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Insurance Licensing InsNV_Health02 Value Package

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Exam Code: InsNV_Health02
Exam Name: NV Accident and Health
No. of Questions: 132 Questions and Answers
Updated: Sep 30, 2026

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

Section	Weight	Objectives
Accident & Health – General Knowledge	50%	- Field Underwriting Procedures 1. Initial premium payment and receipt 2. Completing the application 3. Replacement 4. Submitting application and initial premium to company for underwriting 5. Policy delivery 6. Sources of insurability and HIPAA privacy information 7. Contract law Elements of a contract Insurable interest Warranties and representations Unique aspects of the insurance contract 8. Explaining policy provisions, riders, exclusions, and ratings - Social Insurance 1. Medicare Parts A, B, C, and D 2. Medicaid 3. Social Security benefits - Types of Policies 1. Medicare supplement policies 2. Disability income Individual disability income policy Business overhead expense policy Business disability buyout policy Group disability income policy Key employee policy 3. Accidental death and dismemberment 4. 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 5. Other policies Dental Vision Cancer Critical illness or specified disease Worksite employer-sponsored Hospital indemnity Short-term medical Accident 6. Group insurance Differences between individual and group contracts General characteristics COBRA 7. Individual and Group Long Term Care Eligibility Levels of care - Policy Provisions, Clauses, and Riders 1. 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 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. Riders Impairment and exclusions Guaranteed insurability Future increase option - Other Insurance Concepts 1. Nonduplication and coordination of benefits 2. Workers Compensation 3. Subrogation 4. Occupational vs. non-occupational 5. Tax treatment of premiums and proceeds of insurance contracts 6. Cost containment 7. Managed care 8. Total, partial, recurrent, and residual disability 9. Owner's rights 10. Modes of premium payments 11. Dependent children benefits 12. Primary and contingent beneficiaries
Nevada Statutes and Codes Pertinent to Health Insurance Only	14%	- Mandatory policy clauses and provisions 1. Coverage for newborn children 2. Coverage for preventive healthcare services 3. Coverage for physical handicap or intellectual disability for dependent children - Hospice care - Coverage for reconstructive surgery - Medicare 1. Prescription Drug Plan 2. Medicare supplement regulation 3. Medicare Advantage Plans - Long Term Care - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance	20%	- Licensing 1. Renewal and continuing education 2. Suspension, revocation, and refusal of license 3. Name of licensee 4. Obtaining a license 5. Termination of license 6. Persons required to be licensed - Marketing Practices 1. Affordable Care Act 2. Commissions and payment restrictions 3. Silver State Health Insurance Exchange 4. Required records and record retention 5. Fiduciary responsibilities 6. Unfair practices Unfair claims methods and practices and settlement of claims Rebating and inducement Twisting Misrepresentation Fraud Unfair discrimination Defamation - Definitions 1. Certificate of authority 2. Authorized and unauthorized 3. Transacting insurance 4. Domestic, foreign, and alien 5. Premiums 6. Cost-sharing 7. Insurer - Nevada Life and Health Insurance Guaranty Association - Insurance Commissioner 1. General powers and duties 2. Notice and hearings and penalties 3. Examinations
Nevada Statutes and Codes Common to Life and Health Insurance Only	4%	- 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:

Question #1

What is the principal purpose of Medicare supplement insurance?

A. To provide Medicaid eligibility
B. To help pay certain deductibles, coinsurance, and other gaps in Original Medicare
C. To pay only long-term custodial care
D. To replace Medicare Part A and Part B entirely

Reveal Solution Discussion 0

Correct Answer: B 🗳️