Insurance Licensing NV Accident and Health : InsNV_Health02 exam

InsNV_Health02 real exams

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Aug 16, 2026

Q & A: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

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

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. In Nevada, which life insurance policy is subject to a 30-day right to surrender for a premium refund after delivery?

                                                                                                            A) A replacement life insurance policy
                                                                                                            B) An industrial life policy
                                                                                                            C) A standard nonreplacement life insurance policy
                                                                                                            D) A group life certificate


                                                                                                            2. Which of the following persons is NOT required to be licensed by the Nevada Insurance Commissioner?

                                                                                                            A) A salaried insurance agency clerk who also receives commissions on applications the clerk processes
                                                                                                            B) An adjuster's employee who assists in the investigation and settlement of insurance claims
                                                                                                            C) A salaried insurance company employee who performs clerical and administrative work
                                                                                                            D) A person who procures insurance for an insured


                                                                                                            3. In a cross-purchase buy-sell agreement funded by life insurance, who typically owns the policy on each business owner?

                                                                                                            A) Each owner owns policies on the other owners.
                                                                                                            B) The producer owns the policy until death occurs.
                                                                                                            C) The insured owner's children own the policy.
                                                                                                            D) The business entity owns every policy.


                                                                                                            4. Under the Affordable Care Act (ACA), for a woman 40 years or older, mammograms are:

                                                                                                            A) covered under preventative services annually at no cost
                                                                                                            B) not covered if a family member has been formally diagnosed with breast cancer
                                                                                                            C) covered under only health plans that offer mammogram coverage
                                                                                                            D) not covered under the rules of ACA because mammograms are not considered preventative health care


                                                                                                            5. Which of the following characteristics is typical of group insurance?

                                                                                                            A) Each employee receives an individual contract.
                                                                                                            B) Employees may automatically enroll for coverage at any time.
                                                                                                            C) Medical examinations are required.
                                                                                                            D) All full-time employees are eligible for coverage.


                                                                                                            Solutions:

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

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