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Insurance Licensing InsNV_Health02 exam : NV Accident and Health

InsNV_Health02 Exam Questions
  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 19, 2026
  • Q & A: 132 Questions and Answers
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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. Which of the following characteristics is typical of group insurance?

                                                                                                            A) All full-time employees are eligible for coverage.
                                                                                                            B) Employees may automatically enroll for coverage at any time.
                                                                                                            C) Each employee receives an individual contract.
                                                                                                            D) Medical examinations are required.


                                                                                                            2. Which type of health insurance is designed primarily to reimburse medical expenses such as hospital, surgical, and physician charges?

                                                                                                            A) Medical expense insurance
                                                                                                            B) Credit life insurance
                                                                                                            C) Accidental death insurance
                                                                                                            D) Disability income insurance


                                                                                                            3. Under a life insurance policy with a revocable beneficiary designation, who normally has the authority to change the beneficiary?

                                                                                                            A) The beneficiary
                                                                                                            B) The insured, regardless of ownership
                                                                                                            C) The policyowner
                                                                                                            D) The insurer


                                                                                                            4. An insurance company MUST take which of the following actions to terminate a producer ' s appointment?

                                                                                                            A) Request that the Division of Insurance cancel the producer ' s license
                                                                                                            B) Send notice of the termination to the Insurance Commissioner
                                                                                                            C) Request a hearing before the Insurance Commissioner
                                                                                                            D) Notify the producer of the termination at least thirty days before the effective date of termination


                                                                                                            5. If coverage has stayed in force with the same insurance company, what is the maximum number of years for which reconstructive surgery (mastectomy) benefits must be provided?

                                                                                                            A) 5
                                                                                                            B) 1
                                                                                                            C) 3
                                                                                                            D) 7


                                                                                                            Solutions:

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

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