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California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions:

1. All of the following qualify as "background information" as defined in Section 1729.2 of the California Insurance Code, EXCEPT

A) misdemeanor charges filed, not resulting in a conviction.
B) a misdemeanor or felony conviction or a filing of felony criminal charges in state or federal court.
C) an administrative action regarding a professional or occupational license.
D) any admission, or judicial finding or determination, of fraud, misappropriation or conversion of funds, misrepresentation, or breach of fiduciary duty.

2. According to the California Insurance Code, all of the following Long-Term Care (LTC) insurance sales are considered unnecessary EXCEPT

A) an additional LTC policy to an insured who already has two LTC policies.
B) a replacement LTC policy with fewer benefits and a higher premium.
C) two additional LTC policies that equal the combined benefits on an existing one.
D) a replacement LTC policy with equal benefits for a lower premium.

3. According to the Employee Retirement Income Security Act of 1974 (ERISA) fiduciary standards, benefit plans are operated for

A) plan participants and beneficiaries.
B) plan employees.
C) plan sponsors and employees.
D) plan sponsors and beneficiaries.

4. A life insurance policy written after 1988 that fails to meet the seven-pay test is known as

A) an endowment policy.
B) a modified endowment contract.
C) a single premium contract.
D) a modified life policy.

5. Who submits Medicare Part A claims?

A) Physicians
B) Hospitals
C) Patients
D) Pharmacies

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