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NV Accident and Health Question and Answers

NV Accident and Health

Last Update Sep 20, 2026
Total Questions : 130

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Questions 1

Which of the following groups is NOT eligible to purchase blanket health insurance to cover its members for a specific event or activity?

Options:

A.  

A church

B.  

A family

C.  

A newspaper corporation

D.  

A volunteer fire department

Discussion 0
Questions 2

A policyowner borrows money from the insurer using the cash value of a whole life policy as security. If the loan and accrued interest are unpaid when the insured dies, what is the usual result?

Options:

A.  

The beneficiary receives the full death benefit and the loan is forgiven.

B.  

The death benefit is reduced by the outstanding loan and interest.

C.  

The insurer cancels the policy immediately when the loan is made.

D.  

The cash value is transferred automatically to the beneficiary instead of the death benefit.

Discussion 0
Questions 3

Which of the following situations describes a representation?

Options:

A.  

An insurance company guarantees that policy benefits will be paid promptly on receipt of a Proof of Loss

B.  

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

C.  

A prospect ' s statement on an application that is held to be substantially true

D.  

A prospect ' s statement on an application that is held to be absolutely true

Discussion 0
Questions 4

The Coinsurance clause in an individual Medical Expense policy refers to the:

Options:

A.  

insured ' s rights to have another person, such as a spouse or child, insured on the same policy

B.  

insurance company ' s right to join with another company to carry excessive coverage on a particular individual

C.  

insurance company ' s right to share claim experience with another company

D.  

insurance company ' s right to require the insured to share a certain percentage of the cost of each claim

Discussion 0
Questions 5

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

Options:

A.  

An adjuster’s employee who assists in the investigation and settlement of insurance claims

B.  

A person who procures insurance for an insured

C.  

A salaried insurance company employee who performs clerical and administrative work

D.  

A salaried insurance agency clerk who also receives commissions on applications the clerk processes

Discussion 0
Questions 6

In a typical HMO arrangement, what is the primary role of the primary care provider?

Options:

A.  

To coordinate routine care and referrals under the plan’s rules

B.  

To sell insurance policies to other patients

C.  

To guarantee that all out-of-network care is covered

D.  

To determine the insurer’s investment return

Discussion 0
Questions 7

Which of the following benefits are usually EXCLUDED or limited under a Long Term Care policy?

Options:

A.  

Hospice care

B.  

Home health care

C.  

Skilled nursing

D.  

Addictive behavior rehabilitation

Discussion 0
Questions 8

A $100,000 group Accidental Death and Dismemberment policy will pay double indemnity if the insured dies in a commercial airplane crash. If the insured is killed when flying to a business meeting on a commercial flight, the policy will pay a MAXIMUM of:

Options:

A.  

$0

B.  

$100,000

C.  

$200,000

D.  

$300,000

Discussion 0
Questions 9

Life insurance death proceeds paid to a named beneficiary are generally:

Options:

A.  

Subject to ordinary federal income tax in every case

B.  

Received free of federal income tax, subject to exceptions and special circumstances

C.  

Taxed as capital gains

D.  

Treated as a deductible premium refund

Discussion 0
Questions 10

The Nevada Insurance Commissioner may revoke the license of any licensed producer who:

Options:

A.  

is found liable by final judgment in a civil case

B.  

fails to file an annual financial report with the Division of Insurance

C.  

fails to notify the Commissioner of a change of address within forty-eight hours

D.  

misappropriates monies belonging to policyholders

Discussion 0
Questions 11

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

Options:

A.  

The business entity owns every policy.

B.  

Each owner owns policies on the other owners.

C.  

The insured owner’s children own the policy.

D.  

The producer owns the policy until death occurs.

Discussion 0
Questions 12

A corporation purchases life insurance on a highly valuable executive and is named as owner, premium payer, and beneficiary. What is the primary purpose of this arrangement?

Options:

A.  

Key person insurance

B.  

Credit life insurance

C.  

Family maintenance insurance

D.  

