Insurance Licensing NV Accident and Health : InsNV_Health02 valid dumps

InsNV_Health02 real exams

Exam Code: InsNV_Health02

Exam Name: NV Accident and Health

Updated: Aug 15, 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
- Coverage for reconstructive surgery
- Mandatory policy clauses and provisions
  • 1. Coverage for preventive healthcare services
    • 2. Coverage for newborn children
      • 3. Coverage for physical handicap or intellectual disability for dependent children
        - Medicare
        • 1. Medicare supplement regulation
          • 2. Medicare Advantage Plans
            • 3. Prescription Drug Plan
              - Hospice care
              - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
              Accident & Health – General Knowledge50%- Other Insurance Concepts
              • 1. Nonduplication and coordination of benefits
                • 2. Occupational vs. non-occupational
                  • 3. Primary and contingent beneficiaries
                    • 4. Workers Compensation
                      • 5. Owner's rights
                        • 6. Total, partial, recurrent, and residual disability
                          • 7. Tax treatment of premiums and proceeds of insurance contracts
                            • 8. Modes of premium payments
                              • 9. Cost containment
                                • 10. Subrogation
                                  • 11. Dependent children benefits
                                    • 12. Managed care
                                      - Social Insurance
                                      • 1. Medicaid
                                        • 2. Social Security benefits
                                          • 3. Medicare Parts A, B, C, and D
                                            - Field Underwriting Procedures
                                            • 1. Completing the application
                                              • 2. Contract law
                                                • Elements of a contract
                                                • Insurable interest
                                                • Warranties and representations
                                                • Unique aspects of the insurance contract
                                              • 3. Replacement
                                                • 4. Sources of insurability and HIPAA privacy information
                                                  • 5. Policy delivery
                                                    • 6. Submitting application and initial premium to company for underwriting
                                                      • 7. Initial premium payment and receipt
                                                        • 8. Explaining policy provisions, riders, exclusions, and ratings
                                                          - Types of Policies
                                                          • 1. Other policies
                                                            • Dental
                                                            • Vision
                                                            • Cancer
                                                            • Critical illness or specified disease
                                                            • Worksite employer-sponsored
                                                            • Hospital indemnity
                                                            • Short-term medical
                                                            • Accident
                                                          • 2. Medicare supplement policies
                                                            • 3. Accidental death and dismemberment
                                                              • 4. Disability income
                                                                • Individual disability income policy
                                                                • Business overhead expense policy
                                                                • Business disability buyout policy
                                                                • Group disability income policy
                                                                • Key employee policy
                                                              • 5. 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
                                                              • 6. Individual and Group Long Term Care
                                                                • Eligibility
                                                                • Levels of care
                                                              • 7. Group insurance
                                                                • Differences between individual and group contracts
                                                                • General characteristics
                                                                • COBRA
                                                              - 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. Rights of renewability
                                                                • Noncancelable
                                                                • Cancelable
                                                                • Guaranteed renewable
                                                              • 3. 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
                                                              • 4. Riders
                                                                • Impairment and exclusions
                                                                • Guaranteed insurability
                                                                • Future increase option
                                                              Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Nevada Life and Health Insurance Guaranty Association
                                                              - Licensing
                                                              • 1. Persons required to be licensed
                                                                • 2. Obtaining a license
                                                                  • 3. Suspension, revocation, and refusal of license
                                                                    • 4. Termination of license
                                                                      • 5. Name of licensee
                                                                        • 6. Renewal and continuing education
                                                                          - Definitions
                                                                          • 1. Certificate of authority
                                                                            • 2. Premiums
                                                                              • 3. Authorized and unauthorized
                                                                                • 4. Domestic, foreign, and alien
                                                                                  • 5. Transacting insurance
                                                                                    • 6. Cost-sharing
                                                                                      • 7. Insurer
                                                                                        - Marketing Practices
                                                                                        • 1. Fiduciary responsibilities
                                                                                          • 2. Affordable Care Act
                                                                                            • 3. Required records and record retention
                                                                                              • 4. Commissions and payment restrictions
                                                                                                • 5. Silver State Health Insurance Exchange
                                                                                                  • 6. Unfair practices
                                                                                                    • Unfair claims methods and practices and settlement of claims
                                                                                                    • Rebating and inducement
                                                                                                    • Twisting
                                                                                                    • Misrepresentation
                                                                                                    • Fraud
                                                                                                    • Unfair discrimination
                                                                                                    • Defamation
                                                                                                  - Insurance Commissioner
                                                                                                  • 1. Notice and hearings and penalties
                                                                                                    • 2. General powers and duties
                                                                                                      • 3. Examinations
                                                                                                        Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Credit life and health insurance
                                                                                                        - Advertising
                                                                                                        - Group life and health insurance
                                                                                                        • 1. Eligible groups
                                                                                                          • 2. Required provisions

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. Which of the following situations describes a representation?

                                                                                                            A) An insurance company guarantees that premiums paid will be refunded within 30 days after the policy ' s effective date if an insured is dissatisfied with the policy
                                                                                                            B) An insurance company guarantees that policy benefits will be paid promptly on receipt of a Proof of Loss
                                                                                                            C) A prospect ' s statement on an application that is held to be absolutely true
                                                                                                            D) A prospect ' s statement on an application that is held to be substantially true


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

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


                                                                                                            3. Which Medicare part generally helps cover inpatient hospital care, skilled nursing facility care following a qualifying hospital stay, hospice care, and certain home health services?

                                                                                                            A) Medicare Part D
                                                                                                            B) Medicare Part A
                                                                                                            C) Medicare Part B
                                                                                                            D) Medicare Part C


                                                                                                            4. For a group health plan subject to the federal waiting-period rule, the waiting period for otherwise eligible employees generally may not exceed:

                                                                                                            A) 60 calendar days
                                                                                                            B) 30 calendar days
                                                                                                            C) 180 calendar days
                                                                                                            D) 90 calendar days


                                                                                                            5. Under a Gold health insurance plan, an insurer would be expected to pay which percentage of medical costs?

                                                                                                            A) 60%
                                                                                                            B) 80%
                                                                                                            C) 90%
                                                                                                            D) 70%


                                                                                                            Solutions:

                                                                                                            Question # 1
                                                                                                            Answer: D
                                                                                                            Question # 2
                                                                                                            Answer: B
                                                                                                            Question # 3
                                                                                                            Answer: B
                                                                                                            Question # 4
                                                                                                            Answer: D
                                                                                                            Question # 5
                                                                                                            Answer: B

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