Evergreen Insurance Prep Life, Health & Property Exam Prep

Ohio Life & Health Insurance License, Practice Exams

Ohio Life, Accident & Health producer licensing (Series 11-35). General insurance knowledge plus the Ohio Revised Code, authored from public-domain statutes.
Content last updated 23 September 2026

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Each module is scored separately here so you know exactly where you stand. To pass the real Ohio exam you need 70%.

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Unlock the full question bank

The free sample is one full practice exam's worth of questions, with at least 5 in every module so you can revise each topic: 138 questions in all. The full bank contains every question — general insurance plus state law — with written, statute-cited explanations. $49, one time, lifetime access on up to 3 devices — every state and line we add later included.

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The real exam: key facts

Delivered byPSI
Official examOhio Life, Accident and Health Insurance Agent Series 11-35
Questions150 questions (includes unscored items; scored/unscored split not stated)
Time2.5 hours
Passing score70%
Exam fee$49 per attempt
Pre-licensing or eligibilityRequired: 20 hours Life and 20 hours Accident & Health (both course completion certificates must be presented on test day)
Book your examtest-takers.psiexams.com/ohins

Checked 11 October 2026 from the official sources below. Rules and fees change, so confirm with PSI before you book.

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Frequently asked questions

How is the Ohio producer licensing exam structured?

Ohio licenses a combined Life, Accident & Health producer (the PSI Series 11-35 exam) - 150 questions, 2 hours 30 minutes, 70% to pass.

What score do I need to pass?

You need 70%. Revise each module to that level in Revision Mode, then run the full exam simulation in Exam Mode before your test date.

Are these real exam questions?

No vendor publishes the live exam. Every question here is original, written to the official content outline and grounded in public-domain sources — including the Ohio Revised Code for the state-law questions, with the statute section cited in each explanation.

How many practice questions are included?

The full Ohio bank contains 1042 questions (general insurance plus Ohio law), with written, source-cited explanations. The free sample is one full practice exam's worth of questions, with at least 5 in every module so you can revise each topic: 138 questions in all.

What does access cost?

$49, one time, for lifetime access — and it includes every state and line we add later, at no extra charge. No subscription.

Can I use it on more than one device?

Yes. One purchase works on up to 3 of your devices, for example your laptop, phone and tablet, so you can practise wherever you are. Your progress is saved on each device.

Do I need to create an account?

No. The practice tests run in your browser with no signup. Your score history is saved on your own device.

What topics does the Ohio Life & Health Insurance License question bank cover?

It is organised into 13 modules that follow the exam's own content areas: Life: Types of Policies, Life: Provisions, Riders & Options, Life: Underwriting, Premium & Taxation, Annuities & Retirement, Health: Plans, Provisions & Disability, Health: Medicare, Social Insurance & LTC, General Regulation & Ethics, Ohio — Producer Licensing, Appointment & CE, Ohio — Unfair Trade Practices & Claims, Ohio — Life Insurance & Annuity, Ohio — Accident & Health, Ohio — HMO & Managed Care and Ohio — Regulation, Guaranty & Fraud. Each module is drilled and scored separately, so you can see exactly which areas are exam-ready and which still need work.

When was this question bank last updated?

Last updated 23 September 2026. The bank is revised whenever the source material it cites changes, and every question carries the source its explanation is drawn from.

Sample Ohio Life & Health Insurance License practice questions

A selection of free questions with answers and explanations. Use the interactive modules above for timed, scored drills.

An annuitant has a $30,000 basis and a $120,000 expected return. Of each $6,000 payment, the taxable amount is:

  1. $4,500 ✓
  2. $1,500
  3. $6,000
  4. $3,000

Why: Exclusion ratio = 30,000/120,000 = 25%; $1,500 excluded, $4,500 taxable.

An 'own-occupation' definition in a disability income policy pays benefits when the insured cannot perform:

  1. activities of daily living
  2. The duties of their own occupation ✓
  3. household chores
  4. Any job for which they are reasonably suited

Why: Own-occupation pays if the insured cannot do their own job, even if able to work elsewhere; it is more generous than any-occupation.

Policy dividends paid on a participating life policy are best described as:

  1. A penalty the insurer pays for poor investment performance during the year
  2. Taxable investment income that the insurer guarantees every single year
  3. A return of premium that was overcharged ✓
  4. Interest credited at a rate set by the state insurance department

Why: Dividends are a non-guaranteed return of overpaid premium and are generally not taxable until they exceed the total premiums paid.

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If an insured dies by suicide within the policy's stated suicide period, the insurer will generally:

  1. Pay half the face amount
  2. Pay the full death benefit
  3. Deny liability and keep the premiums
  4. Refund the premiums paid ✓

Why: During the suicide period (commonly 2 years), the insurer refunds premiums rather than paying the face amount.