Viatical settlement insurance

Discussion 0
Questions 13

A group health policy that covers hospital expenses MUST also cover:

Options:

A.  

burial expenses

B.  

elective cosmetic surgery

C.  

travel expenses for caretakers

D.  

routine physical examinations

Discussion 0
Questions 14

An application for an individual Disability Income policy may require all of the following information about the proposed insured EXCEPT for:

Options:

A.  

marital status and occupation

B.  

medical history

C.  

other disability policies already in force

D.  

the spouse ' s occupation

Discussion 0
Questions 15

Which of the following statements is CORRECT about the Medicaid program?

Options:

A.  

It provides medical assistance for participants who are blind.

B.  

Participants must be at least 55 years of age.

C.  

It is supplemented by Medicare for persons 62 years of age or older.

D.  

The program is administered at the federal level.

Discussion 0
Questions 16

A policy pays a stated dollar amount for each day an insured is confined to a hospital, regardless of the actual hospital bill. What type of coverage is this?

Options:

A.  

Hospital indemnity insurance

B.  

Major medical insurance

C.  

Comprehensive dental insurance

D.  

Disability buy-sell insurance

Discussion 0
Questions 17

The Fair Credit Reporting Act requires that:

Options:

A.  

interest charged on premium loans be limited to a specified amount

B.  

applicants be advised that a consumer report may be requested

C.  

insurance companies treat insureds fairly and not discriminate

D.  

insurance companies pay interest on claims that are paid late

Discussion 0
Questions 18

Which of the following policies provides a specified income benefit when the insured person becomes unable to work because of illness or accident?

Options:

A.  

Emergency Income

B.  

Supplemental Income

C.  

Temporary Income

D.  

Disability Income

Discussion 0
Questions 19

For Social Security disability benefits, which statement is generally correct?

Options:

A.  

Benefits are payable for any short-term illness that prevents work for one week.

B.  

The program uses a strict definition of disability involving inability to perform substantial work for a required duration.

C.  

Benefits are available only to persons age 65 or older.

D.  

The program is funded entirely by private insurance premiums.

Discussion 0
Questions 20

Most insurance companies use the usual, customary, and reasonable (UCR) charges to:

Options:

A.  

reimburse the employee for expenses charged by the medical facilities

B.  

reimburse physicians for excess expense

C.  

pay dollars direct to the employers for health insurance

D.  

limit the insurance company claims liability

Discussion 0
Questions 21

What is the principal purpose of Medicare supplement insurance?

Options:

A.  

To replace Medicare Part A and Part B entirely

B.  

To help pay certain deductibles, coinsurance, and other gaps in Original Medicare

C.  

To provide Medicaid eligibility

D.  

To pay only long-term custodial care

Discussion 0
Questions 22

An applicant unintentionally gives an incorrect answer about a material health condition on a life insurance application. This is best described as:

Options:

A.  

A representation that may be material to underwriting

B.  

A warranty that automatically voids the policy

C.  

A rider

D.  

A premium-payment mode

Discussion 0
Questions 23

An insured who wants to guarantee that an Accident and Health policy will remain in force even in the event of being disabled should purchase which of the following riders?

Options:

A.  

Accidental Death and Dismemberment (AD & D)

B.  

Double Indemnity

C.  

Waiver of Premium

D.  

Guaranteed Insurability

Discussion 0
Questions 24

Which statement best describes a preferred provider organization (PPO)?

Options:

A.  

It requires all care to be obtained only from government hospitals.

B.  

It generally provides greater benefits when members use participating providers but may allow nonnetwork care at a reduced benefit level.

C.  

It pays only a fixed daily hospital benefit.

D.  

It has no deductible, coinsurance, or utilization-management features.

Discussion 0
Questions 25

Under a typical coordination-of-benefits rule, a child is covered under both parents’ group health plans. Which plan is generally primary when the parents are married and neither plan contains an exception?

Options:

A.  

The plan of the parent whose birthday falls earlier in the calendar year

B.  

The plan with the highest deductible

C.  

