Pearson Vue Florida Insurance Examination Content Outlines
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Florida Insurance Examination Content Outlines Effective January 1, 2021 Florida Agent’s Life (including Annuities 4. Consideration & Variable Contracts) 5. Owner’s rights 6. Beneficiary designations 85 scored questions plus 15 pretest questions Time limit: 2 hours a. Primary and contingent b. Revocable and irrevocable GENERAL KNOWLEDGE c. Common disaster d. Minor beneficiaries I. TYPES OF POLICIES AND FEATURES ............................ 14% 7. Premium Payment A. Traditional whole life products a. Modes 1. Ordinary whole life b. Grace period 2. Limited-pay and single-premium life c. Automatic premium loan B. Interest/market-sensitive/adjustable life products d. Level or flexible 1. Universal life 8. Reinstatement 2. Variable whole life 9. Policy loans, withdrawals, partial surrenders 3. Variable universal life 10. Non-forfeiture options 4. Interest-sensitive whole life 11. Dividends and dividend options (eg. participating, non- 5. Indexed life participating) C. Term life 12. Incontestability 1. Types 13. Assignments a. Level 14. Suicide b. Decreasing 15. Misstatement of age and gender c. Return of premium 16. Settlement options d. Annually renewable 17. Accelerated death benefits 2. Special features C. Policy exclusions a. Renewable b. Convertible III. COMPLETING THE APPLICATION, UNDERWRITING, AND D. Annuities DELIVERING THE POLICES…. .................................. 14% 1. Single and flexible premium A. Completing the application 2. Immediate and deferred 1. Required signatures 3. Fixed and variable 2. Changes in the application 4. Indexed 3. Consequences of incomplete applications E. Combination plans and variations 4. Warranties and representations 1. Joint life 5. Collecting the initial premium and issuing the receipt 2. Survivorship life (second to die) 6. Replacement 7. Disclosures at point of sale (e.g., HIPAA, HIV consent) II. POLICY RIDERS, PROVISIONS, OPTIONS, AND 8. USA PATRIOT Act/anti-money laundering EXCLUSIONS ................................................................ 21% B. Underwriting A. Policy riders 1. Insurable interest 1. Waiver of premium and waiver of monthly deduction 2. Medical information and consumer reports 2. Guaranteed insurability 3. Fair Credit Reporting Act 3. Payor benefit 4. Risk classification 4. Accidental death and/or accidental death and 5. Stranger/Investor-owned life insurance (STOLI/IOLI) dismemberment C. Delivering the policy 5. Term riders 1. When coverage begins 6. Other insureds 2. Explaining the policy and its provisions, riders, 7. Long term care exclusions, and ratings to the client 8. Return of premium D. Contract law B. Policy provisions and options 1. Elements of a contract 1. Entire contract 2. Unique aspects of the insurance contract 2. Insuring clause a. Conditional 3. Free look FLORIDA Insurance Outline- Examination Content Outlines Effective: January 1, 2021 S1 Florida Insurance Examination Content Outlines Effective January 1, 2021 1. General duties and powers 2. Agency Actions b. Unilateral 3. Investigations c. Adhesion E. Definitions d. Aleatory 1. Insurance contract IV. TAXES, RETIREMENT, AND OTHER INSURANCE 2. Insurance transaction CONCEPTS .................................................................... 9% 3. Insurer A. Third-party ownership 4. Reinsurance B. Viatical Settlements 5. Domestic company C. Life Settlements 6. Foreign company D. Group life insurance 7. Alien company 1. Conversion privilege 8. Fraternals 2. Contributory vs. noncontributory 9. Authorized and unauthorized companies/admitted E. Retirement plans and non-admitted companies 1. Qualified plans 10. Stock and mutual companies 2. Nonqualified plans 11. Unlicensed entities F. Life insurance needs analysis/suitability 12. Certificate of authority 1. Personal insurance needs F. Licensing 2. Business insurance needs 1. Purpose a. Key person 2. License types b. Buy sell a. Agent G. Social Security benefits b. Agency H. Tax treatment of insurance premiums, proceeds, and 3. Appointments dividends a. Company 1. Individual life b. Unaffiliated 2. Group life 4. License Requirements 3. Modified Endowment Contracts (MECs) a. Education b. Application FLORIDA STATUTES, RULES, AND REGULATIONS c. Background Check d. Examination I. FLORIDA STATUTES, RULES, AND REGULATIONS 5. Maintaining a license COMMON TO ALL LINES ............................................. 