Insurance Licensing InsNV_Health02 : NV Accident and Health

Exam Code: InsNV_Health02
Exam Name: NV Accident and Health
Updated: Oct 08, 2026
Q & A: 132 Questions and Answers

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance	20%	- 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 2: Nevada Statutes and Codes Common to Life and Health Insurance Only	4%	- Credit life and health insurance - Advertising - Group life and health insurance 1. Eligible groups 2. Required provisions
Topic 3: Nevada Statutes and Codes Pertinent to Health Insurance Only	14%	- 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: Accident & Health – General Knowledge	50%	- 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

Insurance Licensing NV Accident and Health Sample Questions:

Question #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

Reveal Solution Discussion 0

Correct Answer: A 🗳️