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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:

SectionWeightObjectives
Specialized Health Insurance for Qualified Individuals- Long-term care insurance
- HIPAA
- Medicare
- Medicaid
Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health30%- Agent conduct and trade practices
- Licensing requirements
- Penalties and offenses
- Unfair trade practices
- Pennsylvania Insurance Department
Individual Health Insurance Policy General Provisions- Uniform required provisions
- Optional provisions
- Other provisions
Health Insurance Basics- Disability income insurance
- Social insurance
- Health insurance concepts
- Medical expense insurance
- Policy provisions and riders
Annuities- Annuity taxation
- Annuity principles and concepts
- Annuity products
Life Insurance Policies11%- Flexible premium policies
- Group life insurance
- Specialized policies
- Whole life insurance
- Term life insurance
Life Insurance Basics8%- Determining amount of personal life insurance
- Business uses of life insurance
- Personal uses of life insurance
- Individual underwriting by the insurer
- Premiums
- Licensee responsibilities
- Differences in life insurance policies
- Insurable interest
- Factors in premium determination
Group Health Insurance- Group health insurance provisions
- Group health insurance concepts
- Group health insurance plans
General Insurance6%- Contracts
- Agents and general rules of agency
- Concepts
- Insurers
Insurance Regulation8%- Federal regulation
- State regulation
- Licensing

Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. An insured has a 20-pay life policy with a paid-up dividend option. In this option, the insured may

A) waive premium payments until the policy has accumulated enough cash values to pay it up for 20 years.
B) pay up the policy early by using policy dividends.
C) use policy dividends to reduce the premium after 20 years.
D) pay up the policy early by using accumulated cash values.


2. [I Intentionally withholding information that should be provided to an insurer is known as

A) misrepresentation.
B) estoppel
C) twisting.
D) concealment.


3. When an insurance licensee in Pennsylvania changes their email address, which organization must be notified?

A) The Department of Labor and Industry
B) Pennsylvania Insurance Department
C) The National Association of Insurance Commissioners
D) The Insurance Agents Association


4. Which of the following represents a reduced paid-up nonforfeiture option?

A) Further premiums must be paid on the reduced policy.
B) The policy will have a decreased face amount
C) The new face amount is the same as the original policy.
D) A full share of expense loading must be included in the premium on the reduced coverage.


5. A producer's fiduciary responsibility includes which of the following activities?

A) Property remunerating persons who furnish leads on prospects.
B) Guaranteeing payment to insureds for losses covered by policies that the producer sold.
C) Recording the receipt and remitting of premiums due to an Insurer.
D) Providing needed insurance to prospective insureds through any sources that are available.


Solutions:

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

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