The plan that began most recently

D.  

The plan selected by the child each year

Discussion 0
Questions 26

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

Options:

A.  

60%

B.  

70%

C.  

80%

D.  

90%

Discussion 0
Questions 27

What is the primary purpose of a waiver-of-premium rider on a life insurance policy?

Options:

A.  

It eliminates all future policy loans.

B.  

It waives required premiums if the insured becomes totally disabled as defined by the rider.

C.  

It guarantees a higher death benefit every year.

D.  

It converts term insurance automatically into whole life insurance.

Discussion 0
Questions 28

J and K are married and have several children. J is the primary beneficiary on K ' s Accidental Death and Dismemberment (AD & D) policy, and K ' s sibling, L, is the contingent beneficiary. J, K, and L are involved in a train accident, and K and L are killed instantly. The Accidental Death benefits will be paid to:

Options:

A.  

L ' s estate

B.  

K ' s estate

C.  

J and K ' s estate

D.  

J only

Discussion 0
Questions 29

Under a life insurance policy with a revocable beneficiary designation, who normally has the authority to change the beneficiary?

Options:

A.  

The insured, regardless of ownership

B.  

The beneficiary

C.  

The policyowner

D.  

The insurer

Discussion 0
Questions 30

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

Options:

A.  

An industrial life policy

B.  

A group life certificate

C.  

A replacement life insurance policy

D.  

A standard nonreplacement life insurance policy

Discussion 0
Questions 31

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

Options:

A.  

30 calendar days

B.  

60 calendar days

C.  

90 calendar days

D.  

180 calendar days

Discussion 0
Questions 32

A producer offers a prospective life insurance applicant a gift card that is not stated in the policy as an inducement to purchase coverage. Which prohibited practice is most directly implicated?

Options:

A.  

Rebating

B.  

Coinsurance

C.  

Subrogation

D.  

Assignment

Discussion 0
Questions 33

Under federal COBRA continuation rules, an employee who loses group health coverage because of termination of employment or reduction in hours will generally be offered continuation coverage for up to:

Options:

A.  

6 months

B.  

12 months

C.  

18 months

D.  

60 months

Discussion 0
Questions 34

Which person is the measuring life whose survival determines the timing and duration of annuity payments?

Options:

A.  

Annuitant

B.  

Beneficiary

C.  

Policyowner

D.  

Producer

Discussion 0
Questions 35

A prospect submits an Accident and Health application with the premium and receives a conditional receipt. The insurance company issues a policy and mails it to the insured, but the insured never receives it. Which of the following statements is CORRECT about this situation?

Options:

A.  

The policy is not in force because delivery was not completed.

B.  

The policy will be in force five business days after the prospect notifies the company that the prospect has not received the policy.

C.  

The policy will be in force as soon as the company issues a replacement policy.

D.  

The policy is in force.

Discussion 0
Questions 36

Under an individual health policy issued in Nevada, a newborn is automatically covered for a MAXIMUM of how many days after birth?

Options:

A.  

Two

B.  

Five

C.  

Ten

D.  

Thirty-one

Discussion 0
Questions 37

A life policy lapses because a premium was not paid. To reinstate the policy, the insurer will generally require all of the following EXCEPT:

Options:

A.  

Evidence of insurability

B.  

Payment of overdue premiums with interest

C.  

A new medical examination in every case

D.  

Reinstatement within the policy’s permitted time limit

Discussion 0
Questions 38

All insurance companies and producers who sell Group Life or Accident and Health policies in Nevada MUST:

Options:

A.  

obtain a receipt when delivering individual certificates to insureds

B.  

deliver to the policyholder individual certificates for all insureds

C.  

deliver a policy to each insured member of a group

D.  

notify the Commissioner when individual certificates have been issued

Discussion 0
Questions 39

In order to be covered under the Nevada Life and Health Insurance Guaranty Association, an insurance company MUST be:

Options:

A.  

rated by AM Best

B.  

admitted

C.  

a fraternal benefit society

D.  

alien

Discussion 0