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Insurance Licensing NV Accident and Health : InsNV_Health02

InsNV_Health02
  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 11, 2026
  • Q & A: 132 Questions and Answers
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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

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

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


                                                                                                            2. The Nevada Insurance Commissioner may revoke the license of any licensed producer who:

                                                                                                            A) is found liable by final judgment in a civil case
                                                                                                            B) fails to file an annual financial report with the Division of Insurance
                                                                                                            C) fails to notify the Commissioner of a change of address within forty-eight hours
                                                                                                            D) misappropriates monies belonging to policyholders


                                                                                                            3. Under a group health policy, which of the following coverages MUST be provided for newborn children?

                                                                                                            A) Congenital health defects
                                                                                                            B) Routine eye examinations
                                                                                                            C) Genetic Testing
                                                                                                            D) Transportation costs from the hospital to the child ' s residence


                                                                                                            4. A producer receives a phone call from an insured who already has health insurance and now wants to buy an Accidental Death and Dismemberment (AD & D) policy. In this situation, the producer should take which of the following actions?

                                                                                                            A) Fill out the application by phone interview with the prospect, and obtain the prospect ' s signature after the company approves the application.
                                                                                                            B) Answer the routine application questions, meet with the prospect to obtain any additional information, and have the prospect sign the application.
                                                                                                            C) Mail the application to the prospect and request that the prospect complete it, sign it, and return it to the insurance company.
                                                                                                            D) Meet with the prospect, ask the prospect to complete the application, and have the prospect sign the application.


                                                                                                            5. Under an individual Major Medical policy, a married policyowner has the right to take which of the following actions?

                                                                                                            A) Sue the insurance company for not paying a claim within 30 days after submission of Proof of Loss
                                                                                                            B) Reinstate the policy within 3 years after it lapses
                                                                                                            C) Demand binding arbitration if there is disagreement over a claim
                                                                                                            D) Add a newborn child to the policy without providing proof of insurability


                                                                                                            Solutions:

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

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