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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Nevada Statutes, Rules and Regulations | ~32% | - General State Insurance Regulations
|
| Accident and Health — General Knowledge | ~68% | - Social Insurance / Government Plans
|
Insurance Licensing NV Accident and Health Sample Questions:
Which of the following information is included in the Consideration clause in an Accident and Health policy?
- A. Description of the coverage provided
- B. Schedule and amount of premium payments
- C. Explanation of the Contestable periods
- D. Duration of the Grace Period
Correct Answer: B 🗳️
In a typical HMO arrangement, what is the primary role of the primary care provider?
- A. To sell insurance policies to other patients
- B. To determine the insurer's investment return
- C. To coordinate routine care and referrals under the plan's rules
- D. To guarantee that all out-of-network care is covered
Correct Answer: C 🗳️
Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).
Which statement best describes a preferred provider organization (PPO)?
- A. It requires all care to be obtained only from government hospitals.
- B. It has no deductible, coinsurance, or utilization-management features.
- C. It generally provides greater benefits when members use participating providers but may allow nonnetwork care at a reduced benefit level.
- D. It pays only a fixed daily hospital benefit.
Correct Answer: C 🗳️
Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).
Most insurance companies use the usual, customary, and reasonable (UCR) charges to:
- A. limit the insurance company claims liability
- B. reimburse physicians for excess expense
- C. reimburse the employee for expenses charged by the medical facilities
- D. pay dollars direct to the employers for health insurance
Correct Answer: A 🗳️
Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).
Which of the following characteristics is typical of group insurance?
- A. All full-time employees are eligible for coverage.
- B. Medical examinations are required.
- C. Employees may automatically enroll for coverage at any time.
- D. Each employee receives an individual contract.
Correct Answer: A 🗳️
Explanation: Only visible for Prep4away members. You can sign-up / login (it's free).
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