An inflation protection feature in a long-term care policy:

  1. Gradually shortens the policy's elimination period after each year in force
  2. Raises the benefit over time to offset rising costs ✓
  3. Guarantees that the insurer can never increase the policy's premium rate
  4. Refunds a part of the premium if long-term care services are never needed

Why: Inflation protection increases the daily/monthly benefit over time so coverage keeps pace with rising long-term care costs.

A payor benefit rider, common on juvenile policies, provides that:

  1. The child's coverage automatically doubles at age 21 with no new evidence of insurability
  2. Premiums are waived if the premium-paying adult dies or becomes disabled ✓
  3. The adult payor receives the policy's face amount as a death benefit if the insured child dies first
  4. The policy pays a cash bonus at college graduation

Why: If the adult paying premiums on a child's policy dies or becomes disabled, the payor benefit rider waives the premiums until the child reaches a stated age.

When a natural person applies for a resident insurance agent license in Ohio, the declaration in the application is made under penalty of what?

  1. Immediate criminal prosecution by the attorney general
  2. Refusal, suspension, or revocation of the license ✓
  3. Forfeiture of all prior commissions
  4. Perjury before a grand jury

Why: § 3905.05(A) requires a declaration under penalty of refusal, suspension, or revocation of the license that the statements are true, correct, and complete.

A witness served with a superintendent's subpoena under section 3901.04 refuses to testify about a matter he may lawfully be asked about. What recourse does Ohio law provide?

  1. The court of common pleas, on the superintendent's application, may compel obedience by contempt proceedings ✓
  2. The subpoena becomes void, because a witness's objection ends the superintendent's power to compel any testimony
  3. The inquiry must be closed as to that witness, since Chapter 119 supplies the superintendent no means of compelling testimony
  4. The superintendent may hold the witness in contempt and order him confined in the county jail without applying to any court

Why: Section 3901.04(B)(2) provides that in the case of disobedience or refusal to testify, the court of common pleas where venue is appropriate, on the superintendent's application, may compel obedience by attachment proceedings for contempt.

If an annuitant dies during the accumulation phase of a deferred annuity, the contract typically pays the beneficiary:

  1. Nothing, because annuities have no death benefit before payout
  2. At least the premiums paid (or current value, if greater) ✓
  3. Triple the account value as a guaranteed accidental death bonus
  4. Only the surrender value after deducting all future charges

Why: Most deferred annuities guarantee the beneficiary the greater of premiums paid or current account value if the owner dies before annuitization.

Under Ohio law, a qualifying reservist's life policy shall not lapse for nonpayment of premiums during the period of military service and during what additional period afterward?

  1. The ninety days after discharge, after which the insurer may lapse the policy for nonpayment
  2. The six-month period following discharge, but only if the reservist gave the insurer written notice of the service
  3. The two-year period subsequent to the end of the period of military service ✓
  4. The one-year period following discharge, measured from the date the reservist's unit is released from active duty

Why: Section 3915.053(B) protects the policy during military service and the two-year period subsequent to its end.

Section 3923.03 generally requires a policy to insure only one person, but it permits a family policy issued to the head of a family covering members of one family. Which group is expressly listed as includable?

  1. Any relative of the policyholder by blood or marriage, whether or not that relative lives with the family or depends on it for support
  2. Husband, wife, dependent children, any children under the age of nineteen, and other dependents living with the family ✓
  3. Any tenants and roomers residing in a dwelling owned by the policyholder, so long as each of them is named in the application
  4. Business partners of the head of the family and their employees

Why: Section 3923.03(C) lists husband, wife, dependent children, any children under the age of nineteen, and other dependents living with the family.

An insured stops paying premiums and wants the largest amount of continued coverage for the shortest time, with no further premiums. The nonforfeiture option is:

  1. Reduced paid-up insurance
  2. A policy loan
  3. Extended term insurance ✓
  4. Cash surrender

Why: Extended term keeps the full face amount in force as term for a limited period; reduced paid-up gives a smaller amount but for life.

Under the section 1753.28 'prudent layperson' standard, an 'emergency medical condition' is judged by symptoms severe enough that a prudent layperson with average knowledge of health and medicine could reasonably expect the absence of immediate attention to result in which outcome?

  1. A modest increase in the total cost of the enrollee's care
  2. Placing the individual's health in serious jeopardy ✓
  3. A delay in obtaining a routine specialist referral
  4. An inconvenience requiring a follow-up office visit

Why: Section 1753.28(A)(1) defines an emergency medical condition by reference to a prudent layperson reasonably expecting that the absence of immediate attention could place health in serious jeopardy, seriously impair bodily functions, or seriously dysfunction an organ or part.

