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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

Insurance Licensing NV Accident and Health Sample Questions:

1. Group vision insurance plans typically provide insurance benefits that cover the cost of:

A) eye exams, lenses, retinal corrective surgery
B) laser surgery, eye exams, lenses
C) cataract removal, frames, lenses
D) eye exams, lenses, frames, and contact lenses

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

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

3. 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 pays only a fixed daily hospital benefit.
D) It generally provides greater benefits when members use participating providers but may allow nonnetwork care at a reduced benefit level.

4. In Nevada, a producer or examining physician who knowingly and willfully makes a false statement on an application for insurance may be guilty of:

A) twisting
B) fraud
C) misrepresentation
D) coercion

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

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

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