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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|
| Topic 1: Life Insurance Basics | 8% | - Licensee responsibilities
- Determining amount of personal life insurance
- Differences in life insurance policies
- Insurable interest
- Factors in premium determination
- Premiums
- Individual underwriting by the insurer
- Business uses of life insurance
- Personal uses of life insurance
|
| Topic 2: Insurance Regulation | 8% | - Federal regulation
- Licensing
- State regulation
|
| Topic 3: Individual Health Insurance Policy General Provisions | | - Uniform required provisions
- Optional provisions
- Other provisions
|
| Topic 4: Specialized Health Insurance for Qualified Individuals | | - Long-term care insurance
- HIPAA
- Medicare
- Medicaid
|
| Topic 5: Group Health Insurance | | - Group health insurance plans
- Group health insurance provisions
- Group health insurance concepts
|
| Topic 6: Health Insurance Basics | | - Medical expense insurance
- Disability income insurance
- Social insurance
- Health insurance concepts
- Policy provisions and riders
|
| Topic 7: Life Insurance Policies | 11% | - Specialized policies
- Flexible premium policies
- Whole life insurance
- Term life insurance
- Group life insurance
|
| Topic 8: Annuities | | - Annuity taxation
- Annuity principles and concepts
- Annuity products
|
| Topic 9: General Insurance | 6% | - Contracts
- Insurers
- Agents and general rules of agency
- Concepts
|
| Topic 10: Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health | 30% | - Unfair trade practices
- Agent conduct and trade practices
- Licensing requirements
- Pennsylvania Insurance Department
- Penalties and offenses
|
Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:
Which is an accurate description of the relationship between the premiums of a whole life policy and the premium payment period?
- A. The shorter the payment period, the lower the annual premium.
- B. The longer the payment period, the higher the annual premium.
- C. The payment period is not related to the annual premium.
- D. The shorter the payment period, the higher the annual premium
Answer: D
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All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT
- A. Members receive care from providers in the HMO network.
- B. Out-of-pocket expenses are limited as long as the network is utilized.
- C. Members pay fixed monthly fees to the HMO.
- D. Members pay higher monthly fees when out-of-network providers are utilized.
Answer: D
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The types of life insurance generally used to cover key employee indemnification are
- A. universal, term, and whole life Insurance.
- B. decreasing term life insurance.
- C. limited-pay, adjustable, and group life insurance.
- D. joint, permanent and credit life insurance.
Answer: A
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Which one of the following type of calls is NOT exempt from the Do-Not-Call Registry?
- A. calls from charities.
- B. telephone surveys.
- C. insurance sales calls.
- D. calls on behalf of political organizations.
Answer: C
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The MAJOR factor in determining the benefit amount paid under a disability income policy Is
- A. gender.
- B. age.
- C. wages.
- D. occupation.
Answer: C
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