Group long-term disability policies often define total disability as inability to perform one's 'own occupation' for an initial period, after which the definition changes to:

  1. No definition at all, ending the benefit automatically
  2. 'Any occupation' the insured is suited for by education and experience ✓
  3. 'Own occupation' permanently for the entire length of the claim
  4. Whatever occupation the insured personally prefers to pursue next

Why: Many LTD plans use own-occupation for an initial period (e.g., 24 months) then shift to an any-occupation standard for continued benefits.

A 52-year-old withdraws $8,000 of gain from a nonqualified annuity. The IRS penalty (besides income tax) is:

  1. $800 ✓
  2. $1,600
  3. $400
  4. $0

Why: Premature distributions before 59½ incur a 10% penalty: 10% × $8,000 = $800.

A temporary insurance license is most commonly issued to:

  1. Anyone who has applied but has not yet passed the state licensing exam
  2. Permit unlimited new sales for a full year without any supervision
  3. Substitute for the continuing-education credits owed at each renewal
  4. Continue the business of a producer who died or became disabled ✓

Why: Temporary licenses (no exam) let someone service an existing book when a producer dies, becomes disabled, or enters military service.

Under § 3923.04, every standard policy provision must generally be set out in the policy in what manner?

  1. Only as a summary attached to the policy as a separate rider
  2. In whatever paraphrased wording the insurer prefers, provided the meaning is not less favorable to the insured
  3. In a language other than English whenever the applicant requests it
  4. In the words in which it appears in the statute, preceded by the statutory caption or an approved caption ✓

Why: Section 3923.04 requires the standard provisions to appear in the words in which they appear in the section, individually preceded by the statutory caption or appropriate captions approved by the superintendent.

Which of the following groups is expressly authorized for blanket sickness and accident insurance under § 3923.13?

  1. A credit union covering all of its depositors
  2. A volunteer fire department covering all of its members ✓
  3. A multi-employer trade group covering all members' families
  4. A homeowners' association covering its member households

Why: Section 3923.13(D) authorizes a blanket policy issued in the name of a volunteer fire department or first aid or similar volunteer group covering all of its members.

An annuitant has an $80,000 basis and a $200,000 expected return. Of each $10,000 payment, the taxable amount is:

  1. $6,000 ✓
  2. $4,000
  3. $10,000
  4. $2,000

Why: Exclusion ratio = 80,000/200,000 = 40%; $4,000 excluded, $6,000 taxable per payment.

Under § 3901.21(F) and (M), the prohibition on 'unfair discrimination' among individuals of the same class draws what distinction between life and non-life policies?

  1. Division (F) covers policies other than life insurance and applies the 'essentially the same hazard' test, while division (M) covers life insurance and annuities under the 'equal expectation of life' test
  2. Only life insurance and annuities are protected; rating for accident and health coverage is left to the insurer's judgment
  3. Both divisions reach only the premium rate charged, so an insurer may vary benefits, dividends, or other contract terms among individuals of the same class as long as the rate itself is uniform
  4. Division (F) covers life insurance and annuities (same class, equal expectation of life), while division (M) covers policies other than life insurance (same class, essentially the same hazard) ✓

Why: Section 3901.21(F) addresses unfair discrimination among individuals of the same class and equal expectation of life for life insurance and annuities, while division (M) addresses individuals of the same class and essentially the same hazard for insurance other than life.

To keep a producer license active, most states require the producer to:

  1. Maintain membership in a fraternal benefit society or trade association
  2. Re-take and pass the original state licensing examination every two years
  3. Sell a minimum of $250,000 in new annual premium each calendar year
  4. Complete continuing education and renew the license periodically ✓

Why: License renewal generally requires periodic continuing education; specific hours and cycles are set by each state.

The optional 'illegal occupation' provision allows an insurer to deny a claim for a loss that results from the insured:

  1. Participating in an organized amateur recreational sport
  2. Traveling internationally for an ordinary business purpose
  3. Working in a hazardous but entirely lawful skilled trade
  4. Committing a felony or engaging in an illegal occupation ✓

Why: This optional provision excludes losses sustained while the insured is committing a felony or engaged in an illegal occupation.

Which definition does the Ohio Health Insuring Corporation Law assign to 'closed panel plan'?

  1. A plan that requires enrollees to use participating providers ✓
  2. A plan formed by a political subdivision to use managed care techniques
  3. A plan offering only one supplemental service on an outpatient-only basis
  4. A plan that gives incentives to use participating providers but also allows out-of-network providers

Why: Section 1751.01(E) defines a closed panel plan as a health care plan that requires enrollees to use participating providers. The first option describes an open panel plan under division (S).

