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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

SectionWeightObjectives
Life Insurance35%- Types of life insurance policies
- Beneficiary designations and settlement options
- Policy provisions, riders, and options
- Group life insurance
Annuities and Retirement Plans10%- Fixed and variable annuities
- Tax treatment and suitability
- Immediate and deferred annuities
Health Insurance25%- Long-term care insurance
- Health policy provisions and exclusions
- Disability income insurance
- Medicare and Medicare supplements
- Medical expense and major medical plans
California Insurance Code & Ethics20%- Ethical standards and anti-fraud provisions
- State regulations and licensing rules
- Unfair trade practices
- Policy delivery and replacement rules
General Insurance Concepts10%- Insurance contract law and elements
- Basic insurance principles and terminology
- Insurance marketplace and regulation overview

California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

1. A worker is entitled to Social Security disability benefits if all of the following are true EXCEPT the

A) worker is under age 65.
B) worker is insured for disability benefits.
C) worker cannot perform his or her current job, but is actively seeking other employment.
D) disability is expected to continue for 12 months or result in death.


2. A contract of indemnity is one in which

A) one party is restored to the same financial position the party was in before the loss occurred.
B) one party is obligated to assume the legal liability of another party.
C) one party must adhere to the agreements written by the other party.
D) both parties are expected to act in complete honesty.


3. What is the first step in submitting Medicare claims?

A) The medical provider submits expenses to the patient.
B) The medical provider submits expenses to Medicare.
C) Medicare submits expenses to the Medicare supplement provider.
D) The patient submits expenses to Medicare.


4. The term for an insurer which has met the conditions required to transact business in the State of California is

A) admitted.
B) entitled.
C) authorized.
D) eligible.


5. A commonly used cost containment measure for emergency hospital care under a major medical expense plan is the

A) pre-admission test.
B) deductible.
C) premium tax.
D) inpatient fee.


Solutions:

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

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