Insurance Licensing InsNV_Health02 : NV Accident and Health

  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 18, 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 Pertinent to Health Insurance Only14%- Mandatory policy clauses and provisions
  • 1. Coverage for physical handicap or intellectual disability for dependent children
    • 2. Coverage for newborn children
      • 3. Coverage for preventive healthcare services
        - Hospice care
        - Long Term Care
        - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
        - Coverage for reconstructive surgery
        - Medicare
        • 1. Medicare Advantage Plans
          • 2. Prescription Drug Plan
            • 3. Medicare supplement regulation
              Topic 2: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Licensing
              • 1. Suspension, revocation, and refusal of license
                • 2. Obtaining a license
                  • 3. Renewal and continuing education
                    • 4. Name of licensee
                      • 5. Termination of license
                        • 6. Persons required to be licensed
                          - Definitions
                          • 1. Insurer
                            • 2. Cost-sharing
                              • 3. Premiums
                                • 4. Certificate of authority
                                  • 5. Transacting insurance
                                    • 6. Authorized and unauthorized
                                      • 7. Domestic, foreign, and alien
                                        - 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. Commissions and payment restrictions
                                                • 6. Required records and record retention
                                                  - Nevada Life and Health Insurance Guaranty Association
                                                  - Insurance Commissioner
                                                  • 1. Examinations
                                                    • 2. Notice and hearings and penalties
                                                      • 3. General powers and duties
                                                        Topic 3: Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Credit life and health insurance
                                                        - Group life and health insurance
                                                        • 1. Required provisions
                                                          • 2. Eligible groups
                                                            - Advertising
                                                            Topic 4: Accident & Health – General Knowledge50%- Field Underwriting Procedures
                                                            • 1. Initial premium payment and receipt
                                                              • 2. Contract law
                                                                • Elements of a contract
                                                                • Insurable interest
                                                                • Warranties and representations
                                                                • Unique aspects of the insurance contract
                                                              • 3. Explaining policy provisions, riders, exclusions, and ratings
                                                                • 4. Completing the application
                                                                  • 5. Policy delivery
                                                                    • 6. Replacement
                                                                      • 7. Submitting application and initial premium to company for underwriting
                                                                        • 8. Sources of insurability and HIPAA privacy information
                                                                          - Types of Policies
                                                                          • 1. Other policies
                                                                            • Dental
                                                                            • Vision
                                                                            • Cancer
                                                                            • Critical illness or specified disease
                                                                            • Worksite employer-sponsored
                                                                            • Hospital indemnity
                                                                            • Short-term medical
                                                                            • Accident
                                                                          • 2. Accidental death and dismemberment
                                                                            • 3. Individual and Group Long Term Care
                                                                              • Eligibility
                                                                              • Levels of care
                                                                            • 4. 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
                                                                            • 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. Medicare supplement policies
                                                                              - Social Insurance
                                                                              • 1. Medicare Parts A, B, C, and D
                                                                                • 2. Medicaid
                                                                                  • 3. Social Security benefits
                                                                                    - Other Insurance Concepts
                                                                                    • 1. Primary and contingent beneficiaries
                                                                                      • 2. Cost containment
                                                                                        • 3. Managed care
                                                                                          • 4. Nonduplication and coordination of benefits
                                                                                            • 5. Owner's rights
                                                                                              • 6. Occupational vs. non-occupational
                                                                                                • 7. Tax treatment of premiums and proceeds of insurance contracts
                                                                                                  • 8. Total, partial, recurrent, and residual disability
                                                                                                    • 9. Dependent children benefits
                                                                                                      • 10. Modes of premium payments
                                                                                                        • 11. Workers Compensation
                                                                                                          • 12. Subrogation
                                                                                                            - 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. 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
                                                                                                            • 3. Riders
                                                                                                              • Impairment and exclusions
                                                                                                              • Guaranteed insurability
                                                                                                              • Future increase option
                                                                                                            • 4. Rights of renewability
                                                                                                              • Noncancelable
                                                                                                              • Cancelable
                                                                                                              • Guaranteed renewable

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. Under an Accidental Death and Dismemberment policy, in which of the following circumstances will an autopsy NOT be performed?

                                                                                                            A) When the cause of death was an accident
                                                                                                            B) When the beneficiary refuses to give consent
                                                                                                            C) When it is prohibited by law
                                                                                                            D) When the cause of death was an illness


                                                                                                            2. In order for a health insurance producer to be an Exchange Enrollment Facilitator (EEF), the producer:

                                                                                                            A) must surrender the producer ' s license and apply for an Exchange Enrollment Facilitator license
                                                                                                            B) can receive both commission and compensation as a facilitator
                                                                                                            C) can receive commissions from the company in addition to the compensation as a facilitator
                                                                                                            D) can offer advice to consumers resulting in the " steering " of the selection of coverage


                                                                                                            3. When must insurable interest generally exist in a life insurance transaction?

                                                                                                            A) Only after the policy has been in force for two years
                                                                                                            B) Only when the death benefit is paid
                                                                                                            C) At the time the policy is issued
                                                                                                            D) Only when the beneficiary is changed


                                                                                                            4. A corporation purchases life insurance on a highly valuable executive and is named as owner, premium payer, and beneficiary. What is the primary purpose of this arrangement?

                                                                                                            A) Family maintenance insurance
                                                                                                            B) Key person insurance
                                                                                                            C) Viatical settlement insurance
                                                                                                            D) Credit life insurance


                                                                                                            5. A long-term-care policy commonly becomes eligible to pay benefits when the insured is certified as chronically ill because the insured:

                                                                                                            A) Has reached age 65
                                                                                                            B) Is unemployed for 30 days
                                                                                                            C) Cannot perform at least two activities of daily living without substantial assistance
                                                                                                            D) Has missed one premium payment


                                                                                                            Solutions:

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

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