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Last Updated: Aug 15, 2026

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionObjectives
Topic 1: Health Insurance Policy Provisions- Mandatory and Optional Provisions
  • 1. Renewability provisions
    • 2. Policy requirements and clauses
      - Claims and Benefits
      • 1. Claim procedures
        • 2. Benefit determination and payment
          Topic 2: Accident and Health Insurance Fundamentals- Types of Health Insurance Policies
          • 1. Individual health insurance
            • 2. Managed care plans
              • 3. Group health insurance
                - Medical Expense Insurance
                • 1. Hospital, surgical, and physician expense coverage
                  • 2. Major medical plans
                    - Disability Income Insurance
                    • 1. Elimination periods and benefit periods
                      • 2. Disability definitions and benefits
                        Topic 3: Government Health Insurance Programs- Medicaid and Other Programs
                        • 1. Medicaid eligibility and coverage
                          - Medicare
                          • 1. Medicare supplement insurance
                            • 2. Medicare parts and eligibility
                              Topic 4: Insurance Basics- Risk Management and Insurance Concepts
                              • 1. Insurance principles and contract characteristics
                                • 2. Types of risk and methods of handling risk
                                  - Insurance Contracts
                                  • 1. Contract elements
                                    • 2. Policy provisions, riders, and exclusions
                                      Topic 5: Producer Duties and Ethics- Ethical Responsibilities
                                      • 1. Fiduciary responsibilities
                                        • 2. Consumer protection requirements
                                          - Sales Practices
                                          • 1. Advertising and marketing rules
                                            • 2. Unfair trade practices
                                              Topic 6: General Insurance Regulation- Licensing Requirements and Responsibilities
                                              • 1. Producer licensing requirements
                                                • 2. Continuing education and license maintenance
                                                  - Nevada Insurance Department and Regulatory Authority
                                                  • 1. Commissioner of Insurance powers and duties
                                                    • 2. Insurance laws, rules, and regulations

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      1. Which of the following situations describes a representation?

                                                      A) An insurance company guarantees that policy benefits will be paid promptly on receipt of a Proof of Loss
                                                      B) A prospect ' s statement on an application that is held to be absolutely true
                                                      C) An insurance company guarantees that premiums paid will be refunded within 30 days after the policy ' s effective date if an insured is dissatisfied with the policy
                                                      D) A prospect ' s statement on an application that is held to be substantially true


                                                      2. 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


                                                      3. A policyowner names two children as beneficiaries "per stirpes." If one child dies before the insured but leaves children, how are that deceased child's share and the surviving child's share handled?

                                                      A) The estate of the deceased child automatically receives all proceeds.
                                                      B) The deceased child's descendants receive that child's share.
                                                      C) The deceased child's share passes to the insurer.
                                                      D) The surviving child receives all proceeds.


                                                      4. A $100,000 group Accidental Death and Dismemberment policy will pay double indemnity if the insured dies in a commercial airplane crash. If the insured is killed when flying to a business meeting on a commercial flight, the policy will pay a MAXIMUM of:

                                                      A) $0
                                                      B) $300,000
                                                      C) $200,000
                                                      D) $100,000


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


                                                      Solutions:

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

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