Insurance Licensing InsNV_Health02 real exam prep : NV Accident and Health

  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 16, 2026
  • Q&As: 132 Questions and Answers

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InsNV_Health02 exam dumps

Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. As a condition to granting a loan, a creditor can:

                                                                                                            A) assess a higher interest rate if insurance is not purchased
                                                                                                            B) require insurance coverage through a specific insurer
                                                                                                            C) require insurance in an amount greater than the debt
                                                                                                            D) accept assignment from an existing policy


                                                                                                            2. Which premium-payment mode usually results in the lowest total annual premium cost for the policyowner?

                                                                                                            A) Annual
                                                                                                            B) Semiannual
                                                                                                            C) Quarterly
                                                                                                            D) Monthly


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

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


                                                                                                            4. Which type of health insurance is designed primarily to reimburse medical expenses such as hospital, surgical, and physician charges?

                                                                                                            A) Medical expense insurance
                                                                                                            B) Disability income insurance
                                                                                                            C) Accidental death insurance
                                                                                                            D) Credit life insurance


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


                                                                                                            Solutions:

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

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