Insurance Licensing InsNV_Health02 : NV Accident and Health

  • Exam Code: InsNV_Health02
  • Exam Name: NV Accident and Health
  • Updated: Aug 19, 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%- Field Underwriting Procedures
  • 1. Completing the application
    • 2. Policy delivery
      • 3. Submitting application and initial premium to company for underwriting
        • 4. Explaining policy provisions, riders, exclusions, and ratings
          • 5. Sources of insurability and HIPAA privacy information
            • 6. Replacement
              • 7. Contract law
                • Elements of a contract
                • Insurable interest
                • Warranties and representations
                • Unique aspects of the insurance contract
              • 8. Initial premium payment and receipt
                - Other Insurance Concepts
                • 1. Cost containment
                  • 2. Modes of premium payments
                    • 3. Owner's rights
                      • 4. Primary and contingent beneficiaries
                        • 5. Workers Compensation
                          • 6. Occupational vs. non-occupational
                            • 7. Managed care
                              • 8. Total, partial, recurrent, and residual disability
                                • 9. Subrogation
                                  • 10. Dependent children benefits
                                    • 11. Nonduplication and coordination of benefits
                                      • 12. Tax treatment of premiums and proceeds of insurance contracts
                                        - Types of Policies
                                        • 1. Other policies
                                          • Dental
                                          • Vision
                                          • Cancer
                                          • Critical illness or specified disease
                                          • Worksite employer-sponsored
                                          • Hospital indemnity
                                          • Short-term medical
                                          • Accident
                                        • 2. Group insurance
                                          • Differences between individual and group contracts
                                          • General characteristics
                                          • COBRA
                                        • 3. Medicare supplement policies
                                          • 4. 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
                                          • 5. Accidental death and dismemberment
                                            • 6. Disability income
                                              • Individual disability income policy
                                              • Business overhead expense policy
                                              • Business disability buyout policy
                                              • Group disability income policy
                                              • Key employee policy
                                            • 7. Individual and Group Long Term Care
                                              • Eligibility
                                              • Levels of care
                                            - Policy Provisions, Clauses, and Riders
                                            • 1. Riders
                                              • Impairment and exclusions
                                              • Guaranteed insurability
                                              • Future increase option
                                            • 2. 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
                                            • 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. Rights of renewability
                                              • Noncancelable
                                              • Cancelable
                                              • Guaranteed renewable
                                            - Social Insurance
                                            • 1. Social Security benefits
                                              • 2. Medicaid
                                                • 3. Medicare Parts A, B, C, and D
                                                  Topic 2: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Nevada Life and Health Insurance Guaranty Association
                                                  - Marketing Practices
                                                  • 1. Fiduciary responsibilities
                                                    • 2. Silver State Health Insurance Exchange
                                                      • 3. Required records and record retention
                                                        • 4. Unfair practices
                                                          • Unfair claims methods and practices and settlement of claims
                                                          • Rebating and inducement
                                                          • Twisting
                                                          • Misrepresentation
                                                          • Fraud
                                                          • Unfair discrimination
                                                          • Defamation
                                                        • 5. Affordable Care Act
                                                          • 6. Commissions and payment restrictions
                                                            - Licensing
                                                            • 1. Persons required to be licensed
                                                              • 2. Name of licensee
                                                                • 3. Renewal and continuing education
                                                                  • 4. Termination of license
                                                                    • 5. Obtaining a license
                                                                      • 6. Suspension, revocation, and refusal of license
                                                                        - Definitions
                                                                        • 1. Transacting insurance
                                                                          • 2. Certificate of authority
                                                                            • 3. Domestic, foreign, and alien
                                                                              • 4. Insurer
                                                                                • 5. Cost-sharing
                                                                                  • 6. Premiums
                                                                                    • 7. Authorized and unauthorized
                                                                                      - Insurance Commissioner
                                                                                      • 1. Notice and hearings and penalties
                                                                                        • 2. Examinations
                                                                                          • 3. General powers and duties
                                                                                            Topic 3: Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Coverage for reconstructive surgery
                                                                                            - Long Term Care
                                                                                            - Medicare
                                                                                            • 1. Medicare supplement regulation
                                                                                              • 2. Prescription Drug Plan
                                                                                                • 3. Medicare Advantage Plans
                                                                                                  - Hospice care
                                                                                                  - Mandatory policy clauses and provisions
                                                                                                  • 1. Coverage for physical handicap or intellectual disability for dependent children
                                                                                                    • 2. Coverage for newborn children
                                                                                                      • 3. Coverage for preventive healthcare services
                                                                                                        - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
                                                                                                        Topic 4: 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. Under an individual health policy issued in Nevada, a newborn is automatically covered for a MAXIMUM of how many days after birth?

                                                                                                            A) Thirty-one
                                                                                                            B) Ten
                                                                                                            C) Five
                                                                                                            D) Two


                                                                                                            2. R, a self-employed stockbroker, becomes totally disabled on January 1 and receives $1,500 a month for the next twelve months from her own Individual Disability Income policy, for which she had paid the premium.
                                                                                                            How much of this income is subject to federal income tax?

                                                                                                            A) $18,000
                                                                                                            B) $12,800
                                                                                                            C) $0
                                                                                                            D) $9,000


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

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


                                                                                                            4. As a condition to granting a loan, a creditor can:

                                                                                                            A) require insurance in an amount greater than the debt
                                                                                                            B) require insurance coverage through a specific insurer
                                                                                                            C) accept assignment from an existing policy
                                                                                                            D) assess a higher interest rate if insurance is not purchased


                                                                                                            5. A whole life policyowner stops paying premiums and chooses to use the policy's cash value to purchase the same face amount of insurance for as long as that cash value will buy. Which nonforfeiture option was selected?

                                                                                                            A) Reduced paid-up insurance
                                                                                                            B) Cash surrender
                                                                                                            C) Automatic premium loan
                                                                                                            D) Extended term insurance


                                                                                                            Solutions:

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

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