Insurance Licensing InsNV_Health02 : NV Accident and Health

InsNV_Health02 real exams

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Aug 21, 2026

Q & A: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. An application for an individual Disability Income policy may require all of the following information about the proposed insured EXCEPT for:

                                                                                                            A) medical history
                                                                                                            B) marital status and occupation
                                                                                                            C) other disability policies already in force
                                                                                                            D) the spouse ' s occupation


                                                                                                            2. A whole life policyowner stops paying premiums and chooses to use the policy's cash value to purchase the same face amount of insurance for as long as that cash value will buy. Which nonforfeiture option was selected?

                                                                                                            A) Cash surrender
                                                                                                            B) Automatic premium loan
                                                                                                            C) Extended term insurance
                                                                                                            D) Reduced paid-up insurance


                                                                                                            3. Basic cancer plans pay for all of the following EXCEPT:

                                                                                                            A) radiotherapy
                                                                                                            B) chemotherapy
                                                                                                            C) immunotherapy
                                                                                                            D) physical therapy


                                                                                                            4. Which of the following statements is CORRECT about Medicare?

                                                                                                            A) It is a medical assistance program.
                                                                                                            B) It is a hospital and medical expense insurance program.
                                                                                                            C) Its Part A provides payment for physicians ' bills.
                                                                                                            D) It provides benefits to totally disabled persons only.


                                                                                                            5. A producer who makes misleading policy comparisons for the purpose of inducing an insured to surrender an existing policy is guilty of:

                                                                                                            A) defamation
                                                                                                            B) twisting
                                                                                                            C) rebating
                                                                                                            D) coercion


                                                                                                            Solutions:

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

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