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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Health Insurance Basics | - Health insurance concepts - Social insurance - Disability income insurance - Policy provisions and riders - Medical expense insurance | |
| Life Insurance Basics | 8% | - Insurable interest - Individual underwriting by the insurer - Personal uses of life insurance - Business uses of life insurance - Factors in premium determination - Differences in life insurance policies - Determining amount of personal life insurance - Premiums - Licensee responsibilities |
| Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health | 30% | - Pennsylvania Insurance Department - Agent conduct and trade practices - Licensing requirements - Unfair trade practices - Penalties and offenses |
| Group Health Insurance | - Group health insurance plans - Group health insurance concepts - Group health insurance provisions | |
| Individual Health Insurance Policy General Provisions | - Other provisions - Uniform required provisions - Optional provisions | |
| Specialized Health Insurance for Qualified Individuals | - HIPAA - Medicaid - Long-term care insurance - Medicare | |
| Life Insurance Policies | 11% | - Group life insurance - Specialized policies - Flexible premium policies - Whole life insurance - Term life insurance |
| General Insurance | 6% | - Agents and general rules of agency - Concepts - Insurers - Contracts |
| Insurance Regulation | 8% | - State regulation - Federal regulation - Licensing |
| Annuities | - Annuity principles and concepts - Annuity taxation - Annuity products |
Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:
1. In Pennsylvania, when issuing a Medicare Supplement Policy, which form must be delivered to the applicant?
A) Statement of Good Health
B) Policy Summary
C) Outline of Coverage
D) Company Brochure
2. When an insurance licensee in Pennsylvania changes their email address, which organization must be notified?
A) The Department of Labor and Industry
B) Pennsylvania Insurance Department
C) The National Association of Insurance Commissioners
D) The Insurance Agents Association
3. An insured has a stop-loss limit of $10,000, a deductible of $500, and an 80%'20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much I will the insured have to pay?
A) $10,400
B) $10,000
C) $10,600
D) $500
4. What is the annuity payment option that provides an income for a guaranteed period of time whether or not the annuitant is alive?
A) Refund life
B) Joint and survivor
C) Life income
D) Period certain
5. The group health insurance coordination of benefits provision is designed to provide
A) a managed care program to control ongoing illnesses and diseases.
B) supplemental dental and vision benefits.
C) as much insurance as possible while eliminating over-insurance.
D) supplemental accident and dismemberment benefits.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: C |






