CA Life, Accident, and Health Practice Examination Flashcards

1
Q

“Person” means all of the following EXCEPT

A

an organizational trust

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2
Q

When working on behalf of an insurer for which they are not specifically appointed, what may a licensed agent do?

A

present a proposal for insurance and transmit an application to the insurer

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3
Q

When is a representation false?

A

when the facts fail to correspond with its assertions or stipulations

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4
Q

Which of the following provisions of free insurance offered as an incentive to purchase or rent property is TRUE?

A

it requires a seperate charge or fee

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5
Q

“Notice of legal action” can mean all of the following EXCEPT

A

notice of action against the agent

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6
Q

a policy shall specify all of the following EXCEPT

A

the method in which the coverage amount was calculated

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7
Q

which of the following is TRUE regarding continuing education requirements of an agent or broker?

A

Any licensee shall satisfactorily complete 24 hours of instruction prior to license renewal

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8
Q

As used in the insurance code, the word “shall” is mandatory and the word “may’ is permissive EXCEPT

A

unless otherwise apparent from the context

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9
Q

When should an agent provide an applicant the effective date of coverage, if known, or the circumstances under which coverage will be effective?

A

at the time of application or receipt of premium

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10
Q

What is a solicitor employed to do for a policy other than life?

A

to aid a property and casualty agent or broker in transacting insurance

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11
Q

The Insurance Commissioner may deny an application for any license issued for any of the following EXCEPT

A

the applicant is lacking in good judgment

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12
Q

How is the insurance commissioner chosen?

A

Elected by the people

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13
Q

which form of negotiation is covered under the definition of “transact” as applied to insurance?

A

Negotiations preliminary to execution

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14
Q

All of the following are examples of misrepresentations that may not be made by an insurer, officer or agent thereof or an insurance broker or solicitor EXCEPT

A

the specific contract language

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15
Q

Which statement accurately describes de-mututalization?

A

a mutual insurance company that decides to convert to a stock company

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16
Q

How does an “admitted” person differ from an “nonadmitted” person, as it pertains to insurance?

A

An “admitted” person has the right to transact insurance business within the state, while a “nonadmitted” person is not entitled to this action

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17
Q

all of the following define insolvency EXCEPT

A

revocation of certificate of authority by the commissioner

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18
Q

According to the Administrative Procedures Act, what is required to make changes to the California Insurance Code?

A

The Department of Insurance is required to publish proposed changes at least 45 days prior to the hearing or decision to adopt the change.

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19
Q

Concealment, whether intentional or unintentional, entities the injured party to?

A

rescind insurance

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20
Q

Which of the following is an insurer allowed to do in the event of a claim?

A

request a medical examination for the purpose of determining liability under a policy provision

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21
Q

Which of the following actions is considered part of the insurance sales process?

A

Transaction of matters subsequent to execution of the contract and arising out of it

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22
Q

Which of the following is TRUE regarding Nonadmitted insurers?

A

Acting as an agent for a Non-admitted insurer is considered a misdemeanor

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23
Q

A person who does NOT hold a valid license amy do which of the following

A

examine contracts of insurance

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24
Q

When can a person act as an agent of the insurer?

A

When the insurer has filed with the commissioner a notice of appointment

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25
Q

All of the following are requirements for an agent who advertises and transacts business on the Internet EXCEPT

A

his or her most recent license and appointment

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26
Q

When may a surplus aline broker solicit and place insurance for a home state insured with a Nonadmitted insurer?

A

If the same insurance coverage cannot be procured from an admitted insurer

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27
Q

What is the punishment for a person who refuses to deliver books, records, or assets to the commissioner when subject to a seizure order in an insolvency proceeding?

A

Not more than $1000 fine and/or 1 year imprisonment

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28
Q

When may a representation be altered or withdrawn?

A

Before the insurance is effected

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29
Q

All of the following are a duty of an insurer in regards to claims on file and record documentation EXCEPT

A

Maintaining any sales material, which had a material impact on the claims process

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30
Q

Which of the following is TRUE regarding change of address for a licensee?

A

The commissioner must be notified immediately of any change in the personal, business, or email address.

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31
Q

Which of the following can the insurer do if the insured intentionally conceals or misrepresents a material fact concerning any coverage part?

A

Rescind the contract

32
Q

All of the following are examples of representation EXCEPT

A

it may be altered after the insurance is effected

33
Q

An “insurance agent” means a person authorized, by and on behalf of an insurer, to transact which of the following class of insurance?

A

Annuities

34
Q

Which group of people is offered additional protection by the Unfair Practices Act that regulates trade practices in the business of insurance?

A

Survivors of the Holocaust

35
Q

Which statement describes the intent of the California Financial Information Privacy Act?

A

It provides greater privacy protections than those provided in the federal Gramm-Leach-Bliley Act

36
Q

According to CIC section 1711, an organization ceases to exist as an entity eligible to hold a license EXCEPT

A

upon the termination of all contracts

37
Q

Which circumstances in a pretext interview determine if the questions are permissible?

