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Insurance Licensing NV Accident and Health : InsNV_Health02 Exam

InsNV_Health02 actual test
  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 31, 2026
  • Q & A: 132 Questions and Answers
  • PDF Demo
  • PC Test Engine
  • Online Test Engine
  • Total Price: $59.99  

About Insurance Licensing NV Accident and Health : InsNV_Health02 Exam

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            Question 1

                                                                                                            An employee's group life coverage terminates because employment ends. During the applicable conversion period, the former employee dies before applying for an individual policy. What protection does Nevada group-life law provide?

                                                                                                            A. No benefit is payable because the employee did not submit an application.
                                                                                                            B. The amount that could have been converted is payable under the group policy.
                                                                                                            C. The employer must personally pay the former employee's beneficiary.
                                                                                                            D. Only any accumulated cash value is payable.


                                                                                                            Question 2

                                                                                                            An incorporated licensee who seeks to do business under a fictitious name is required to file a document about the name with the:

                                                                                                            A. National Association of Insurance and Financial Advisors
                                                                                                            B. Nevada Insurance Commissioner
                                                                                                            C. Nevada Attorney General ' s office
                                                                                                            D. National Association of Health Underwriters


                                                                                                            Question 3

                                                                                                            A full-time employee who is suffering from chronic kidney failure and requires dialysis is eligible for medical coverage under which of the following plans?

                                                                                                            A. Medicaid
                                                                                                            B. Workers ' Compensation
                                                                                                            C. Medicare
                                                                                                            D. Social Security Disability benefits


                                                                                                            Question 4

                                                                                                            J and K are married and have several children. J is the primary beneficiary on K ' s Accidental Death and Dismemberment (AD & D) policy, and K ' s sibling, L, is the contingent beneficiary. J, K, and L are involved in a train accident, and K and L are killed instantly. The Accidental Death benefits will be paid to:

                                                                                                            A. K ' s estate
                                                                                                            B. J only
                                                                                                            C. J and K ' s estate
                                                                                                            D. L ' s estate


                                                                                                            Question 5

                                                                                                            Which rider allows a terminally ill insured to receive part of the death benefit while still alive, subject to the policy terms?

                                                                                                            A. Payor benefit rider
                                                                                                            B. Guaranteed insurability rider
                                                                                                            C. Accidental death rider
                                                                                                            D. Accelerated death benefit rider


                                                                                                            Solutions:

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

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