24% A. Financial Services Regulation a. Continuing education 1. Chief Financial Officer b. Communicating with the Department 2. Financial Services Commission c. Record keeping a. Office of Financial Regulation d. Criminal and administrative actions b. Office of Insurance Regulation G. Agent responsibilities B. Department of Financial Services 1. Fiduciary capacity 1. General duties and powers a. Definition a. Agent and adjuster licensing and investigations b. Premium accountability b. Consumer services c. Separate account requirements c. Insurance Fraud 2. Commissions and compensation/ charges for d. Receivership extra services e. Unclaimed Property 3. Reply to DFS and/or Office of Insurance Regulation f. Other powers 4. Ethics C. Office of Insurance Regulation H. Insurance guaranty fund 1. General duties and powers I. Marketing practices a. Policy approval authority 1. Unfair methods of competition b. Rates and forms a. Sliding 2. Market Conduct Examinations b. Coercion 3. Agency Actions c. Misrepresentation 4. Investigation d. Defamation D. Office of Financial Regulation e. False advertising FLORIDA Insurance Outline- Examination Content Outlines Effective: January 1, 2021 S2 Florida Insurance Examination Content Outlines Effective January 1, 2021 f. Unfair discrimination g. Unfair claims practices h. Fraud i. Controlled business j. Twisting k. Churning l. Rebating m. Concealment II. FLORIDA STATUTES, RULES, AND REGULATIONS PERTINENT TO LIFE AND ANNUITY INSURANCE, INCLUDING VARIABLE PRODUCTS…. ...................... 18% A. Marketing methods and practices 1. Agent Responsibilities 2. Disclosure a. Buyer’s guide b. Policy summary 3. Advertising and sales 4. Prohibited practices and penalties 5. Suitability B. Policy or contract replacement 1. Duties of agent 2. Duties of replacing insurance company C. Individual contracts 1. Standard provisions a. Protection of beneficiaries from creditors b. Prohibited provisions c. Free Look d. Grace period e. Designation of beneficiary f. Secondary addressee 2. Non-forfeiture options 3. Policy settlement D. Group Life 1. Standard provisions / required provisions 2. Conversion rights 3. Types of groups/eligible groups 4. Dependent coverage 5. Employee life 6. Assignment of proceeds FLORIDA Insurance Outline- Examination Content Outlines Effective: January 1, 2021 S3 Florida Insurance Examination Content Outlines Effective January 1, 2021 12. Change of beneficiary 13. Misstatement of age or sex Florida Agent’s Health Insurance 14. Change of occupation 85 scored questions plus 15 pretest questions 15. Illegal occupation Time limit: 2 hours 16. Relation of earning to insurance B. Other provisions and clauses GENERAL KNOWLEDGE 1. Insuring clause I. TYPES OF POLICIES ........................................................ 16% 2. Free look A. Disability income 3. Consideration clause 1. Individual disability income policy 4. Probationary period 2. Business overhead expense policy 5. Elimination period 3. Business disability buyout policy 6. Waiver of premium 4. Group disability income policy 7. Exclusions and limitations 5. Key employee policy 8. Preexisting conditions B. Accidental death and dismemberment 9. Coinsurance C. Medical expense insurance 10. Deductibles 1. Basic hospital, medical, and surgical policies 11. Eligible expenses 2. Major medical policies 12. Copayments 3. Health Maintenance Organizations (HMOs) 13. Pre-authorizations and prior approval requirements 4. Preferred Provider Organizations (PPOs) 14. Usual, reasonable, and customary (URC) charges 5. Point of Service (POS) plans 15. Lifetime, annual, or per cause maximum benefit limits 6. Flexible Spending Accounts (FSAs) C. Riders 7. High Deductible Health Plans (HDHPs) and related 1. Impairment/exclusions Health Savings Accounts (HSAs) 2. Guaranteed insurability D. Medicare supplement policies D. Rights of renewability E. Group insurance 1. Noncancelable 1. Differences between individual and group contracts 2. Cancelable 2. General characteristics 3. Guaranteed renewable 3. COBRA III. SOCIAL INSURANCE ..................................................... 4% F. Individual/Group Long Term Care (LTC) A. Medicare (Parts A, B, C, D) G. Other policies B. Medicaid 1. Dental C. Social Security benefits 2. Vision 3. Cancer IV. OTHER INSURANCE CONCEPTS .................................. 5% 4. Critical illness or specified disease A. Total, partial, recurrent and residual disability 5. Worksite (employer-sponsored) B. Owner’s rights 6. Hospital indemnity C. Dependent children benefits 7. Short-term medical D. Primary and contingent beneficiaries 8. Accident E. Modes of premium payments F. Nonduplication and coordination of benefits (e.g., II. POLICY PROVISIONS, CLAUSES, AND RIDERS ............ 23% primary vs. excess) A. Mandatory and optional provisions G. Occupational vs. non-occupational 1. Entire contract H. Tax treatment of premiums and proceeds of insurance 2. Time limit on certain defenses (incontestable) contracts (e.g., disability income and medical 3. Grace period expenses, etc.) 4. Reinstatement I. Managed care 5. Notice of claim J. Workers Compensation 6. Claim forms K. Subrogation 7. Proof of loss 8. Time of payment of claims V. FIELD