The three primary factors an insurer uses to calculate a life insurance premium are:

  1. The applicant's marital status, hobbies, and home address
  2. Mortality, interest (investment earnings), and expenses (loading) ✓
  3. The agent's commission, the policy fees, and the state tax rate
  4. Inflation, the unemployment rate, and current bond yields

Why: Premiums are built from expected mortality, assumed interest earnings, and the insurer's expenses (the expense loading).

An insurer incorporated in another U.S. state but doing business in this state is a(n) ____ insurer.

  1. Foreign ✓
  2. Alien
  3. Admitted
  4. Domestic

Why: Domestic = incorporated in this state; foreign = another state; alien = another country.

A disability policy has a 14-day elimination period and a $200 weekly benefit. If the insured is disabled for 10 weeks, the total paid is:

  1. $1,600 ✓
  2. $2,000
  3. $1,400
  4. $1,800

Why: The first 2 weeks (14-day elimination) pay nothing; 8 weeks × $200 = $1,600.

A 'bed reservation' benefit in a long-term care policy:

  1. Pays a cash bonus for each claim-free year
  2. Continues paying to hold the resident's bed during a hospital stay ✓
  3. Reserves a hospital bed in advance of any scheduled surgery or procedure
  4. Guarantees a private room in any participating facility

Why: A bed reservation benefit keeps paying the facility (for a limited number of days) to hold the insured's bed while they are temporarily hospitalized.

A child is covered under both parents' health plans. Under the 'birthday rule,' the primary plan is the one belonging to the parent whose:

  1. Birthday falls earlier in the calendar year ✓
  2. Income is higher among the two parents
  3. Plan has been in force for the longer time
  4. Coverage was purchased most recently

Why: The birthday rule makes primary the plan of the parent whose birthday (month and day) comes first in the calendar year.

Medicaid differs from Medicare in that Medicaid is:

  1. Available only to honorably discharged veterans of the U.S. armed forces
  2. A needs-based program jointly funded by federal and state governments ✓
  3. Funded entirely by payroll taxes withheld from current workers' paychecks
  4. An age-based program automatically available to everyone at age sixty-five

Why: Medicaid is a means-tested (needs-based) program jointly funded by the states and federal government; Medicare is primarily age/disability-based.

Which type of care is generally NOT covered by Medicare?

  1. Inpatient hospital care following an approved admission
  2. Physician services and outpatient diagnostic testing
  3. Long-term custodial care ✓
  4. Hospice care for a terminally ill beneficiary

Why: Medicare generally does not pay for long-term custodial care (help with daily living); it covers hospital, physician, and hospice care.

Under a Section 162 executive bonus plan, the employer:

  1. Owns the policy and keeps all of the cash value for corporate purposes
  2. Pays a bonus equal to the premium, which the employee owns and is taxed on ✓
  3. Borrows against the executive's personal policy to fund operations
  4. Defers the executive's salary into a nonqualified retirement account

Why: The employer pays a deductible bonus equal to the premium; the employee owns the policy and reports the bonus as taxable income.

Under the 'reduction of premium' dividend option, the dividend is:

  1. Left with the insurer to accumulate interest over time
  2. Applied toward the premium due at the next anniversary ✓
  3. Used to buy additional paid-up whole life insurance coverage
  4. Paid out to the policyowner directly in cash each year

Why: This option uses the dividend to lower the out-of-pocket premium owed at the next due date.

A non-business-entity agent who is no longer engaged in the business of insurance is granted inactive status. What is one effect of inactive status?

  1. The agent's existing appointments with insurers remain fully active during inactive status
  2. The agent must still complete every continuing education hour required for the lines held
  3. The agent may continue to solicit new business
  4. The agent is exempt from any continuing education requirements imposed under the chapter ✓

Why: § 3905.16(C)(2) provides that a person granted inactive status is exempt from continuing education requirements.

A characteristic of an insurable risk is that the loss must be:

  1. Catastrophic to the insurer
  2. Certain to occur
  3. Definite and measurable ✓
  4. Deliberately caused by the insured

Why: Insurable losses must be definite, measurable, fortuitous, predictable across a large pool, and not catastrophic to the insurer.

A split-dollar life insurance arrangement is best described as:

  1. A policy split equally among several unrelated business partners at death
  2. A term policy divided into two smaller policies for tax purposes
  3. An annuity that pays half of its income to two different beneficiaries
  4. A plan in which an employer and employee share the policy's costs and benefits ✓

Why: In split-dollar, the employer and employee share premium costs and policy benefits under an agreement.

A noncontributory group life plan (employer pays the entire premium) generally requires:

  1. About 75% of eligible employees to enroll voluntarily
  2. At least 50% of all eligible employees to participate
  3. 100% participation, because the employer pays all premiums ✓
  4. No minimum participation requirement of any kind at all

Why: Because the employer pays all premiums, noncontributory plans require 100% participation to avoid adverse selection.

