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Insurance Licensing InsNV_Health02 exam : NV Accident and Health

InsNV_Health02 Exam Questions
  • 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: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Definitions
  • 1. Domestic, foreign, and alien
    • 2. Premiums
      • 3. Authorized and unauthorized
        • 4. Transacting insurance
          • 5. Insurer
            • 6. Certificate of authority
              • 7. Cost-sharing
                - Insurance Commissioner
                • 1. Notice and hearings and penalties
                  • 2. General powers and duties
                    • 3. Examinations
                      - Nevada Life and Health Insurance Guaranty Association
                      - Licensing
                      • 1. Renewal and continuing education
                        • 2. Name of licensee
                          • 3. Termination of license
                            • 4. Obtaining a license
                              • 5. Persons required to be licensed
                                • 6. Suspension, revocation, and refusal of license
                                  - Marketing Practices
                                  • 1. Affordable Care Act
                                    • 2. Commissions and payment restrictions
                                      • 3. Fiduciary responsibilities
                                        • 4. Required records and record retention
                                          • 5. Unfair practices
                                            • Unfair claims methods and practices and settlement of claims
                                            • Rebating and inducement
                                            • Twisting
                                            • Misrepresentation
                                            • Fraud
                                            • Unfair discrimination
                                            • Defamation
                                          • 6. Silver State Health Insurance Exchange
                                            Topic 2: Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Credit life and health insurance
                                            - Group life and health insurance
                                            • 1. Eligible groups
                                              • 2. Required provisions
                                                - Advertising
                                                Topic 3: Accident & Health – General Knowledge50%- Field Underwriting Procedures
                                                • 1. Completing the application
                                                  • 2. Policy delivery
                                                    • 3. Explaining policy provisions, riders, exclusions, and ratings
                                                      • 4. Submitting application and initial premium to company for underwriting
                                                        • 5. Contract law
                                                          • Elements of a contract
                                                          • Insurable interest
                                                          • Warranties and representations
                                                          • Unique aspects of the insurance contract
                                                        • 6. Initial premium payment and receipt
                                                          • 7. Replacement
                                                            • 8. Sources of insurability and HIPAA privacy information
                                                              - Social Insurance
                                                              • 1. Social Security benefits
                                                                • 2. Medicaid
                                                                  • 3. Medicare Parts A, B, C, and D
                                                                    - 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. 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
                                                                    • 4. Rights of renewability
                                                                      • Noncancelable
                                                                      • Cancelable
                                                                      • Guaranteed renewable
                                                                    - Other Insurance Concepts
                                                                    • 1. Owner's rights
                                                                      • 2. Primary and contingent beneficiaries
                                                                        • 3. Tax treatment of premiums and proceeds of insurance contracts
                                                                          • 4. Subrogation
                                                                            • 5. Occupational vs. non-occupational
                                                                              • 6. Modes of premium payments
                                                                                • 7. Workers Compensation
                                                                                  • 8. Total, partial, recurrent, and residual disability
                                                                                    • 9. Nonduplication and coordination of benefits
                                                                                      • 10. Dependent children benefits
                                                                                        • 11. Managed care
                                                                                          • 12. Cost containment
                                                                                            - Types of Policies
                                                                                            • 1. Group insurance
                                                                                              • Differences between individual and group contracts
                                                                                              • General characteristics
                                                                                              • COBRA
                                                                                            • 2. Medicare supplement policies
                                                                                              • 3. 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
                                                                                              • 4. Individual and Group Long Term Care
                                                                                                • Eligibility
                                                                                                • Levels of care
                                                                                              • 5. Other policies
                                                                                                • Dental
                                                                                                • Vision
                                                                                                • Cancer
                                                                                                • Critical illness or specified disease
                                                                                                • Worksite employer-sponsored
                                                                                                • Hospital indemnity
                                                                                                • Short-term medical
                                                                                                • Accident
                                                                                              • 6. Disability income
                                                                                                • Individual disability income policy
                                                                                                • Business overhead expense policy
                                                                                                • Business disability buyout policy
                                                                                                • Group disability income policy
                                                                                                • Key employee policy
                                                                                              • 7. Accidental death and dismemberment
                                                                                                Topic 4: Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Hospice care
                                                                                                - Coverage for reconstructive surgery
                                                                                                - Long Term Care
                                                                                                - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                                                                - Medicare
                                                                                                • 1. Medicare Advantage Plans
                                                                                                  • 2. Medicare supplement regulation
                                                                                                    • 3. Prescription Drug Plan
                                                                                                      - Mandatory policy clauses and provisions
                                                                                                      • 1. Coverage for physical handicap or intellectual disability for dependent children
                                                                                                        • 2. Coverage for newborn children
                                                                                                          • 3. Coverage for preventive healthcare services

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. One key distinction between producers and Exchange Enrollment Facilitator (EEF) is producers:

                                                                                                            A) are compensated monetarily
                                                                                                            B) can answer questions regarding program eligibility
                                                                                                            C) can recommend a health plan for a consumer
                                                                                                            D) can explain insurance terms like copayments and deductibles


                                                                                                            2. What is the principal purpose of Medicare supplement insurance?

                                                                                                            A) To pay only long-term custodial care
                                                                                                            B) To provide Medicaid eligibility
                                                                                                            C) To help pay certain deductibles, coinsurance, and other gaps in Original Medicare
                                                                                                            D) To replace Medicare Part A and Part B entirely


                                                                                                            3. The statement that an insured MUST give an insurance company to show that a loss actually occurred is a:

                                                                                                            A) Loss form
                                                                                                            B) Notice of Claim
                                                                                                            C) Proof of Loss
                                                                                                            D) Inspection report


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

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


                                                                                                            5. 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 Concurrent Benefit clause
                                                                                                            C) A Residual Benefit clause
                                                                                                            D) A Contingent Benefit clause


                                                                                                            Solutions:

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

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