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Last Updated: Aug 25, 2026

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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Nevada Statutes and Codes Pertinent to Health Insurance Only14%- Long Term Care
- Medicare
  • 1. Medicare Advantage Plans
    • 2. Medicare supplement regulation
      • 3. Prescription Drug Plan
        - Availability of coverage for mental health and treatment of alcohol abuse and drug abuse
        - Mandatory policy clauses and provisions
        • 1. Coverage for preventive healthcare services
          • 2. Coverage for newborn children
            • 3. Coverage for physical handicap or intellectual disability for dependent children
              - Coverage for reconstructive surgery
              - Hospice care
              Topic 2: Nevada Statutes and Codes Common to Life and Health Insurance Only4%- Credit life and health insurance
              - Advertising
              - Group life and health insurance
              • 1. Required provisions
                • 2. Eligible groups
                  Topic 3: Nevada Statutes and Codes Common to Life, Health, Property, and Casualty Insurance20%- Licensing
                  • 1. Obtaining a license
                    • 2. Persons required to be licensed
                      • 3. Name of licensee
                        • 4. Renewal and continuing education
                          • 5. Termination of license
                            • 6. Suspension, revocation, and refusal of license
                              - Definitions
                              • 1. Certificate of authority
                                • 2. Domestic, foreign, and alien
                                  • 3. Cost-sharing
                                    • 4. Premiums
                                      • 5. Insurer
                                        • 6. Transacting insurance
                                          • 7. Authorized and unauthorized
                                            - Insurance Commissioner
                                            • 1. Examinations
                                              • 2. General powers and duties
                                                • 3. Notice and hearings and penalties
                                                  - Nevada Life and Health Insurance Guaranty Association
                                                  - Marketing Practices
                                                  • 1. Commissions and payment restrictions
                                                    • 2. Unfair practices
                                                      • Unfair claims methods and practices and settlement of claims
                                                      • Rebating and inducement
                                                      • Twisting
                                                      • Misrepresentation
                                                      • Fraud
                                                      • Unfair discrimination
                                                      • Defamation
                                                    • 3. Affordable Care Act
                                                      • 4. Silver State Health Insurance Exchange
                                                        • 5. Required records and record retention
                                                          • 6. Fiduciary responsibilities
                                                            Topic 4: Accident & Health – General Knowledge50%- Policy Provisions, Clauses, and Riders
                                                            • 1. Other provisions and clauses
                                                              • Insuring clause
                                                              • Free look
                                                              • Consideration clause
                                                              • Probationary period
                                                              • Elimination period
                                                              • Waiver of premium
                                                              • Exclusions and limitations
                                                              • Preexisting conditions
                                                              • Coinsurance
                                                              • Deductibles
                                                              • Eligible expenses
                                                              • Copayments
                                                              • Pre-authorizations and prior approval requirements
                                                              • Usual, reasonable, and customary charges
                                                              • Lifetime, annual, or per cause maximum benefit limits
                                                            • 2. Rights of renewability
                                                              • Noncancelable
                                                              • Cancelable
                                                              • Guaranteed renewable
                                                            • 3. Mandatory and optional provisions
                                                              • Entire contract
                                                              • Time limit on certain defenses
                                                              • Grace period
                                                              • Reinstatement
                                                              • Notice of claim
                                                              • Claim forms
                                                              • Proof of loss
                                                              • Time of payment of claims
                                                              • Payment of claims
                                                              • Physical examination and autopsy
                                                              • Legal actions
                                                              • Change of beneficiary
                                                              • Misstatement of age or gender
                                                              • Change of occupation
                                                              • Illegal occupation
                                                              • Relation of earnings to insurance
                                                            • 4. Riders
                                                              • Impairment and exclusions
                                                              • Guaranteed insurability
                                                              • Future increase option
                                                            - Field Underwriting Procedures
                                                            • 1. Replacement
                                                              • 2. Explaining policy provisions, riders, exclusions, and ratings
                                                                • 3. Contract law
                                                                  • Elements of a contract
                                                                  • Insurable interest
                                                                  • Warranties and representations
                                                                  • Unique aspects of the insurance contract
                                                                • 4. Initial premium payment and receipt
                                                                  • 5. Policy delivery
                                                                    • 6. Sources of insurability and HIPAA privacy information
                                                                      • 7. Submitting application and initial premium to company for underwriting
                                                                        • 8. Completing the application
                                                                          - Social Insurance
                                                                          • 1. Medicare Parts A, B, C, and D
                                                                            • 2. Medicaid
                                                                              • 3. Social Security benefits
                                                                                - Other Insurance Concepts
                                                                                • 1. Workers Compensation
                                                                                  • 2. Occupational vs. non-occupational
                                                                                    • 3. Subrogation
                                                                                      • 4. Owner's rights
                                                                                        • 5. Modes of premium payments
                                                                                          • 6. Total, partial, recurrent, and residual disability
                                                                                            • 7. Tax treatment of premiums and proceeds of insurance contracts
                                                                                              • 8. Primary and contingent beneficiaries
                                                                                                • 9. Cost containment
                                                                                                  • 10. Nonduplication and coordination of benefits
                                                                                                    • 11. Dependent children benefits
                                                                                                      • 12. Managed care
                                                                                                        - Types of Policies
                                                                                                        • 1. Medicare supplement policies
                                                                                                          • 2. Group insurance
                                                                                                            • Differences between individual and group contracts
                                                                                                            • General characteristics
                                                                                                            • COBRA
                                                                                                          • 3. Disability income
                                                                                                            • Individual disability income policy
                                                                                                            • Business overhead expense policy
                                                                                                            • Business disability buyout policy
                                                                                                            • Group disability income policy
                                                                                                            • Key employee policy
                                                                                                          • 4. Other policies
                                                                                                            • Dental
                                                                                                            • Vision
                                                                                                            • Cancer
                                                                                                            • Critical illness or specified disease
                                                                                                            • Worksite employer-sponsored
                                                                                                            • Hospital indemnity
                                                                                                            • Short-term medical
                                                                                                            • Accident
                                                                                                          • 5. Medical expense insurance
                                                                                                            • Basic hospital, medical, and surgical policies
                                                                                                            • Major medical policies
                                                                                                            • Health Maintenance Organizations
                                                                                                            • Preferred Provider Organizations
                                                                                                            • Point of Service plans
                                                                                                            • Flexible Spending Accounts
                                                                                                            • High Deductible Health Plans and Health Savings Accounts
                                                                                                            • Health Reimbursement Accounts
                                                                                                          • 6. Accidental death and dismemberment
                                                                                                            • 7. Individual and Group Long Term Care
                                                                                                              • Eligibility
                                                                                                              • Levels of care

