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

SectionWeightObjectives
Topic 1: Group Health Insurance- Group health insurance concepts
- Group health insurance provisions
- Group health insurance plans
Topic 2: Insurance Regulation8%- State regulation
- Federal regulation
- Licensing
Topic 3: Health Insurance Basics- Social insurance
- Medical expense insurance
- Policy provisions and riders
- Disability income insurance
- Health insurance concepts
Topic 4: Life Insurance Basics8%- Licensee responsibilities
- Business uses of life insurance
- Insurable interest
- Differences in life insurance policies
- Personal uses of life insurance
- Premiums
- Factors in premium determination
- Individual underwriting by the insurer
- Determining amount of personal life insurance
Topic 5: Annuities- Annuity taxation
- Annuity products
- Annuity principles and concepts
Topic 6: Specialized Health Insurance for Qualified Individuals- Medicaid
- Medicare
- Long-term care insurance
- HIPAA
Topic 7: Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health30%- Penalties and offenses
- Licensing requirements
- Agent conduct and trade practices
- Pennsylvania Insurance Department
- Unfair trade practices
Topic 8: Life Insurance Policies11%- Flexible premium policies
- Term life insurance
- Whole life insurance
- Specialized policies
- Group life insurance
Topic 9: General Insurance6%- Contracts
- Insurers
- Concepts
- Agents and general rules of agency
Topic 10: Individual Health Insurance Policy General Provisions- Other provisions
- Optional provisions
- Uniform required provisions

Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

Question 1

Which of the following is a common exclusion from coverages found in accident and health policies?

A. Emergency room coverages.
B. Self-inflicted injuries.
C. Coordination of benefits.
D. Flu and pneumonia shots.


Question 2

In Pennsylvania, a provision that protects a policyowner from a misrepresentation caused by an innocent mistake on the application after 2 years is

A. a nonforfeiture provision.
B. an Incontestability provision.
C. a negligence provision.
D. an elimination provision.


Question 3

The proposed insured's statements on a life insurance application are considered to be

A. warranties.
B. misrepresentations.
C. representations.
D. absolute statements.


Question 4

The responsibility for regulating the insurance continuing education requirements and approving insurance continuing education courses of instruction belongs to the

A. Guaranty Association Board of Directors.
B. Pennsylvania Insurance Commissioner.
C. Pennsylvania Department of Education.
D. National Association of Insurance Commissioners.


Question 5

When the Commissioner believes a producer has violated an insurance law, the Commissioner has the authority to:

A. Increase the producer's continuing education requirement
B. Terminate the producer's appointment
C. Issue a cease and desist order against the producer after a hearing
D. Cancel the producer's fiduciary responsibility


Solutions:

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

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