An applicant who regularly scuba dives in caves is most likely to be:

  1. Declined outright, as no insurer covers a hazardous hobby
  2. Charged a higher (rated) premium or have the avocation excluded ✓
  3. Required to buy an annuity rather than life insurance
  4. Offered the preferred rate class, since diving is a sport

Why: Hazardous avocations increase risk; insurers respond with a rating, an exclusion rider, or a higher premium.

A client wants to move funds from an old annuity into an LTC insurance policy tax-free. Under Section 1035, this is:

  1. Treated as a full surrender, with the gain taxed as ordinary income
  2. Allowed only when the receiving contract is a term life policy
  3. Barred, because an annuity may be exchanged only for another annuity
  4. Permitted (annuity-to-LTC is a valid 1035 exchange) ✓

Why: Section 1035 permits tax-free exchanges from an annuity to a qualified long-term care policy.

A cash refund annuity guarantees that, if the annuitant dies early, the beneficiary receives:

  1. Double the original premium as an accidental-death style bonus payment
  2. Any premium not yet paid out, in a lump sum ✓
  3. Nothing, because all annuity payments stop at the annuitant's death
  4. Continued lifetime payments for the rest of the beneficiary's own life

Why: A cash refund pays the beneficiary, in a lump sum, the difference between premiums paid and payments already received; an installment refund pays it out in continued installments.

Under a presumptive disability provision, the insured is presumed totally disabled (and paid full benefits) upon:

  1. Any short illness expected to resolve within a single week
  2. Total loss of sight, hearing, speech, or two limbs ✓
  3. Reaching the policy's stated benefit-period maximum age
  4. Voluntary early retirement from a physically demanding job

Why: Presumptive disability pays full benefits for specified losses (sight, hearing, speech, or two limbs) even if the insured is able to work.

In a variable life insurance policy, the investment risk on the cash value is borne by:

  1. The producer who originally sold the policy contract
  2. The state insurance guaranty association at all times
  3. The insurance company, which guarantees the cash value in full
  4. The policyowner ✓

Why: In variable life the cash value is held in separate accounts the owner directs, so the policyowner assumes the investment risk (a minimum death benefit is usually guaranteed).

Which term life policy has a face amount that declines over the term and is commonly used to cover a mortgage balance?

  1. Increasing term
  2. Decreasing term ✓
  3. Level term
  4. Renewable term

Why: Decreasing term's face amount drops over time (premium usually level), matching a declining debt such as a mortgage.

The 'facility of payment' provision in a health policy allows the insurer to:

  1. Refuse any claim submitted by anyone other than the insured personally named in the policy
  2. Hold payment of any claim until the close of the calendar year in which the loss occurred
  3. Pay a relative if there is no named beneficiary or the payee is a minor ✓
  4. Pay every claim by direct deposit into a bank account the insurer selects for the insured

Why: Facility of payment lets the insurer pay a relative or other appropriate person (up to a limit) when no beneficiary is named or the beneficiary cannot give valid release.

An inflation protection rider on a long-term care policy:

  1. Reduces the annual premium in any year the consumer price index falls, tracking deflation
  2. Refunds a share of the premium in any year the cost of nursing home care rises sharply
  3. Shortens the elimination period by 10 days on every policy anniversary after age 75
  4. Increases the daily benefit amount over time to offset rising care costs ✓

Why: Inflation protection raises the benefit (simple or compound) over the years so the coverage keeps pace with the rising cost of care.

The elimination period in a disability income policy functions as:

  1. A flat dollar deductible the insurer subtracts from every monthly benefit check before paying
  2. A time deductible the insured must wait through before benefits begin ✓
  3. The outside limit, stated in years, on how long monthly benefits will ever be paid
  4. A 31-day window for paying an overdue premium

Why: The elimination (waiting) period is a 'time deductible'; a longer elimination period lowers the premium because the insurer pays for fewer short claims.

Key person disability insurance provides benefits to:

  1. The business, to offset the loss when a key employee is disabled ✓
  2. Every employee of the firm equally, regardless of their role
  3. A lender, to pay off the company's outstanding commercial loans
  4. The disabled employee's family, to replace their lost personal income

Why: Key person disability is owned by and paid to the business to cover losses and the cost of replacing an essential employee who becomes disabled.

Within how many days after the final disposition of an administrative action taken against the agent in another jurisdiction must an Ohio insurance agent notify the superintendent?

