California Department of Insurance CA-Life-Accident-and-Health Q&A - in .pdf

  • CA-Life-Accident-and-Health pdf
  • Exam Code: CA-Life-Accident-and-Health
  • Exam Name: CA Life, Accident and Health or Sickness Examination
  • Updated: Aug 17, 2026
  • Q & A: 157 Questions and Answers
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  • Q & A: 157 Questions and Answers
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  • Exam Code: CA-Life-Accident-and-Health
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  • Q & A: 157 Questions and Answers
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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

SectionObjectives
Topic 1: Life Insurance- Life Insurance Policies
  • 1. Universal Life Insurance
  • 2. Whole Life Insurance
  • 3. Term Life Insurance
  • 4. Variable Life Insurance
- Policy Provisions and Riders
  • 1. Policy Loans
  • 2. Nonforfeiture Options
  • 3. Beneficiary Designations
  • 4. Settlement Options
Topic 2: Basic Insurance Concepts and Principles- Insurance Fundamentals
  • 1. Utmost Good Faith
  • 2. Risk Management
  • 3. Insurable Interest
  • 4. Indemnity
Topic 3: Accident and Health Insurance- Health Insurance Policies
  • 1. Disability Income Insurance
  • 2. Long-Term Care Insurance
  • 3. Medical Expense Plans
  • 4. Medicare and Medicaid
- Policy Provisions
  • 1. Eligibility and Renewability
  • 2. Coordination of Benefits
  • 3. Managed Care Plans
  • 4. Claims Procedures
Topic 4: Ethics and Professional Conduct- Agent Responsibilities
  • 1. Ethical Sales Practices
  • 2. Replacement Regulations
  • 3. Privacy and Confidentiality
  • 4. Unfair Trade Practices
Topic 5: California Insurance Laws and Regulations- State Regulatory Framework
  • 1. Consumer Protection Regulations
  • 2. Producer Responsibilities
  • 3. California Insurance Code
  • 4. Licensing Requirements

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

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

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


2. All of the following statements about mortality tables are true EXCEPT

A) the tables track a group of people from the year they were born until they all die.
B) the theory of probability is applied to numbers in the tables.
C) actuaries use the tables to predict the number of deaths among a given number of people at a given age.
D) the numbers in the tables are based on past experience.


3. The term for an insurer which has met the conditions required to transact business in the State of California is

A) entitled.
B) authorized.
C) eligible.
D) admitted.


4. California long-term care policies may be identified as any of the following EXCEPT

A) Home Care only.
B) Nursing Facility and Residential Care Facility only.
C) Acute Hospital Care only.
D) Comprehensive Long-Term Care.


5. Which contract provision forgives the payment of all health or disability insurance premiums whilethe insured is disabled?

A) guaranteed insurability
B) cost of living
C) family leave
D) waiver of premium


Solutions:

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

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