and Professional Conduct- Agent Responsibilities
  • 1. Replacement Regulations
  • 2. Privacy and Confidentiality
  • 3. Unfair Trade Practices
  • 4. Ethical Sales Practices
Topic 4: Basic Insurance Concepts and Principles- Insurance Fundamentals
  • 1. Utmost Good Faith
  • 2. Indemnity
  • 3. Insurable Interest
  • 4. Risk Management
Topic 5: California Insurance Laws and Regulations- State Regulatory Framework
  • 1. Consumer Protection Regulations
  • 2. Licensing Requirements
  • 3. Producer Responsibilities
  • 4. California Insurance Code

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

1. A Hospital Confinement Indemnity insurance policy pays

A) an indemnity to the insured for all expenses incurred when the insured is confined in a hospital.
B) the amount of the actual hospital expenses.
C) the daily benefit dollar amount stated in the policy for each day the insured is confined ina hospital.
D) 100% of the covered medical expenses less the deductible and coinsurance percentage.


2. 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) Surgical expense.
C) Hospital expense.
D) Physician's visit expense.


3. Which of the following is NOT an example of cost sharing in a health insurance policy?

A) Coordination
B) Coinsurance
C) Deductible
D) Copayment


4. In financial planning, the human life value concept is based on an individual's

A) age.
B) health.
C) education.
D) income


5. What is the cost of service from the Health Insurance Counseling Advocacy Program (HICAP)?

A) $50 per appointment.
B) $10 per appointment.
C) $25 per appointment.
D) No charge.


Solutions:

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

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