  1. Sixty days after final disposition
  2. Thirty days after final disposition ✓
  3. Fifteen days after final disposition
  4. Ninety days after final disposition

Why: Section 3905.22(A) requires an agent to notify the superintendent of any administrative action by another jurisdiction or licensing agency within THIRTY days after the final disposition, including a copy of the order.

Under the 'Change of beneficiary' provision in § 3923.04(L), unless the insured has made an irrevocable designation, the consent of the beneficiary is required for which of the following?

  1. Only an assignment of the policy to a third party, not a change of beneficiary, needs the beneficiary's written consent
  2. Only a surrender of the policy for its accumulated cash value
  3. None of these — beneficiary consent is not requisite to surrender, assignment, or change of beneficiary ✓
  4. Any change to the policy whatsoever, including a change of address

Why: Section 3923.04(L) reserves the right to change beneficiary to the insured and provides that the beneficiary's consent is not requisite to surrender, assignment, change of beneficiary, or other changes, unless an irrevocable designation was made.

A family deductible provision in a health plan provides that:

  1. The individual deductible is doubled for each additional dependent added to the contract
  2. Only the named policyholder's own expenses count toward it, never a covered dependent's bills
  3. Once a set aggregate amount is met, the deductible is satisfied for the whole family ✓
  4. Each covered family member must satisfy the full individual deductible over again every month

Why: A family deductible caps total deductible exposure: when the combined family expenses reach the stated aggregate, the deductible is met for all members.

Social Security disability benefits use a strict definition: the inability to engage in:

  1. The specific occupation the insured personally held immediately before the disability began
  2. Any work the insured personally finds enjoyable
  3. Physical labor, though desk work is still expected
  4. Any substantial gainful activity due to a medically determinable impairment ✓

Why: SSDI requires inability to perform any substantial gainful activity (not just one's own occupation), expected to last at least 12 months or result in death.

In a fixed annuity, the investment risk is borne by:

  1. The annuitant, whose sub-accounts rise and fall with the market
  2. The insurer, which guarantees a minimum interest rate ✓
  3. A federal guaranty fund backing annuity values
  4. The selling producer, under the agency contract

Why: A fixed annuity guarantees principal and a minimum interest rate, so the insurer bears the investment risk.

The primary purpose of the Medical Information Bureau (MIB) is to:

  1. Help member insurers detect omissions or fraud on applications ✓
  2. Sell consumer medical histories directly to the general public
  3. Set the premium rates that all member companies must charge
  4. Provide free medical examinations to insurance applicants

Why: The MIB is a nonprofit information exchange whose coded reports help member insurers identify errors, omissions, or misrepresentations on applications.

The distinction between accident and sickness coverage is that an 'accident' involves:

  1. Any loss the insured suffers, expected or unexpected, so long as it produces a medical expense
  2. A condition that develops gradually over months, while sickness means a sudden onset
  3. Only injuries sustained on the job, which is why workers compensation responds to them
  4. A sudden, unforeseen injury, while sickness involves illness or disease ✓

Why: Accident coverage applies to sudden, unforeseen injuries; sickness coverage applies to illness or disease, and many policies cover both.

A structured settlement annuity is typically used to:

  1. Provide an employer's executives with deferred bonuses
  2. Fund a child's college education through a trust
  3. Replace a key employee who has died
  4. Pay periodic settlement amounts from a legal claim over time ✓

Why: A structured settlement funds court/insurance settlement payments as periodic income; amounts for physical-injury claims are generally tax-free.

Under § 3901.213(G), an insurer may conduct a raffle or drawing without it being an unlawful inducement only if all the listed conditions are met, including that the raffle:

  1. Requires each entrant to sit through a sales presentation first
  2. Awards a prize worth no more than one year of premium on the policy sold
  3. Is limited to the insurer's own existing policyholders, so that no member of the general public may enter the drawing and claim an inducement
  4. Has no financial cost to entrants, does not obligate them to purchase insurance, is open to the public, and is not unfairly discriminatory ✓

Why: Section 3901.213(G) permits raffles/drawings to the extent permitted by state law only if there is no financial cost to entrants, no obligation to purchase insurance, the raffle is open to the public, and it is not unfairly discriminatory.

Accelerated death benefits paid to a terminally ill insured are generally:

  1. Fully taxable to the insured as ordinary earned income for the year
  2. Subject to a mandatory flat 20% federal income-tax withholding
  3. Taxed as a long-term capital gain on the policy's accumulated cash value
  4. Received income-tax-free ✓

Why: They are generally received income-tax-free, similar to a death benefit, when the insured is terminally ill.

'Controlled business' refers to insurance a producer writes:

  1. Only after passing a market conduct exam
  2. Through a fraternal benefit society that operates on a lodge system for its members
  3. For large commercial clients in another state under a nonresident producer license
  4. Mainly on themselves, their family, or their own business ✓

Why: Controlled business is coverage on the producer's own interests; states limit it so licenses aren't obtained merely to self-deal.

