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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. An insured purchases a rider that pays an additional amount only if death results from a covered accident.
                                                                                                            This rider is best described as:

                                                                                                            A) A cost-of-living rider
                                                                                                            B) An accidental death benefit rider
                                                                                                            C) A return-of-premium rider
                                                                                                            D) A guaranteed-insurability rider


                                                                                                            2. Which person is the measuring life whose survival determines the timing and duration of annuity payments?

                                                                                                            A) Producer
                                                                                                            B) Beneficiary
                                                                                                            C) Annuitant
                                                                                                            D) Policyowner


                                                                                                            3. Which statement best describes a group life conversion privilege?

                                                                                                            A) It transfers the employee's group policy cash value to a retirement account.
                                                                                                            B) It guarantees that the group premium will never increase.
                                                                                                            C) It allows the employer to convert all employees into beneficiaries.
                                                                                                            D) It allows an insured leaving the group to obtain individual coverage without evidence of insurability, subject to the policy terms.


                                                                                                            4. Which statement best describes a preferred provider organization (PPO)?

                                                                                                            A) It requires all care to be obtained only from government hospitals.
                                                                                                            B) It generally provides greater benefits when members use participating providers but may allow nonnetwork care at a reduced benefit level.
                                                                                                            C) It pays only a fixed daily hospital benefit.
                                                                                                            D) It has no deductible, coinsurance, or utilization-management features.


                                                                                                            5. Under federal COBRA continuation rules, an employee who loses group health coverage because of termination of employment or reduction in hours will generally be offered continuation coverage for up to:

                                                                                                            A) 6 months
                                                                                                            B) 18 months
                                                                                                            C) 60 months
                                                                                                            D) 12 months


                                                                                                            Solutions:

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

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                                                                                                            InsNV_Health02 - NV Accident and Health
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