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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Group Health Insurance- Group health insurance plans
- Group health insurance concepts
- Group health insurance provisions
Topic 2: Insurance Regulation8%- Licensing
- Federal regulation
- State regulation
Topic 3: General Insurance6%- Contracts
- Concepts
- Insurers
- Agents and general rules of agency
Topic 4: Specialized Health Insurance for Qualified Individuals- HIPAA
- Medicaid
- Long-term care insurance
- Medicare
Topic 5: Health Insurance Basics- Policy provisions and riders
- Social insurance
- Disability income insurance
- Health insurance concepts
- Medical expense insurance
Topic 6: Individual Health Insurance Policy General Provisions- Other provisions
- Uniform required provisions
- Optional provisions
Topic 7: Life Insurance Basics8%- Individual underwriting by the insurer
- Licensee responsibilities
- Personal uses of life insurance
- Premiums
- Determining amount of personal life insurance
- Insurable interest
- Differences in life insurance policies
- Factors in premium determination
- Business uses of life insurance
Topic 8: Annuities- Annuity principles and concepts
- Annuity taxation
- Annuity products
Topic 9: Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health30%- Unfair trade practices
- Licensing requirements
- Agent conduct and trade practices
- Pennsylvania Insurance Department
- Penalties and offenses
Topic 10: Life Insurance Policies11%- Specialized policies
- Group life insurance
- Flexible premium policies
- Term life insurance
- Whole life insurance

Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. Which type of policy contains both a minimum and target premium?

A) graded premium life
B) adjustable life
C) universal life
D) whole life


2. What is the primary reason a business should purchase key person insurance?

A) Offset financial losses
B) Reduce taxable income
C) Reward an executive
D) Insure all employees


3. What annuity payout option has no additional payouts regardless of when the annuitant dies?

A) Life only.
B) Installment refund.
C) Life certain.
D) Cash refund.


4. An Insurer, in general business practice, fails to promptly provide a reasonable explanation for the denial of a claim. This is considered to be

A) a violation of the grace period provision.
B) a contractual liability.
C) a fraudulent insurance act.
D) an unfair claim settlement practice.


5. An insured added a cost of living rider to his life insurance policy to ensure his death benefit increases in accordance with

A) his salary.
B) the inflation index.
C) family growth.
D) the stock index.


Solutions:

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

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