PASS GUARANTEED QUIZ 2025 PASS-SURE CA-LIFE-ACCIDENT-AND-HEALTH: NEW CA LIFE, ACCIDENT AND HEALTH OR SICKNESS EXAMINATION EXAM QUESTIONS

Pass Guaranteed Quiz 2025 Pass-Sure CA-Life-Accident-and-Health: New CA Life, Accident and Health or Sickness Examination Exam Questions

Pass Guaranteed Quiz 2025 Pass-Sure CA-Life-Accident-and-Health: New CA Life, Accident and Health or Sickness Examination Exam Questions

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California Department of Insurance CA Life, Accident and Health or Sickness Examination Sample Questions (Q75-Q80):

NEW QUESTION # 75
What is the first step in submitting Medicare claims?

  • A. The medical provider submits expenses to the patient.
  • B. Medicare submits expenses to the Medicare supplement provider.
  • C. The medical provider submits expenses to Medicare.
  • D. The patient submits expenses to Medicare.

Answer: D

Explanation:
The first step in submitting Medicare claims typically involves the medical provider submitting the expenses directly to Medicare. The provider will bill Medicare for the services rendered to the patient, and Medicare will then process the claim and make payments according to the coverage rules.


NEW QUESTION # 76
Insurer policy expenses include all of the following EXCEPT

  • A. agent commissions.
  • B. home office operations.
  • C. taxes.
  • D. premiums.

Answer: D

Explanation:
Insurer policy expenses typically include costs related to taxes, agent commissions, and home office operations. These are administrative and operational costs necessary for maintaining the insurance policy.
Premiums, on the other hand, are the amounts paid by the policyholder to the insurance company in exchange for coverage. Since premiums are considered the income of the insurer and not an expense, they do not fall under policy expenses.References: California Department of Insurance documentation on insurer financial requirements and policy expenses.


NEW QUESTION # 77
California long-term care policies may be identified as any of the following EXCEPT

  • A. Nursing Facility and Residential Care Facility only.
  • B. Home Care only.
  • C. Acute Hospital Care only.
  • D. Comprehensive Long-Term Care.

Answer: C


NEW QUESTION # 78
People commonly purchase an annuity to protect against the risk of

  • A. outliving their financial resources.
  • B. dying too soon.
  • C. becoming uninsurable.
  • D. dying before their home mortgage is paid off.

Answer: A

Explanation:
Purpose of Annuities: Annuities are financial products that provide a stream of payments to the purchaser, typically after retirement.
Risk Protection: The primary risk addressed by annuities is longevity risk, or the risk of outliving one's financial resources.
Financial Security: By providing guaranteed income for life or a specified period, annuities help ensure that individuals do not run out of money in retirement.References: California Insurance Code Section 10170.3 defines annuities and the risks they are designed to mitigate.


NEW QUESTION # 79
As defined in the California Insurance Code, "insurance" is a

  • A. gamble.
  • B. peril.
  • C. risk.
  • D. contract.

Answer: D

Explanation:
According to the California Insurance Code, "insurance" is defined as a contract whereby one undertakes to indemnify another or pay a specified amount upon determinable contingencies. This contractual agreement outlines the terms under which the insurer will compensate the insured or beneficiaries for covered losses or events.References: California Insurance Code, Section 22.


NEW QUESTION # 80
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