Life and Health California Exam Cheat Sheet 2026
The 30 highest-yield Life and Health California Exam facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.
160 questions
195 min time limit
60.00% to pass
- A California insurance agent who receives premiums from a client on behalf of an insurer must: → Promptly forward the premiums to the insurer and maintain separate trust accounting
- Medicare Part D provides coverage for which of the following? → Outpatient prescription drug coverage
- Medicare Part A primarily covers which type of care? → Inpatient hospital care
- Under California's 'timely access to care' standards for HMOs, urgent care appointments must be available within: → 48 hours
- Florida's Long-Term Care Partnership Program must provide which of the following coverage? → Inflation coverage
- For how many days does the coverage apply at another location for property removed to protect it from a flood under the National Flood Insurance Program? → 45 days
- California requires LTC insurers to provide an 'outline of coverage' to applicants: → At the time of application, before the policy is issued
- Medigap policies sold to newly eligible Medicare beneficiaries after January 1, 2020 may no longer cover which benefit? → The Medicare Part B annual deductible
- All of the following statements about mutual insurance companies are correct, except: → Policy dividends issued by mutual companies are guaranteed and not taxable.
- Which of the following best describes a 'dual eligible' individual? → Someone who qualifies for and is enrolled in both Medicare and Medicaid
- When a life insurance policy has a 'reduced paid-up' nonforfeiture option, what happens? → The face amount is reduced and no further premiums are required
- Under the California Insurance Code, individual health insurance policies must provide coverage for which of the following mental health services? → Mental health and substance use disorder services at parity with medical/surgical benefits
- A 'waiver of premium' rider on a life insurance policy provides that: → Premiums are waived if the insured becomes totally disabled for a specified period
- Which of the following is NOT typically excluded from a standard individual health insurance policy? → Treatment for a pre-existing condition after the waiting period expires
- The Consideration clause in a life insurance policy indicates that a policyowner's consideration consists of a completed application and → the initial premium
- Which type of health insurance policy pays a fixed dollar amount per day of hospitalization regardless of actual expenses? → Hospital indemnity policy
- Which of the following statements pertaining to the Medical Information Bureau (MIB) is CORRECT? → The MIB provides assistance in the underwriting of life insurance
- Under Medicare, a 'benefit period' ends when a beneficiary has been out of a hospital or skilled nursing facility for how many consecutive days? → 60 consecutive days
- Under California law, a 'replacement' transaction in life insurance occurs when a new policy is purchased and within 5 years an existing policy is: → Lapsed, surrendered, converted, reduced, or used as collateral for the new policy
- Under California law, the grace period for life insurance premiums is: → 30 days
- Under a life insurance policy's 'facility of payment' clause, who may the insurer pay if the named beneficiary is a minor or incapacitated? → A relative or other person who can provide proof of financial dependency
- Which life insurance policy provision allows a lapsed policy to be reinstated within a specified period? → Reinstatement provision
- California's 'Knox-Keene Health Care Service Plan Act' primarily regulates which type of health organization? → Health Maintenance Organizations (HMOs)
- A foreign insurance company is one that is incorporated → under the laws of another state
- Under a business overhead expense (BOE) disability policy, which of the following is a covered expense? → Employee salaries, rent, and utilities of the business
- In disability insurance, the period of time between when the disability started and the commencement of benefits is the: → Elimination Period
- In legal terms, when one party's actions result in giving up a known right, what has the party created? → Waiver
- Medicaid is funded through which funding arrangement? → Both the federal government and state governments jointly
- Which setting is covered by most comprehensive long-term care insurance policies? → Nursing home, assisted living, and home care
- A disability income policy's 'presumptive disability' provision provides benefits if the insured: → Suffers loss of sight, hearing, speech, or two limbs, regardless of ability to work
Turn these facts into recall: