Insurance Licensing : PA-Life-Accident-and-Health Questions & Answers

Last Updated: Aug 29, 2026

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

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

Insurance Licensing Pennsylvania Life, Accident and Health Sample Questions:

Question 1

A group sponsor is considering a life insurance plan for its members. Which underwriting characteristic is most likely to influence the decision to proceed with the plan?

A. Mandatory probationary periods
B. Higher premiums for older members
C. Customized coverage for each member
D. No individual medical exams required


Question 2

Medicare Part B insurance is partially funded by

A. Social Security taxes.
B. employer contributions.
C. employment taxes.
D. user premiums.


Question 3

In broad terms, the types of support and services generally associated with Long-Term Care policies are provided at which three levels of care?

A. Home-based, assisted living, and medical care.
B. Professional, social, and economic care.
C. Skilled nursing, Intermediate, and custodial care.
D. Functional, rehabilitational. and medical care.


Question 4

The primary income earner of the family earns $100,000 annually and has 20 years until retirement Using the Human Life Value Approach, how much coverage is recommended?

A. $2,200,000
B. $1,100,000
C. $2,000,000
D. $1,000,000


Question 5

I Which of the following documents describes the coverage, conditions, and limitations found in the master policy of a group contract?

A. certificate of authority
B. consumer brochure
C. administrative services agreement
D. certificate of coverage and benefits


Solutions:

Question 1
Answer: D
Question 2
Answer: D
Question 3
Answer: C
Question 4
Answer: C
Question 5
Answer: D

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