Insurance Licensing NV Accident and Health : InsNV_Health02 Exam Questions

  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 17, 2026
  • Q&As: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Licensing
  • 1. Obtaining a license
    • 2. Renewal and continuing education
      • 3. Termination of license
        • 4. Suspension, revocation, and refusal of license
          • 5. Persons required to be licensed
            • 6. Name of licensee
              - Marketing Practices
              • 1. Silver State Health Insurance Exchange
                • 2. Affordable Care Act
                  • 3. Unfair practices
                    • Unfair claims methods and practices and settlement of claims
                    • Rebating and inducement
                    • Twisting
                    • Misrepresentation
                    • Fraud
                    • Unfair discrimination
                    • Defamation
                  • 4. Commissions and payment restrictions
                    • 5. Required records and record retention
                      • 6. Fiduciary responsibilities
                        - Insurance Commissioner
                        • 1. Examinations
                          • 2. General powers and duties
                            • 3. Notice and hearings and penalties
                              - Definitions
                              • 1. Domestic, foreign, and alien
                                • 2. Authorized and unauthorized
                                  • 3. Certificate of authority
                                    • 4. Cost-sharing
                                      • 5. Transacting insurance
                                        • 6. Premiums
                                          • 7. Insurer
                                            - Nevada Life and Health Insurance Guaranty Association
                                            Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Credit life and health insurance
                                            - Group life and health insurance
                                            • 1. Eligible groups
                                              • 2. Required provisions
                                                - Advertising
                                                Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Mandatory policy clauses and provisions
                                                • 1. Coverage for preventive healthcare services
                                                  • 2. Coverage for physical handicap or intellectual disability for dependent children
                                                    • 3. Coverage for newborn children
                                                      - Medicare
                                                      • 1. Medicare supplement regulation
                                                        • 2. Prescription Drug Plan
                                                          • 3. Medicare Advantage Plans
                                                            - Hospice care
                                                            - Long Term Care
                                                            - Coverage for reconstructive surgery
                                                            - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                            Accident & Health – General Knowledge50%- Policy Provisions, Clauses, and Riders
                                                            • 1. 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
                                                            • 2. Rights of renewability
                                                              • Noncancelable
                                                              • Cancelable
                                                              • Guaranteed renewable
                                                            • 3. 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
                                                            • 4. Riders
                                                              • Impairment and exclusions
                                                              • Guaranteed insurability
                                                              • Future increase option
                                                            - Types of Policies
                                                            • 1. Accidental death and dismemberment
                                                              • 2. Individual and Group Long Term Care
                                                                • Eligibility
                                                                • Levels of care
                                                              • 3. Medicare supplement policies
                                                                • 4. 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
                                                                • 5. Group insurance
                                                                  • Differences between individual and group contracts
                                                                  • General characteristics
                                                                  • COBRA
                                                                • 6. Disability income
                                                                  • Individual disability income policy
                                                                  • Business overhead expense policy
                                                                  • Business disability buyout policy
                                                                  • Group disability income policy
                                                                  • Key employee policy
                                                                • 7. Other policies
                                                                  • Dental
                                                                  • Vision
                                                                  • Cancer
                                                                  • Critical illness or specified disease
                                                                  • Worksite employer-sponsored
                                                                  • Hospital indemnity
                                                                  • Short-term medical
                                                                  • Accident
                                                                - Social Insurance
                                                                • 1. Medicare Parts A, B, C, and D
                                                                  • 2. Social Security benefits
                                                                    • 3. Medicaid
                                                                      - Field Underwriting Procedures
                                                                      • 1. Sources of insurability and HIPAA privacy information
                                                                        • 2. Initial premium payment and receipt
                                                                          • 3. Explaining policy provisions, riders, exclusions, and ratings
                                                                            • 4. Contract law
                                                                              • Elements of a contract
                                                                              • Insurable interest
                                                                              • Warranties and representations
                                                                              • Unique aspects of the insurance contract
                                                                            • 5. Completing the application
                                                                              • 6. Policy delivery
                                                                                • 7. Submitting application and initial premium to company for underwriting
                                                                                  • 8. Replacement
                                                                                    - Other Insurance Concepts
                                                                                    • 1. Tax treatment of premiums and proceeds of insurance contracts
                                                                                      • 2. Primary and contingent beneficiaries
                                                                                        • 3. Occupational vs. non-occupational
                                                                                          • 4. Nonduplication and coordination of benefits
                                                                                            • 5. Subrogation
                                                                                              • 6. Cost containment
                                                                                                • 7. Modes of premium payments
                                                                                                  • 8. Total, partial, recurrent, and residual disability
                                                                                                    • 9. Dependent children benefits
                                                                                                      • 10. Managed care
                                                                                                        • 11. Workers Compensation
                                                                                                          • 12. Owner's rights

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. What is the principal purpose of Medicare supplement insurance?

                                                                                                            A) To replace Medicare Part A and Part B entirely
                                                                                                            B) To provide Medicaid eligibility
                                                                                                            C) To help pay certain deductibles, coinsurance, and other gaps in Original Medicare
                                                                                                            D) To pay only long-term custodial care


                                                                                                            2. The Nevada Life and Health Insurance Guaranty Association is financed by which of the following methods?

                                                                                                            A) Assessing insureds
                                                                                                            B) Assessing a premium tax
                                                                                                            C) Assessing member insurance companies
                                                                                                            D) Assessing agent association members


                                                                                                            3. A producer receives a phone call from an insured who already has health insurance and now wants to buy an Accidental Death and Dismemberment (AD & D) policy. In this situation, the producer should take which of the following actions?

                                                                                                            A) Mail the application to the prospect and request that the prospect complete it, sign it, and return it to the insurance company.
                                                                                                            B) Fill out the application by phone interview with the prospect, and obtain the prospect ' s signature after the company approves the application.
                                                                                                            C) Answer the routine application questions, meet with the prospect to obtain any additional information, and have the prospect sign the application.
                                                                                                            D) Meet with the prospect, ask the prospect to complete the application, and have the prospect sign the application.


                                                                                                            4. The commission for the placement of nonadmitted insurance is paid by the insurer to the:

                                                                                                            A) surplus lines broker
                                                                                                            B) policyholder
                                                                                                            C) third-party claimant
                                                                                                            D) Division of Insurance


                                                                                                            5. In a disability income policy, the elimination period is best described as:

                                                                                                            A) The period during which the policy cannot be cancelled
                                                                                                            B) The maximum period for which premiums are waived
                                                                                                            C) The waiting period after disability begins before benefits become payable
                                                                                                            D) The period after disability during which benefits are payable


                                                                                                            Solutions:

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

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