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Insurance Licensing InsNV_Health02 : NV Accident and Health

InsNV_Health02

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Sep 26, 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 and Health Insurance Only4%- Credit life and health insurance
- Group life and health insurance
  • 1. Eligible groups
    • 2. Required provisions
      - Advertising
      Topic 2: Accident & Health – General Knowledge50%- Field Underwriting Procedures
      • 1. Sources of insurability and HIPAA privacy information
        • 2. Replacement
          • 3. Contract law
            • Elements of a contract
            • Insurable interest
            • Warranties and representations
            • Unique aspects of the insurance contract
          • 4. Initial premium payment and receipt
            • 5. Completing the application
              • 6. Submitting application and initial premium to company for underwriting
                • 7. Explaining policy provisions, riders, exclusions, and ratings
                  • 8. Policy delivery
                    - Types of Policies
                    • 1. Individual and Group Long Term Care
                      • Eligibility
                      • Levels of care
                    • 2. Accidental death and dismemberment
                      • 3. Group insurance
                        • Differences between individual and group contracts
                        • General characteristics
                        • COBRA
                      • 4. 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
                      • 5. Disability income
                        • Individual disability income policy
                        • Business overhead expense policy
                        • Business disability buyout policy
                        • Group disability income policy
                        • Key employee policy
                      • 6. Other policies
                        • Dental
                        • Vision
                        • Cancer
                        • Critical illness or specified disease
                        • Worksite employer-sponsored
                        • Hospital indemnity
                        • Short-term medical
                        • Accident
                      • 7. Medicare supplement policies
                        - Other Insurance Concepts
                        • 1. Dependent children benefits
                          • 2. Subrogation
                            • 3. Cost containment
                              • 4. Workers Compensation
                                • 5. Primary and contingent beneficiaries
                                  • 6. Nonduplication and coordination of benefits
                                    • 7. Total, partial, recurrent, and residual disability
                                      • 8. Occupational vs. non-occupational
                                        • 9. Managed care
                                          • 10. Tax treatment of premiums and proceeds of insurance contracts
                                            • 11. Modes of premium payments
                                              • 12. Owner's rights
                                                - Policy Provisions, Clauses, and Riders
                                                • 1. Rights of renewability
                                                  • Noncancelable
                                                  • Cancelable
                                                  • Guaranteed renewable
                                                • 2. 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
                                                • 3. Riders
                                                  • Impairment and exclusions
                                                  • Guaranteed insurability
                                                  • Future increase option
                                                • 4. 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
                                                - Social Insurance
                                                • 1. Social Security benefits
                                                  • 2. Medicaid
                                                    • 3. Medicare Parts A, B, C, and D
                                                      Topic 3: Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Hospice care
                                                      - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                      - Mandatory policy clauses and provisions
                                                      • 1. Coverage for preventive healthcare services
                                                        • 2. Coverage for newborn children
                                                          • 3. Coverage for physical handicap or intellectual disability for dependent children
                                                            - Coverage for reconstructive surgery
                                                            - Medicare
                                                            • 1. Medicare Advantage Plans
                                                              • 2. Prescription Drug Plan
                                                                • 3. Medicare supplement regulation
                                                                  - Long Term Care
                                                                  Topic 4: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Insurance Commissioner
                                                                  • 1. General powers and duties
                                                                    • 2. Examinations
                                                                      • 3. Notice and hearings and penalties
                                                                        - Marketing Practices
                                                                        • 1. Silver State Health Insurance Exchange
                                                                          • 2. Commissions and payment restrictions
                                                                            • 3. Required records and record retention
                                                                              • 4. Unfair practices
                                                                                • Unfair claims methods and practices and settlement of claims
                                                                                • Rebating and inducement
                                                                                • Twisting
                                                                                • Misrepresentation
                                                                                • Fraud
                                                                                • Unfair discrimination
                                                                                • Defamation
                                                                              • 5. Fiduciary responsibilities
                                                                                • 6. Affordable Care Act
                                                                                  - Definitions
                                                                                  • 1. Cost-sharing
                                                                                    • 2. Premiums
                                                                                      • 3. Certificate of authority
                                                                                        • 4. Domestic, foreign, and alien
                                                                                          • 5. Insurer
                                                                                            • 6. Transacting insurance
                                                                                              • 7. Authorized and unauthorized
                                                                                                - Nevada Life and Health Insurance Guaranty Association
                                                                                                - Licensing
                                                                                                • 1. Name of licensee
                                                                                                  • 2. Renewal and continuing education
                                                                                                    • 3. Obtaining a license
                                                                                                      • 4. Persons required to be licensed
                                                                                                        • 5. Suspension, revocation, and refusal of license
                                                                                                          • 6. Termination of license

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            Question #1
                                                                                                            If coverage has stayed in force with the same insurance company, what is the maximum number of years for which reconstructive surgery (mastectomy) benefits must be provided?

                                                                                                            A. 1
                                                                                                            B. 5
                                                                                                            C. 7
                                                                                                            D. 3


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


                                                                                                            Question #3
                                                                                                            As a condition to granting a loan, a creditor can:

                                                                                                            A. accept assignment from an existing policy
                                                                                                            B. require insurance in an amount greater than the debt
                                                                                                            C. require insurance coverage through a specific insurer
                                                                                                            D. assess a higher interest rate if insurance is not purchased


                                                                                                            Question #4
                                                                                                            A consumer wishes to purchase an insurance policy that covers pre-existing illnesses. The consumer contacted the producer who informed the consumer:

                                                                                                            A. there are some health insurance plans that cover pre-existing conditions with a surcharge
                                                                                                            B. there are no out-of-pocket fees for persons with pre-existing conditions
                                                                                                            C. the consumer ' s pre-existing condition will not stop the consumer from enrolling in a Qualified Health Plan (QHP) on the Exchange
                                                                                                            D. there are no plans that cover pre-existing conditions


                                                                                                            Question #5
                                                                                                            Under the Affordable Care Act (ACA), for a woman 40 years or older, mammograms are:

                                                                                                            A. not covered under the rules of ACA because mammograms are not considered preventative health care
                                                                                                            B. covered under only health plans that offer mammogram coverage
                                                                                                            C. covered under preventative services annually at no cost
                                                                                                            D. not covered if a family member has been formally diagnosed with breast cancer


                                                                                                            Solutions:

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

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