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Insurance Licensing InsNV_Health02 Exam Syllabus Topics:

Section	Objectives
Government Health Insurance Programs	- Medicare 1. Medicare supplement insurance 2. Medicare parts and eligibility - Medicaid and Other Programs 1. Medicaid eligibility and coverage
Producer Duties and Ethics	- Ethical Responsibilities 1. Fiduciary responsibilities 2. Consumer protection requirements - Sales Practices 1. Unfair trade practices 2. Advertising and marketing rules
General Insurance Regulation	- Nevada Insurance Department and Regulatory Authority 1. Commissioner of Insurance powers and duties 2. Insurance laws, rules, and regulations - Licensing Requirements and Responsibilities 1. Continuing education and license maintenance 2. Producer licensing requirements
Insurance Basics	- Insurance Contracts 1. Contract elements 2. Policy provisions, riders, and exclusions - Risk Management and Insurance Concepts 1. Types of risk and methods of handling risk 2. Insurance principles and contract characteristics
Health Insurance Policy Provisions	- Mandatory and Optional Provisions 1. Renewability provisions 2. Policy requirements and clauses - Claims and Benefits 1. Benefit determination and payment 2. Claim procedures
Accident and Health Insurance Fundamentals	- Medical Expense Insurance 1. Major medical plans 2. Hospital, surgical, and physician expense coverage - Types of Health Insurance Policies 1. Group health insurance 2. Individual health insurance 3. Managed care plans - Disability Income Insurance 1. Disability definitions and benefits 2. Elimination periods and benefit periods

Insurance Licensing NV Accident and Health Sample Questions:

Question #1

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

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

Reveal Solution Discussion 0

Correct Answer: B 🗳️