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Insurance Licensing Nevada Insurance InsNV_Health02

InsNV_Health02

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Oct 10, 2026

Q&A Number: 132 Q&As

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InsNV_Health02 exam dumps

Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            Question #1
                                                                                                            A doctor who is receiving Disability Income benefits is not able to return to work full-time but continues practicing on a part-time basis. Which of the following policy features would allow the doctor to continue receiving benefits?

                                                                                                            A. A Guaranteed Insurability rider
                                                                                                            B. A Contingent Benefit clause
                                                                                                            C. A Residual Benefit clause
                                                                                                            D. A Concurrent Benefit clause


                                                                                                            Question #2
                                                                                                            Which of the following persons is NOT required to be licensed by the Nevada Insurance Commissioner?

                                                                                                            A. A person who procures insurance for an insured
                                                                                                            B. An adjuster's employee who assists in the investigation and settlement of insurance claims
                                                                                                            C. A salaried insurance company employee who performs clerical and administrative work
                                                                                                            D. A salaried insurance agency clerk who also receives commissions on applications the clerk processes


                                                                                                            Question #3
                                                                                                            An Outline of Coverage for Medicare Supplement policies must be provided to a prospective insured at which of the following times?

                                                                                                            A. At the time of application
                                                                                                            B. When the premium is paid
                                                                                                            C. At the time a claim is submitted
                                                                                                            D. When the policy is delivered


                                                                                                            Question #4
                                                                                                            Which type of health insurance is designed primarily to reimburse medical expenses such as hospital, surgical, and physician charges?

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


                                                                                                            Question #5
                                                                                                            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. Key person insurance
                                                                                                            B. Family maintenance insurance
                                                                                                            C. Viatical settlement insurance
                                                                                                            D. Credit life insurance


                                                                                                            Solutions:

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

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