California Department of Insurance CA-Life-Accident-and-Health Q&A - in .pdf

  • CA-Life-Accident-and-Health pdf
  • Exam Code: CA-Life-Accident-and-Health
  • Exam Name: CA Life, Accident and Health or Sickness Examination
  • Updated: Sep 04, 2026
  • Q & A: 157 Questions and Answers
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  • Exam Name: CA Life, Accident and Health or Sickness Examination
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  • Q & A: 157 Questions and Answers
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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

SectionObjectives
Topic 1: Ethics and Professional Conduct- Agent Responsibilities
  • 1. Ethical Sales Practices
  • 2. Unfair Trade Practices
  • 3. Replacement Regulations
  • 4. Privacy and Confidentiality
Topic 2: Basic Insurance Concepts and Principles- Insurance Fundamentals
  • 1. Indemnity
  • 2. Insurable Interest
  • 3. Utmost Good Faith
  • 4. Risk Management
Topic 3: California Insurance Laws and Regulations- State Regulatory Framework
  • 1. Licensing Requirements
  • 2. Consumer Protection Regulations
  • 3. California Insurance Code
  • 4. Producer Responsibilities
Topic 4: Life Insurance- Life Insurance Policies
  • 1. Universal Life Insurance
  • 2. Variable Life Insurance
  • 3. Whole Life Insurance
  • 4. Term Life Insurance
- Policy Provisions and Riders
  • 1. Policy Loans
  • 2. Beneficiary Designations
  • 3. Nonforfeiture Options
  • 4. Settlement Options
Topic 5: Accident and Health Insurance- Policy Provisions
  • 1. Coordination of Benefits
  • 2. Eligibility and Renewability
  • 3. Claims Procedures
  • 4. Managed Care Plans
- Health Insurance Policies
  • 1. Long-Term Care Insurance
  • 2. Disability Income Insurance
  • 3. Medical Expense Plans
  • 4. Medicare and Medicaid

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

Question 1

According to California Insurance Code, which of the following MUST be specified in an insurance contract?

A. Policy exclusions.
B. Insurer financial rating.
C. Risks insured against.
D. Additional coverages.


Question 2

All of the following statements about mortality tables are true EXCEPT

A. the numbers in the tables are based on past experience.
B. the tables track a group of people from the year they were born until they all die.
C. the theory of probability is applied to numbers in the tables.
D. actuaries use the tables to predict the number of deaths among a given number of people at a given age.


Question 3

What is the first step in submitting Medicare claims?

A. The medical provider submits expenses to Medicare.
B. The medical provider submits expenses to the patient.
C. Medicare submits expenses to the Medicare supplement provider.
D. The patient submits expenses to Medicare.


Question 4

During the solicitation of a long term care insurance rider, a life agent must consider all of the following EXCEPT the applicant's

A. attending physician statement.
B. ability to pay for the coverage.
C. existing long term care coverage.
D. goals and needs.


Question 5

Medicare Part B pays for

A. the first 60 days of hospitalization.
B. prescription drugs.
C. physicians' services.
D. hospice care.


Solutions:

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

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