How to pass California Department of Insurance CA-Life-Accident-and-Health exam with the help of dumps?

Question # 1

In insurance terminology, "indemnify" means

A. award.
B. advance.
C. make whole.
D. over compensate.

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Question # 2

According to the California Insurance Code, an "insurance broker” is

A. authorized by an insurer to transact insurance.
B. employed to assist an insurance agent in transacting insurance.
C. hired by an insured to give advice about insurance transactions.
D. compensated for transacting insurance on behalf of another person with an insurer.

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Question # 3

Under PPACA, what is a health benefits exchange?

A. PPACA creates new entities called American Health Benefits Exchanges through which individuals, small businesses, and those who do not have access to affordable employer coverage, can purchase coverage.
B. A health benefits exchange is created by health insurers to allow individuals to access benefits in other insurers' plans.
C. A health benefits exchange is created by employers to relieve them of having to provide health benefits to employees.
D. PPACA creates new entities called American Health Benefits Exchanges through which low-income individuals can access public health care programs.

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Question # 4

Insurance solicitation includes all of the following activities EXCEPT

A. coverage and rate quotations.
B. bulk mailings introducing an agency.
C. recommending other insurance products.
D. publishing a newspaper in which one of the advertisers is an insurance agent.

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Question # 5

California long-term care policies may be identified as any of the following EXCEPT

A. Home Care only.
B. Acute Hospital Care only.
C. Comprehensive Long-Term Care.
D. Nursing Facility and Residential Care Facility only.

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Question # 6

A Hospital Confinement Indemnity insurance policy pays

A. the amount of the actual hospital expenses.
B. 100% of the covered medical expenses less the deductible and coinsurance percentage.
C. an indemnity to the insured for all expenses incurred when the insured is confined in a hospital.
D. the daily benefit dollar amount stated in the policy for each day the insured is confined ina hospital.

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Question # 7

Unintentional concealment entitles the injured party to which course of action, if any?

A. Rescission of the contract.
B. $250 fine to be paid to the injured party.
C. Possible imprisonment to the party who concealed the information.
D. None, due to the fact that the concealment was unintentional.

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Question # 8

Which contract provision forgives the payment of all health or disability insurance premiumswhilethe insured is disabled?

A. family leave
B. cost of living
C. waiver of premium
D. guaranteed insurability

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Question # 9

The purchase of an insurance policy may accomplish all of the following for the insured EXCEPT

A. a reduction of uncertainty.
B. the elimination of the risk.
C. a replacement of a large possible loss by a "smaller certain loss".
D. a reduction in worry/greater peace of mind.

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Question # 10

All of the following are characteristics of adverse selection EXCEPT

A. it normally occurs if the premium is low relative to the loss exposure.
B. people with the greatest probability of loss are the ones most likely to buy insurance.
C. insurance companies cannot discriminate against applicants who have a higher probability of loss.
D. poor underwriting results may occur if too many of the applicants accepted for insurance are those most likely to incur serious losses.

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Question # 11

Which of the following statements regarding risk is TRUE?

A. Only pure risks are insurable.
B. Only speculative risks are insurable.
C. Both pure and speculative risks are insurable.
D. Neither pure nor speculative risks are insurable.

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Question # 12

Which life insurance classification carries the highest premium?

A. Preferred Plus
B. Preferred
C. Standard
D. Substandard

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Question # 13

Why is an injury caused by an accident at an employee's workplace excluded fromindividual healthinsurance coverage?

A. It is covered by the employer's group disability insurance plan.
B. It is covered by the employer's group health insurance plan.
C. It is covered by the state Workers' Compensation program.
D. It is covered by Social Security benefits.

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Question # 14

Why is having a large number of similar exposure units important to an insurer?

A. The greater the number insured, the more accurately the insurer can predict losses and set appropriate premiums.
B. The greater the number insured, the more premium is collected to offset fixed costs.
C. The greater the number insured, the more premium is collected to help cover losses.
D. The insured increases its market share with every insured.

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Question # 15

Policies covered under the California Life and Health Insurance Guarantee Associationinclude all of the following EXCEPT

A. disability income.
B. individual health.
C. deferred annuities.
D. self-funded group life.

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Question # 16

A method of selling insurance by using mass media advertising is known as

A. direct response.
B. direct writer.
C. telemarketing.
D. syndication.

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Question # 17

The group medical plan provision that applies when a claimant has coverage under morethan one plan is known as

A. coinsurance.
B. integration.
C. maximum benefits.
D. coordination of benefits.

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Question # 18

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

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

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Question # 19

In financial planning, the human life value concept is based on an individual's

A. age.
B. education.
C. health.
D. income

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Question # 20

As defined by the California Code of Regulations, a person who asserts a right of recoveryunder an insurance policy is called the

A. beneficiary.
B. claimant.
C. injured.
D. underinsured.

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Question # 21

In health insurance the coinsurance is

A. a percentage of the cost for covered expenses paid by more than one insurer.
B. a portion of the premium paid by the insured and insurer for each covered service.
C. a payment shared by the insured and provider of covered service minus the deductible.
D. a percentage paid for covered expenses by the insured and insurer after the deductible is satisfied.

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Question # 22

Nearly every life insurer in the United States belongs to the

A. Medical Information Bureau.
B. Securities Exchange Commission.
C. Centers for Medicare and Medicaid Services.
D. National Association of Insurance Commissioners.

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Question # 23

The California Insurance Code requirements regarding the return of life or annuity contracts issued to seniors

A. applies to group policies.
B. defines seniors as someone 55 years of age or older on the date of purchase of the policy.
C. gives a senior at least 30 days to return specified life and/or annuity contracts for a full refund.
D. mandates a 30 day free look for all applicants.

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Question # 24

What would we call a representation which fails to correspond with its stipulations or assertions?

A. False
B. Fatal
C. Fraud
D. Frivolous

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Question # 25

Specified disease insurance covers all of the following EXCEPT

A. costs covered by medical expense insurance.
B. noncovered medical expenses.
C. out-of-pocket payments.
D. incidental costs.

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Question # 26

In long-term care policies, which of the following is an activity of daily living?

A. Bathing
B. Breathing
C. Driving
D. Working

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Question # 27

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. disability is expected to continue for 12 months or result in death.
D. worker cannot perform his or her current job, but is actively seeking other employment.

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Question # 28

Which type of insurance policy provides a death benefit that matches the projectedoutstanding debt on an individual's home?

A. Level term.
B. Joint life.
C. Family protection.
D. Mortgage redemption.

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Question # 29

Regarding the Health Benefit Exchanges, as created by PPACA, all of the followingstatements are true EXCEPT

A. the name of California's Exchange is Covered California.
B. an individual enrolling in a bronze level plan is not eligible for reduced cost-sharing.
C. an individual whose household income is 400% of the federal poverty level may receive a premium tax credit.
D. an individual may only receive a premium tax credit for a plan if purchased through the Exchange.

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Question # 30

Which health insurance contract provision addresses the problem of over insurance?

A. Reinstatement.
B. Incontestability.
C. Assignment of benefits.
D. Coordination of benefits.

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Question # 31

All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT

A. Members pay fixed monthly fees to the HMO.
B. Members receive care from providers in the HMO network.
C. Out-of-pocket expenses are limited as long as the network is utilized.
D. Members pay higher monthly fees when out-of-network providers are utilized.

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