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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Accident and Health Insurance | - Disability and medical expense coverage - Health insurance concepts and plans - Long-term care insurance basics |
| Topic 2: Pennsylvania Insurance Regulations & Ethics | - Unfair trade practices and compliance - Ethical standards and fiduciary duties - State licensing laws and regulations |
| Topic 3: Life Insurance | - Life insurance policies and types - Beneficiaries and settlements - Policy provisions, riders, and options |
| Topic 4: General Insurance Concepts | - Insurance principles and risk management - Policy structure and contract basics |
Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:
The group health insurance coordination of benefits provision is designed to provide
- A. a managed care program to control ongoing illnesses and diseases.
- B. as much insurance as possible while eliminating over-insurance.
- C. supplemental dental and vision benefits.
- D. supplemental accident and dismemberment benefits.
Correct Answer: B 🗳️
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Under the exclusion clause, which is a scenario that would NOT be covered if death resulted?
- A. A spectator at an auto race
- B. Commercial pilot or crew member
- C. A fare-paying passenger in a regularly-scheduled airline
- D. Army officer killed in the line of duty
Correct Answer: B 🗳️
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The MAJOR factor in determining the benefit amount paid under a disability income policy Is
- A. occupation.
- B. gender.
- C. wages.
- D. age.
Correct Answer: C 🗳️
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A group health insurance Certificate of Coverage is
- A. given to the employee as proof of coverage.
- B. issued in lieu of a policy.
- C. issued to the policyowner as proof of coverage.
- D. only provided to an employer
Correct Answer: A 🗳️
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In Pennsylvania, the insurer is liable for a claim under a health insurance policy if the insured is injured while
- A. engaged in an illegal occupation.
- B. under the influence of prescribed medication.
- C. committing an illegal act
- D. intoxicated.
Correct Answer: B 🗳️
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