A

When an insured is consulted by a person who hides his true identity on purpose when fraud for a claim is suspected

38
Q

“Notice of legal action” can mean all of the following EXCEPT

A

notice of action against the agent

39
Q

All of the following are TRUE regarding the process to change the California Code of Regulations EXCEPT

A

The Office of Administrative Law (OAL) may substitute its own judgment for that of the rule making agency

40
Q

What is the maximum fine for a person who transacts insurance without a valid license?

A

$50,000 and/or imprisonment for a period not exceeding one year

41
Q

Whether admitted or nonadmitted, how does a “foreign” insurer differ from an “alien” or “domestic” insurer?

A

A “foreign” insurer is organized under the laws of another state within the United States.

42
Q

The following are all penalties for unlawfully acting as an insurer without a certificate of authority EXCEPT

A

the individual will be banned from practicing insurance for a period of 5 years

43
Q

Which statement describes the intent of the California FInancial Information Privacy Act?

A

It provides greater privacy protections than those provided in the federal Gramm-Leach-Bliley Act

44
Q

All of the following are to be specified in an insurance policy EXCEPT

A

the financial rating of the insured

45
Q

When should an agent provide an applicant the effective date of coverage, if known, or the circumstances under which will be effective?

A

at the time of application or receipt of premium

46
Q

Which are assets that are in excess of an insurer’s liability for reported losses, expenses, taxes, and reinsurance of outstanding risks?

A

paid-in capital

47
Q

Which is TRUE regarding a life and health agent who has not been specifically appointed by the insurer?

A

If a policy is issued, the insurer is considered to have authorized the agent to act on its behalf

48
Q

All of the following are examples of representation EXCEPT

A

it may be altered after the insurance is effected

49
Q

Which of the following provisions of free insurance offered as an incentive to purchase or rent property is TRUE?

A

it requires a separate charge or fee

50
Q

When working on behalf of an insurer for which they are not specifically appointed, what may a licensed agent do?

A

present a proposal for insurance and transmit an application to the insurer

51
Q

It is unlawful to do any of the following EXCEPT

A

make or cause to made a knowingly false or fraudulent or material representation for the purpose of encouraging an innjured worker to claim benefits.

52
Q

All of the following are TRUE regarding regulation and use of an agency name EXCEPT

A

a name would not be denied on the basis of being too similar to other company names

53
Q

Which group of people is offered additional protection by the Unfair Practices Act that regulates trade practices in the business of insurance?

A

survivors of the Holocaust

54
Q

As used in the insurance code, the word “shall” is mandatory and the word “may” is permissive EXCEPT

A

unless otherwise apparent from the context

55
Q

The Insurance Commissioner may deny an application for any license issued for any of the following in good judgment

A

the applicant is lacking in good judgment

56
Q

Who is eligible to be an insurer?

A

Any person, company, organization or corporation that is capable of making a contract

57
Q

What does concealment, whether intentional or unintentional, entitle the injured party to?

A

The insurer may rescind the contract on the basis of misrepresentation, concealment, or fraud by the insured

58
Q

Which of the following actions is considered part of the insurance sales process?

A

Transaction of matters subsequent to execution of the contract and arising out of it

59
Q

How is the insurance commissioner chosen?

A

Elected by the people

60
Q

When can a person act as an agent of the insurer?

A

when the insurer has filed with the commissioner a notice of appointment

61
Q

An agent or representative who issues long term care insurance must do all of the following EXCEPT

A

Complete a total of 10 hours of continuing education if licensed before January 1st, 2002

62
Q

Which of the following is TRUE regarding change of address for a licensee?

A

The commissioner must be notified immediately of any change in the personal, business, or email address

63
Q

Which circumstances in a pretext interview determine if the questions are permissible?

A

When an insured is consulted by a person who hides his true identity on purpose when fraud for a claim is suspected

64
Q

Which of the following terms refers to any evidence or documentation in the possession of the insurer that provides any evidence of a claim and that reasonably supports the magnitude or the amount of the claimant loss?

A

proof of claim

65
Q

Insurance is which type of contract?

A

One agrees to indemnify against loss, damage or liability arising from a contingent or unknown risk

66
Q

An insurance agent is a person who transacts all of the following types of insurance EXCEPT

A

life insurance

67
Q

How is an insurance policy defined?

A

The written instrument, in which a contract of insurance is set forth

68
Q

an “insurance agent” means a person authorized, by and on behalf of an insurer, to transact which of the following class of insurance?

A

Annuities

69
Q

Concealment, whether intentional or unintentional, entitles the injured party to?

A

Rescind Insurance

70
Q

Which would permit an insurer to escape insolvency?

A

possession of assets equal to the total paid-in capital after all liabilities and reinsurance

71
Q

Which form of negotiation is covered under the definition of “transact” as applied to insurance?

A

Negotiations preliminary to execution

72
Q

What is a solicitor employed to do for a policy other than life?

A

To aid a property and casualty agent or broker in transacting insurance

73
Q

When should an insurer provide for the continuous operation of a unit or division to investigate possible fraudulent claims

A

If admitted to do business in this state, except those otherwise exempted

74
Q

how can a licensee surrender any license for cancellation?

A

by submitting written notice or by delivering the license to the commisioner

75
Q

All of the following are a duty of an insurer in regards to claims on file and record documentation EXCEPT

A

maintaining any sales material, which had a material impact on the claims process