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Insurance Licensing InsNV_Health02 Braindumps - in .pdf Free Demo

  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Last Updated: Aug 17, 2026
  • Q & A: 132 Questions and Answers
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  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Last Updated: Aug 17, 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
- Advertising
- Group life and health insurance
  • 1. Required provisions
    • 2. Eligible groups
      Topic 2: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Insurance Commissioner
      • 1. Notice and hearings and penalties
        • 2. Examinations
          • 3. General powers and duties
            - Nevada Life and Health Insurance Guaranty Association
            - Definitions
            • 1. Insurer
              • 2. Authorized and unauthorized
                • 3. Cost-sharing
                  • 4. Domestic, foreign, and alien
                    • 5. Certificate of authority
                      • 6. Premiums
                        • 7. Transacting insurance
                          - Marketing Practices
                          • 1. Affordable Care Act
                            • 2. Commissions and payment restrictions
                              • 3. Silver State Health Insurance Exchange
                                • 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. Required records and record retention
                                    - Licensing
                                    • 1. Obtaining a license
                                      • 2. Persons required to be licensed
                                        • 3. Name of licensee
                                          • 4. Renewal and continuing education
                                            • 5. Termination of license
                                              • 6. Suspension, revocation, and refusal of license
                                                Topic 3: Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Hospice care
                                                - Coverage for reconstructive surgery
                                                - Medicare
                                                • 1. Medicare Advantage Plans
                                                  • 2. Prescription Drug Plan
                                                    • 3. Medicare supplement regulation
                                                      - Mandatory policy clauses and provisions
                                                      • 1. Coverage for physical handicap or intellectual disability for dependent children
                                                        • 2. Coverage for preventive healthcare services
                                                          • 3. Coverage for newborn children
                                                            - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                            - Long Term Care
                                                            Topic 4: Accident & Health – General Knowledge50%- 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. Rights of renewability
                                                              • Noncancelable
                                                              • Cancelable
                                                              • Guaranteed renewable
                                                            • 3. Riders
                                                              • Impairment and exclusions
                                                              • Guaranteed insurability
                                                              • Future increase option
                                                            • 4. 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
                                                            - Types of Policies
                                                            • 1. 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
                                                            • 2. Accidental death and dismemberment
                                                              • 3. Disability income
                                                                • Individual disability income policy
                                                                • Business overhead expense policy
                                                                • Business disability buyout policy
                                                                • Group disability income policy
                                                                • Key employee policy
                                                              • 4. Individual and Group Long Term Care
                                                                • Eligibility
                                                                • Levels of care
                                                              • 5. Group insurance
                                                                • Differences between individual and group contracts
                                                                • General characteristics
                                                                • COBRA
                                                              • 6. Other policies
                                                                • Dental
                                                                • Vision
                                                                • Cancer
                                                                • Critical illness or specified disease
                                                                • Worksite employer-sponsored
                                                                • Hospital indemnity
                                                                • Short-term medical
                                                                • Accident
                                                              • 7. Medicare supplement policies
                                                                - Field Underwriting Procedures
                                                                • 1. Completing the application
                                                                  • 2. Replacement
                                                                    • 3. Submitting application and initial premium to company for underwriting
                                                                      • 4. Initial premium payment and receipt
                                                                        • 5. Contract law
                                                                          • Elements of a contract
                                                                          • Insurable interest
                                                                          • Warranties and representations
                                                                          • Unique aspects of the insurance contract
                                                                        • 6. Explaining policy provisions, riders, exclusions, and ratings
                                                                          • 7. Sources of insurability and HIPAA privacy information
                                                                            • 8. Policy delivery
                                                                              - Other Insurance Concepts
                                                                              • 1. Dependent children benefits
                                                                                • 2. Cost containment
                                                                                  • 3. Tax treatment of premiums and proceeds of insurance contracts
                                                                                    • 4. Total, partial, recurrent, and residual disability
                                                                                      • 5. Primary and contingent beneficiaries
                                                                                        • 6. Subrogation
                                                                                          • 7. Managed care
                                                                                            • 8. Nonduplication and coordination of benefits
                                                                                              • 9. Modes of premium payments
                                                                                                • 10. Occupational vs. non-occupational
                                                                                                  • 11. Workers Compensation
                                                                                                    • 12. Owner's rights
                                                                                                      - Social Insurance
                                                                                                      • 1. Medicare Parts A, B, C, and D
                                                                                                        • 2. Social Security benefits
                                                                                                          • 3. Medicaid

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. Which of the following statements is CORRECT about the Medicaid program?

                                                                                                            A) It is supplemented by Medicare for persons 62 years of age or older.
                                                                                                            B) It provides medical assistance for participants who are blind.
                                                                                                            C) Participants must be at least 55 years of age.
                                                                                                            D) The program is administered at the federal level.


                                                                                                            2. In a disability income policy, the elimination period is best described as:

                                                                                                            A) The maximum period for which premiums are waived
                                                                                                            B) The period after disability during which benefits are payable
                                                                                                            C) The period during which the policy cannot be cancelled
                                                                                                            D) The waiting period after disability begins before benefits become payable


                                                                                                            3. The Nevada Life and Health Insurance Guaranty Association is financed by which of the following methods?

                                                                                                            A) Assessing insureds
                                                                                                            B) Assessing member insurance companies
                                                                                                            C) Assessing a premium tax
                                                                                                            D) Assessing agent association members


                                                                                                            4. Medicaid is best described as:

                                                                                                            A) A Medicare supplement insurance plan
                                                                                                            B) A joint federal-state program that provides medical assistance to eligible individuals
                                                                                                            C) A federal retirement program funded only by payroll taxes
                                                                                                            D) A private insurance policy sold by producers


                                                                                                            5. Which feature most clearly distinguishes a health maintenance organization (HMO) from a traditional indemnity health insurance plan?

                                                                                                            A) The HMO pays only after the insured satisfies a cash-value requirement.
                                                                                                            B) The HMO commonly uses a provider network and coordinates care through managed-care rules.
                                                                                                            C) The HMO provides only disability-income benefits.
                                                                                                            D) The HMO always reimburses any provider at the same level.


                                                                                                            Solutions:

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

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