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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Individual Health Insurance Policy General Provisions | - Uniform required provisions - Optional provisions - Other provisions | |
| Topic 2: General Insurance | 6% | - Agents and general rules of agency - Concepts - Contracts - Insurers |
| Topic 3: Insurance Regulation | 8% | - Federal regulation - State regulation - Licensing |
| Topic 4: Life Insurance Policies | 11% | - Group life insurance - Specialized policies - Flexible premium policies - Term life insurance - Whole life insurance |
| Topic 5: Group Health Insurance | - Group health insurance provisions - Group health insurance concepts - Group health insurance plans | |
| Topic 6: Specialized Health Insurance for Qualified Individuals | - Medicare - HIPAA - Medicaid - Long-term care insurance | |
| Topic 7: Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health | 30% | - Unfair trade practices - Licensing requirements - Agent conduct and trade practices - Pennsylvania Insurance Department - Penalties and offenses |
| Topic 8: Annuities | - Annuity principles and concepts - Annuity taxation - Annuity products | |
| Topic 9: Life Insurance Basics | 8% | - Differences in life insurance policies - Premiums - Business uses of life insurance - Personal uses of life insurance - Factors in premium determination - Insurable interest - Individual underwriting by the insurer - Determining amount of personal life insurance - Licensee responsibilities |
| Topic 10: Health Insurance Basics | - Social insurance - Disability income insurance - Medical expense insurance - Health insurance concepts - Policy provisions and riders |
1. In Pennsylvania, when issuing a Medicare Supplement Policy, which form must be delivered to the applicant?
A) Outline of Coverage
B) Company Brochure
C) Statement of Good Health
D) Policy Summary
2. Under the exclusion clause, which is a scenario that would NOT be covered if death resulted?
A) A fare-paying passenger in a regularly-scheduled airline
B) A spectator at an auto race
C) Army officer killed in the line of duty
D) Commercial pilot or crew member
3. Who of the following is required to be licensed as an insurance producer?
A) An insurer administering a group plan.
B) An individual selling a policy for commission.
C) An officer or director of an Insurer.
D) An underwriter at an insurer.
4. An Insurance licensee must do all of the following in order to renew an insurance license EXCEPT
A) hold active insurer appointment(s).
B) submit to the department a completed renewal form.
C) pay the required renewal fee.
D) complete the continuing education requirements, if applicable.
5. The types of life insurance generally used to cover key employee indemnification are
A) universal, term, and whole life Insurance.
B) limited-pay, adjustable, and group life insurance.
C) decreasing term life insurance.
D) joint, permanent and credit life insurance.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: A |
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