Insurance Licensing InsNV_Health02 Valid Dump : NV Accident and Health

InsNV_Health02 real exams

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Aug 16, 2026

Q & A: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. A corporation purchases life insurance on a highly valuable executive and is named as owner, premium payer, and beneficiary. What is the primary purpose of this arrangement?

                                                                                                            A) Credit life insurance
                                                                                                            B) Viatical settlement insurance
                                                                                                            C) Family maintenance insurance
                                                                                                            D) Key person insurance


                                                                                                            2. An insurer shall not issue an individual long-term care insurance contract in Nevada unless the insurer has received from the applicant:

                                                                                                            A) a notarized waiver dated and signed by the applicant stating that the applicant has chosen not to designate another person to receive notice of any lapse or termination of coverage for nonpayment of premium
                                                                                                            B) a written designation by the applicant to pay premium for long-term care insurance through either a payroll or pension deduction plan
                                                                                                            C) a designation by at least one person, in addition to the applicant, to accept liability for services provided to the applicant
                                                                                                            D) a written designation of at least one person, in addition to the applicant, who must receive notice of any lapse or termination of coverage under the policy for nonpayment of premium


                                                                                                            3. Group vision insurance plans typically provide insurance benefits that cover the cost of:

                                                                                                            A) eye exams, lenses, frames, and contact lenses
                                                                                                            B) laser surgery, eye exams, lenses
                                                                                                            C) cataract removal, frames, lenses
                                                                                                            D) eye exams, lenses, retinal corrective surgery


                                                                                                            4. A Nevada producer wants to solicit an individual disability-income policy. Which license authority is required?

                                                                                                            A) Property insurance authority
                                                                                                            B) Personal lines authority
                                                                                                            C) Casualty insurance authority
                                                                                                            D) Accident and health insurance authority


                                                                                                            5. Which premium-payment mode usually results in the lowest total annual premium cost for the policyowner?

                                                                                                            A) Annual
                                                                                                            B) Quarterly
                                                                                                            C) Monthly
                                                                                                            D) Semiannual


                                                                                                            Solutions:

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

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