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Insurance Licensing PA-Life-Accident-and-Health

PA-Life-Accident-and-Health

Exam Code: PA-Life-Accident-and-Health

Exam Name: Pennsylvania Life, Accident and Health Exam

Updated: Aug 19, 2026

Q&A Number: 162 Q&As

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About Insurance Licensing PA-Life-Accident-and-Health Exam Questions and Answers

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Insurance Licensing PA-Life-Accident-and-Health Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Insurance Regulation8%- Licensing
- Federal regulation
- State regulation
Topic 2: Health Insurance Basics- Health insurance concepts
- Policy provisions and riders
- Medical expense insurance
- Disability income insurance
- Social insurance
Topic 3: Life Insurance Basics8%- Premiums
- Differences in life insurance policies
- Factors in premium determination
- Licensee responsibilities
- Individual underwriting by the insurer
- Determining amount of personal life insurance
- Insurable interest
- Business uses of life insurance
- Personal uses of life insurance
Topic 4: General Insurance6%- Concepts
- Contracts
- Insurers
- Agents and general rules of agency
Topic 5: Group Health Insurance- Group health insurance plans
- Group health insurance provisions
- Group health insurance concepts
Topic 6: Pennsylvania Statutes, Rules and Regulations Common to Life, Accident and Health30%- Penalties and offenses
- Pennsylvania Insurance Department
- Agent conduct and trade practices
- Licensing requirements
- Unfair trade practices
Topic 7: Annuities- Annuity principles and concepts
- Annuity taxation
- Annuity products
Topic 8: Life Insurance Policies11%- Group life insurance
- Whole life insurance
- Term life insurance
- Specialized policies
- Flexible premium policies
Topic 9: Specialized Health Insurance for Qualified Individuals- Medicaid
- HIPAA
- Long-term care insurance
- Medicare
Topic 10: Individual Health Insurance Policy General Provisions- Optional provisions
- Other provisions
- Uniform required provisions

Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

1. All of the following statements about Health Maintenance Organizations (HMOs) are true EXCEPT

A) Members pay fixed monthly fees to the HMO.
B) Out-of-pocket expenses are limited as long as the network is utilized.
C) Members pay higher monthly fees when out-of-network providers are utilized.
D) Members receive care from providers in the HMO network.


2. The types of life insurance generally used to cover key employee indemnification are

A) universal, term, and whole life Insurance.
B) decreasing term life insurance.
C) joint, permanent and credit life insurance.
D) limited-pay, adjustable, and group life insurance.


3. The MAJOR factor in determining the benefit amount paid under a disability income policy Is

A) gender.
B) wages.
C) occupation.
D) age.


4. 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) $500
B) $10,400
C) $10,600
D) $10,000


5. An illness or disease which is first diagnosed and treated while the policy is in force is considered

A) a preexisting condition.
B) an exclusion.
C) an accidental injury.
D) a sickness.


Solutions:

Question # 1
Answer: C
Question # 2
Answer: A
Question # 3
Answer: B
Question # 4
Answer: D
Question # 5
Answer: D

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