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California Department of Insurance CA-Life-Accident-and-Health exam : CA Life, Accident and Health or Sickness Examination

CA-Life-Accident-and-Health Exam Simulator
  • Exam Code: CA-Life-Accident-and-Health
  • Exam Name: CA Life, Accident and Health or Sickness Examination
  • Updated: Jul 27, 2026
  • Q & A: 157 Questions and Answers
  • California Department of Insurance CA-Life-Accident-and-Health Q&A - in .pdf

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California Department of Insurance CA-Life-Accident-and-Health exam simulator

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California Department of Insurance CA-Life-Accident-and-Health Exam Syllabus Topics:

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

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

1. In health insurance the coinsurance is

A) a percentage paid for covered expenses by the insured and insurer after the deductible is satisfied.
B) a percentage of the cost for covered expenses paid by more than one insurer.
C) a portion of the premium paid by the insured and insurer for each covered service.
D) a payment shared by the insured and provider of covered service minus the deductible.


2. Which of the following statements about policy dividends is TRUE?

A) Dividends can be guaranteed.
B) All dividends are taxable.
C) Insureds elect a dividend option at the time of policy purchase.
D) Dividends are payable only in nonparticipating policies.


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

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


4. An insured is receiving benefits from a group health plan for a total disability. Which of the following happens if the existing plan is terminated?

A) The insured must apply for Social Security benefits.
B) The insured must apply for individual health coverage.
C) The insured receives benefits from the terminated plan.
D) The insured ceases to receive benefits.


5. 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) the numbers in the tables are based on past experience.
D) actuaries use the tables to predict the number of deaths among a given number of people at a given age.


Solutions:

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

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