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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Life Insurance Basics | 8% | - Licensee responsibilities - Insurable interest - Personal uses of life insurance - Individual underwriting by the insurer - Determining amount of personal life insurance - Factors in premium determination - Differences in life insurance policies - Business uses of life insurance - Premiums |
| General Insurance | 6% | - Concepts - Contracts - Insurers - Agents and general rules of agency |
| Group Health Insurance | - Group health insurance provisions - Group health insurance concepts - Group health insurance plans | |
| Individual Health Insurance Policy General Provisions | - Other provisions - Uniform required provisions - Optional provisions | |
| Life Insurance Policies | 11% | - Term life insurance - Group life insurance - Whole life insurance - Flexible premium policies - Specialized policies |
| Specialized Health Insurance for Qualified Individuals | - Medicare - Medicaid - HIPAA - Long-term care insurance | |
| Annuities | - Annuity principles and concepts - Annuity products - Annuity taxation | |
| Health Insurance Basics | - Policy provisions and riders - Medical expense insurance - Disability income insurance - Health insurance concepts - Social insurance | |
| Insurance Regulation | 8% | - Licensing - Federal regulation - State regulation |
| Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health | 30% | - Licensing requirements - Pennsylvania Insurance Department - Agent conduct and trade practices - Unfair trade practices - Penalties and offenses |
Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:
1. (EXCEPT for fraud, what is the time limit after issue for an insurer to deny an individual health insurance claim based on material misrepresentation in the application for the insurance?
A) 3 years
B) 180 days
C) 5 years
D) 1 year
2. What is the primary reason a business should purchase key person insurance?
A) Reduce taxable income
B) Insure all employees
C) Offset financial losses
D) Reward an executive
3. An insured has a stop-loss limit of $10,000, a deductible of $500, and an 80%'20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much I will the insured have to pay?
A) $10,600
B) $10,000
C) $500
D) $10,400
4. Which term describes an insurer operating in the state in which it is incorporated?
A) domestic
B) participating
C) resident
D) foreign
5. She has a $200,000 whole life policy with a $50,000 cash value. She wishes to borrow $30,000 for the purchase of a new van. Which of the following is TRUE in this situation?
A) If the loan is not repaid, the net death will be reduced
B) Whole life policies do not have any loan provisions.
C) Loans can only be taken for hardship situations.
D) This type of loan is interest free.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: A |

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