Insurance Licensing InsNV_Health02 : NV Accident and Health

  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Sep 28, 2026     Q & A: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                      Insurance Licensing NV Accident and Health Sample Questions:

                                                      Question #1

                                                      Under an individual Major Medical policy, a married policyowner has the right to take which of the following actions?

                                                      • A. Demand binding arbitration if there is disagreement over a claim
                                                      • B. Add a newborn child to the policy without providing proof of insurability
                                                      • C. Reinstate the policy within 3 years after it lapses
                                                      • D. Sue the insurance company for not paying a claim within 30 days after submission of Proof of Loss
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: B  🗳️

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                                                      Question #2

                                                      Under a Gold health insurance plan, an insurer would be expected to pay which percentage of medical costs?

                                                      • A. 80%
                                                      • B. 70%
                                                      • C. 60%
                                                      • D. 90%
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: A  🗳️

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                                                      Question #3

                                                      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
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: B  🗳️

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                                                      Question #4

                                                      Which underwriting duty is most directly performed by a producer during a life insurance application interview?

                                                      • A. Determining the insurer's final premium classification
                                                      • B. Approving all policy loans
                                                      • C. Gathering complete application information and observing apparent risk factors
                                                      • D. Paying claims from insurer reserves
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: C  🗳️

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                                                      Question #5

                                                      Which of the following characteristics is typical of group insurance?

                                                      • A. Medical examinations are required.
                                                      • B. Each employee receives an individual contract.
                                                      • C. Employees may automatically enroll for coverage at any time.
                                                      • D. All full-time employees are eligible for coverage.
                                                      Reveal Solution  Discussion  0

                                                      Correct Answer: D  🗳️

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