Under Ohio's prohibited-provisions statute, a life policy may NOT limit the time within which an action may be commenced after the cause of action accrues to less than:

  1. Three years
  2. One year
  3. Five years ✓
  4. Two years

Why: Section 3915.09(B) prohibits a provision limiting to less than five years the time to commence an action after the cause accrues.

Unlike a conditional receipt, a binding (temporary) receipt provides:

  1. Immediate coverage for a set time even if the applicant is uninsurable ✓
  2. No coverage whatsoever until the policy is physically delivered to the owner
  3. Coverage only once the insurer has formally approved the entire application
  4. Coverage that is contingent on the applicant later passing a paramedical exam

Why: A binding receipt gives immediate temporary coverage for a stated period regardless of insurability; a conditional receipt requires the applicant to prove insurable.

Under the Ohio 'illegal occupation' optional provision, an insurer is not liable for a loss to which a contributing cause was what?

  1. The insured's commission of or attempt to commit a felony ✓
  2. The insured's travel outside the United States
  3. The insured's failure to pay a renewal premium on time
  4. The insured's lawful change of employer

Why: Section 3923.05(I) lets a policy provide that the insurer is not liable for any loss to which a contributing cause was the insured's commission of or attempt to commit a felony, or being engaged in an illegal occupation.

A $500,000 death benefit is paid to a surviving spouse. For federal estate tax, the amount qualifies for the:

  1. Annual gift tax exclusion
  2. Transfer-for-value exception
  3. Three-year ownership rule
  4. Unlimited marital deduction ✓

Why: Transfers to a surviving (citizen) spouse qualify for the unlimited marital deduction, passing estate-tax-free.

Under a group insurance plan, the certificate of insurance is:

  1. A document that must be filed with the state before any claim
  2. A separate policy each member negotiates and owns independently
  3. The full master contract issued to the employer or group sponsor
  4. Evidence of coverage given to each individual covered member ✓

Why: The master contract is issued to the group sponsor; each covered member receives a certificate as evidence of their coverage.

Stranger-originated life insurance (STOLI) arrangements are prohibited because they lack:

  1. Insurable interest ✓
  2. A medical exam
  3. A free-look period
  4. A named beneficiary

Why: STOLI is initiated for investors with no insurable interest in the insured, which is illegal.

In an indexed universal life policy, the interest credited to cash value is:

  1. Determined each year solely by the policyowner's own elections
  2. Based entirely on separate-account mutual fund performance and risk
  3. Guaranteed at a fixed rate set for the life of the contract
  4. Tied to a stated market index, subject to a cap and a guaranteed floor ✓

Why: Indexed UL credits interest linked to an external index (e.g., S&P 500) with a cap/participation rate and a guaranteed minimum floor.

A modified-premium whole life policy charges:

  1. Lower premiums for an initial period, then higher level premiums ✓
  2. The same premium every year for the entire life of the policy
  3. A single large premium that makes the policy paid up at issue
  4. Premiums that decline a little bit every single year until paid up

Why: Modified whole life has reduced premiums during the early years (often the first five) followed by higher level premiums for life.

Group life insurance is most commonly written as:

  1. A single-premium endowment that is paid up at issue
  2. Annually renewable term that renews each year ✓
  3. Decreasing term tied to a mortgage balance
  4. A paid-up whole life policy with no premiums

Why: Employer group life is typically annually renewable term; individual evidence of insurability is usually not required up to a guaranteed-issue limit.

For the variable life-variable annuity line, what additional qualification does Ohio Rev. Code § 3905.06 require for issuance?

  1. A bond posted with the superintendent
  2. A separate securities dealer license issued by the securities division of the secretary of state
  3. Registration with FINRA after passing the Series 6, 7, 63, 66, or another approved examination ✓
  4. Appointment by at least two insurers that are authorized to issue variable annuity contracts in this state

Why: § 3905.06(A)(1)(e) requires FINRA registration after passing the Series 6, 7, 63, 66, or another approved FINRA examination.

Under Ohio law, using a policy name or title that misrepresents the true nature of the policy is:

  1. Allowed for nonparticipating policies
  2. Allowed if the name is trademarked
  3. Prohibited as a form of misrepresentation ✓
  4. Required to be filed but otherwise permitted

Why: Section 3911.23 prohibits using any name or title of a policy or class of policies which misrepresents the true nature thereof.

A Medicare Part B late enrollment penalty generally:

  1. Applies as a one-time fee at the first physician visit
  2. Is automatically waived after the first two years of coverage
  3. Blocks the person from ever enrolling in Part B in the future
  4. Permanently raises the monthly Part B premium ✓

Why: Delaying Part B without creditable coverage adds a lifetime surcharge (about 10% per 12 months of delay) to the premium.

