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

1. When is the automatic loan provision activated?

A) On the premium due date.
OB. At the end of the grace period.
B) At the end of the incontestability period.
C) At the end of the free-look period.

2. Beginning January 1, 2014, a health insurance issuer that offers health insurance coverage in the individual market must cover 10 essential health benefits. All of the following benefits are essential health benefits EXCEPT

A) adult dental coverage
B) prescription drugs.
C) maternity and newborn care.
D) laboratory services.

3. Which type of insurance policy provides a death benefit that matches the projected outstanding debt on an individual's home?

A) Joint life.
B) Mortgage redemption.
C) Level term.
D) Family protection.

4. During the grace period, when may an insurer terminate medical coverage?

A) Policies cannot be terminated during the grace period.
B) The insured receives care from a physician who is not in the plan's network.
C) The insured is hospitalized without giving the insurer prior notification.
D) The insured requests termination in writing.

5. When medical expense policies do not state specific dollar benefit amounts, but instead base payments upon the charges for like services in the same geographical area, benefits are designated as

A) stated charges.
B) usual, customary, and reasonable charges.
C) a percentage of stated charges.
D) designated charges.

Solutions: