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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:

SectionWeightObjectives
Health Insurance Basics- Health insurance concepts
- Medical expense insurance
- Disability income insurance
- Social insurance
- Policy provisions and riders
Life Insurance Policies11%- Whole life insurance
- Term life insurance
- Flexible premium policies
- Specialized policies
- Group life insurance
Specialized Health Insurance for Qualified Individuals- Medicaid
- Medicare
- Long-term care insurance
- HIPAA
Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health30%- Unfair trade practices
- Pennsylvania Insurance Department
- Licensing requirements
- Penalties and offenses
- Agent conduct and trade practices
Life Insurance Basics8%- Premiums
- Individual underwriting by the insurer
- Factors in premium determination
- Licensee responsibilities
- Business uses of life insurance
- Determining amount of personal life insurance
- Differences in life insurance policies
- Personal uses of life insurance
- Insurable interest
General Insurance6%- Concepts
- Contracts
- Insurers
- Agents and general rules of agency
Insurance Regulation8%- Federal regulation
- Licensing
- State regulation
Group Health Insurance- Group health insurance concepts
- Group health insurance plans
- Group health insurance provisions
Annuities- Annuity taxation
- Annuity products
- Annuity principles and concepts
Individual Health Insurance Policy General Provisions- Other provisions
- Optional provisions
- Uniform required provisions

Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. Backdating on a life insurance policy is the practice of

A) excluding medical coverage for preexisting medical conditions.
B) accepting the premium after the expiration of the grace period.
C) reinstating a lapsed policy.
D) making the policy effective on an earlier date than the present.


2. In a hospital indemnity plan, an elimination period refers to the number of days

A) for which the insured can receive benefits for each hospital visit.
B) for which the insured can receive benefits for the term of the plan.
C) an Insured must wait before becoming eligible to receive benefits for each hospital stay.
D) an insured must wait before becoming eligible to receive benefits for the term of the plan.


3. If a producer misleads or fails to adequately disclose the title and true nature of a policy offered to a potential insured, it may be considered

A) coercion.
B) misrepresentation.
C) false advertising.
D) defamation.


4. [I Intentionally withholding information that should be provided to an insurer is known as

A) misrepresentation.
B) concealment.
C) twisting.
D) estoppel


5. An annuitant dies during the accumulation period. What happens to the cash in the annuity?

A) the company keeps it
B) it is paid to the beneficiary
C) it is paid into the estate
D) it is paid to the IRS


Solutions:

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

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