Insurance Licensing NV Accident and Health : InsNV_Health02

  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 26, 2026     Q & A: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. The commission for the placement of nonadmitted insurance is paid by the insurer to the:

                                                                                                            A) policyholder
                                                                                                            B) third-party claimant
                                                                                                            C) surplus lines broker
                                                                                                            D) Division of Insurance


                                                                                                            2. A producer who makes misleading policy comparisons for the purpose of inducing an insured to surrender an existing policy is guilty of:

                                                                                                            A) coercion
                                                                                                            B) twisting
                                                                                                            C) defamation
                                                                                                            D) rebating


                                                                                                            3. A group health policy that covers hospital expenses MUST also cover:

                                                                                                            A) routine physical examinations
                                                                                                            B) travel expenses for caretakers
                                                                                                            C) elective cosmetic surgery
                                                                                                            D) burial expenses


                                                                                                            4. A corporation purchases life insurance on a highly valuable executive and is named as owner, premium payer, and beneficiary. What is the primary purpose of this arrangement?

                                                                                                            A) Family maintenance insurance
                                                                                                            B) Key person insurance
                                                                                                            C) Credit life insurance
                                                                                                            D) Viatical settlement insurance


                                                                                                            5. Which of the following statements is CORRECT about Business Overhead Expense insurance?

                                                                                                            A) It covers eligible expenses for staff only.
                                                                                                            B) It covers eligible expenses for staff, rent, and utilities.
                                                                                                            C) It reimburses the policyowner for loss of income.
                                                                                                            D) It can be obtained only by corporations.


                                                                                                            Solutions:

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

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