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  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Last Updated: Aug 12, 2026
  • Q & A: 132 Questions and Answers
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  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Last Updated: Aug 12, 2026
  • Q & A: 132 Questions and Answers
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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Accident & Health – General Knowledge50%- Social Insurance
  • 1. Medicare Parts A, B, C, and D
    • 2. Medicaid
      • 3. Social Security benefits
        - Field Underwriting Procedures
        • 1. Initial premium payment and receipt
          • 2. Completing the application
            • 3. Policy delivery
              • 4. Submitting application and initial premium to company for underwriting
                • 5. Contract law
                  • Elements of a contract
                  • Insurable interest
                  • Warranties and representations
                  • Unique aspects of the insurance contract
                • 6. Explaining policy provisions, riders, exclusions, and ratings
                  • 7. Replacement
                    • 8. Sources of insurability and HIPAA privacy information
                      - Other Insurance Concepts
                      • 1. Managed care
                        • 2. Workers Compensation
                          • 3. Occupational vs. non-occupational
                            • 4. Primary and contingent beneficiaries
                              • 5. Cost containment
                                • 6. Tax treatment of premiums and proceeds of insurance contracts
                                  • 7. Modes of premium payments
                                    • 8. Subrogation
                                      • 9. Total, partial, recurrent, and residual disability
                                        • 10. Owner's rights
                                          • 11. Dependent children benefits
                                            • 12. Nonduplication and coordination of benefits
                                              - Types of Policies
                                              • 1. Individual and Group Long Term Care
                                                • Eligibility
                                                • Levels of care
                                              • 2. Disability income
                                                • Individual disability income policy
                                                • Business overhead expense policy
                                                • Business disability buyout policy
                                                • Group disability income policy
                                                • Key employee policy
                                              • 3. Accidental death and dismemberment
                                                • 4. Group insurance
                                                  • Differences between individual and group contracts
                                                  • General characteristics
                                                  • COBRA
                                                • 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. Other policies
                                                  • Dental
                                                  • Vision
                                                  • Cancer
                                                  • Critical illness or specified disease
                                                  • Worksite employer-sponsored
                                                  • Hospital indemnity
                                                  • Short-term medical
                                                  • Accident
                                                • 7. Medicare supplement policies
                                                  - Policy Provisions, Clauses, and Riders
                                                  • 1. Rights of renewability
                                                    • Noncancelable
                                                    • Cancelable
                                                    • Guaranteed renewable
                                                  • 2. 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
                                                  • 3. Riders
                                                    • Impairment and exclusions
                                                    • Guaranteed insurability
                                                    • Future increase option
                                                  • 4. 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
                                                  Topic 2: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Insurance Commissioner
                                                  • 1. Notice and hearings and penalties
                                                    • 2. General powers and duties
                                                      • 3. Examinations
                                                        - Licensing
                                                        • 1. Renewal and continuing education
                                                          • 2. Termination of license
                                                            • 3. Name of licensee
                                                              • 4. Persons required to be licensed
                                                                • 5. Obtaining a license
                                                                  • 6. Suspension, revocation, and refusal of license
                                                                    - Definitions
                                                                    • 1. Cost-sharing
                                                                      • 2. Certificate of authority
                                                                        • 3. Insurer
                                                                          • 4. Transacting insurance
                                                                            • 5. Premiums
                                                                              • 6. Authorized and unauthorized
                                                                                • 7. Domestic, foreign, and alien
                                                                                  - Nevada Life and Health Insurance Guaranty Association
                                                                                  - Marketing Practices
                                                                                  • 1. Fiduciary responsibilities
                                                                                    • 2. Affordable Care Act
                                                                                      • 3. Silver State Health Insurance Exchange
                                                                                        • 4. Required records and record retention
                                                                                          • 5. Commissions and payment restrictions
                                                                                            • 6. Unfair practices
                                                                                              • Unfair claims methods and practices and settlement of claims
                                                                                              • Rebating and inducement
                                                                                              • Twisting
                                                                                              • Misrepresentation
                                                                                              • Fraud
                                                                                              • Unfair discrimination
                                                                                              • Defamation
                                                                                            Topic 3: Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Credit life and health insurance
                                                                                            - Group life and health insurance
                                                                                            • 1. Eligible groups
                                                                                              • 2. Required provisions
                                                                                                - Advertising
                                                                                                Topic 4: Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Medicare
                                                                                                • 1. Medicare supplement regulation
                                                                                                  • 2. Medicare Advantage Plans
                                                                                                    • 3. Prescription Drug Plan
                                                                                                      - Mandatory policy clauses and provisions
                                                                                                      • 1. Coverage for newborn children
                                                                                                        • 2. Coverage for preventive healthcare services
                                                                                                          • 3. Coverage for physical handicap or intellectual disability for dependent children
                                                                                                            - Coverage for reconstructive surgery
                                                                                                            - Long Term Care
                                                                                                            - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                                                                            - Hospice care

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. When must insurable interest generally exist in a life insurance transaction?

                                                                                                            A) At the time the policy is issued
                                                                                                            B) Only after the policy has been in force for two years
                                                                                                            C) Only when the beneficiary is changed
                                                                                                            D) Only when the death benefit is paid


                                                                                                            2. A long-term-care policy commonly becomes eligible to pay benefits when the insured is certified as chronically ill because the insured:

                                                                                                            A) Cannot perform at least two activities of daily living without substantial assistance
                                                                                                            B) Is unemployed for 30 days
                                                                                                            C) Has reached age 65
                                                                                                            D) Has missed one premium payment


                                                                                                            3. Under a Disability policy, the Elimination period is:

                                                                                                            A) usually longer for accidents than for sickness
                                                                                                            B) the same as a Probationary period
                                                                                                            C) predetermined by the insurance company
                                                                                                            D) similar to a deductible but expressed in terms of time rather than dollars


                                                                                                            4. A Nevada producer wants to solicit an individual disability-income policy. Which license authority is required?

                                                                                                            A) Accident and health insurance authority
                                                                                                            B) Casualty insurance authority
                                                                                                            C) Personal lines authority
                                                                                                            D) Property insurance authority


                                                                                                            5. Which feature most clearly distinguishes a health maintenance organization (HMO) from a traditional indemnity health insurance plan?

                                                                                                            A) The HMO provides only disability-income benefits.
                                                                                                            B) The HMO pays only after the insured satisfies a cash-value requirement.
                                                                                                            C) The HMO always reimburses any provider at the same level.
                                                                                                            D) The HMO commonly uses a provider network and coordinates care through managed-care rules.


                                                                                                            Solutions:

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

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