                                                                                                            Insurance Licensing NV Accident and Health Sample Questions:

                                                                                                            1. An insured purchases a rider that pays an additional amount only if death results from a covered accident.
                                                                                                            This rider is best described as:

                                                                                                            A) An accidental death benefit rider
                                                                                                            B) A guaranteed-insurability rider
                                                                                                            C) A cost-of-living rider
                                                                                                            D) A return-of-premium rider


                                                                                                            2. A producer offers a prospective life insurance applicant a gift card that is not stated in the policy as an inducement to purchase coverage. Which prohibited practice is most directly implicated?

                                                                                                            A) Rebating
                                                                                                            B) Coinsurance
                                                                                                            C) Subrogation
                                                                                                            D) Assignment


                                                                                                            3. If coverage has stayed in force with the same insurance company, what is the maximum number of years for which reconstructive surgery (mastectomy) benefits must be provided?

                                                                                                            A) 3
                                                                                                            B) 1
                                                                                                            C) 5
                                                                                                            D) 7


                                                                                                            4. An Outline of Coverage for Medicare Supplement policies must be provided to a prospective insured at which of the following times?

                                                                                                            A) At the time of application
                                                                                                            B) When the premium is paid
                                                                                                            C) At the time a claim is submitted
                                                                                                            D) When the policy is delivered


                                                                                                            5. Under federal COBRA continuation rules, an employee who loses group health coverage because of termination of employment or reduction in hours will generally be offered continuation coverage for up to:

                                                                                                            A) 18 months
                                                                                                            B) 6 months
                                                                                                            C) 12 months
                                                                                                            D) 60 months


                                                                                                            Solutions:

                                                                                                            Question # 1
                                                                                                            Answer: A
                                                                                                            Question # 2
                                                                                                            Answer: A
                                                                                                            Question # 3
                                                                                                            Answer: A
                                                                                                            Question # 4
                                                                                                            Answer: A
                                                                                                            Question # 5
                                                                                                            Answer: A

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