To continue coverage for a newborn beyond the initial period when an Ohio policy requires an added premium, notification of birth and payment must be furnished to the insurer within how many days after birth?

  1. Sixty days
  2. Twenty days
  3. Thirty-one days ✓
  4. Ten days

Why: Section 3923.26 permits a policy to require that notification of birth and payment of any required additional premium be furnished within THIRTY-ONE days after the date of birth to continue coverage beyond that period.

An investor with no relationship to the insured arranges and funds a policy intending to profit from the death benefit. This is:

  1. An ordinary collateral assignment of the policy to a secured lender
  2. A key person arrangement, valid because the investor funds the premiums
  3. Stranger-originated life insurance (STOLI), which is illegal ✓
  4. A viatical settlement, permitted once the insured is terminally ill

Why: STOLI lacks insurable interest and is illegal; policies must be founded on a genuine insurable interest at inception.

Insurers usually limit disability income benefits to about 60–70% of the insured's gross income in order to:

  1. Guarantee the insurer a profit on every policy that is sold
  2. Comply with a federal cap on all insurance benefit amounts
  3. Match the benefit exactly to the insured's monthly expenses
  4. Preserve the insured's financial incentive to return to work ✓

Why: Benefits are capped below full income (and are tax-free when individually paid) so the insured retains a financial incentive to recover and return to work.

An insured with a $100,000 policy dies during the grace period while owing a $200 premium. The beneficiary receives:

  1. $99,800 ✓
  2. $100,000
  3. $0
  4. $50,000

Why: Coverage stays in force during the grace period; the claim is paid with the overdue premium deducted: $100,000 − $200 = $99,800.

A blanket health policy is designed to cover:

  1. One named individual and that person's immediate dependents only
  2. Retirees already enrolled in both Medicare Parts A and B who want their Part A deductible paid
  3. Only those employees who have passed a full individual medical examination paid for by the employer
  4. A group of people who are not individually named, such as passengers or students ✓

Why: A blanket policy covers a constantly changing group of unnamed people defined by a relationship (airline passengers, students, sports teams).

The 'Entire contract; changes' standard provision required by § 3923.04(A) states that no change in the policy is valid until approved by whom?

  1. An executive officer of the insurer ✓
  2. The superintendent of insurance
  3. The producer who solicited and delivered the policy
  4. Any licensed agent acting within the agent's authority

Why: Section 3923.04(A) provides that no change is valid until approved by an executive officer of the insurer and indorsed on or attached to the policy; no agent has authority to change the policy.

If a policyowner stops paying premiums and makes no nonforfeiture election, most policies automatically apply:

  1. Reduced paid-up insurance
  2. The cash surrender option
  3. An automatic dividend payout
  4. Extended term insurance ✓

Why: Extended term is the usual automatic (default) nonforfeiture option, keeping the full face amount in force as term for a limited period.

An employee, at the direction of an insurer, accepts a renewal premium (not the initial premium) and performs purely clerical duties without soliciting. Under Ohio law, is a license required?

  1. Yes, unless the insurer files a clerical exemption with the state
  2. Yes, any employee who handles premium money must hold a license
  3. Yes, because accepting a renewal premium is negotiating insurance
  4. No, this activity is expressly exempt from the licensing requirement ✓

Why: § 3905.03(A)(9) exempts employees who, at the insurer's direction, accept premiums other than the initial premium and perform clerical or ministerial duties.

What is the stated purpose of the Ohio Life and Health Insurance Guaranty Association chapter?

  1. To regulate the investment portfolios of member insurers so that each one holds admitted assets exceeding its policy reserves at every quarterly statement date filed with the superintendent
  2. To set the premium rates that member insurers may charge for life and health coverage sold in this state, so that no member can price itself into an insolvency the other members must fund
  3. To protect, subject to limitations, persons against failure of contractual obligations due to the impairment or insolvency of the member insurer that issued the policies ✓
  4. To license the agents who sell covered policies in this state and to discipline those whose sales practices contribute to the impairment or insolvency of a member insurer

Why: Section 3956.03 states the purpose is to protect specified persons, subject to limitations, against failure in the performance of contractual obligations due to impairment or insolvency of the issuing member insurer.

Under section 1751.18, an HIC is prohibited from canceling or failing to renew a subscriber's coverage because of which of the following?

  1. The subscriber's intentional misrepresentation of a material fact
  2. Any health status-related factor in relation to the subscriber ✓
  3. The subscriber's commission of fraud under the terms of the coverage
  4. The subscriber's failure to pay the required periodic premium

Why: Section 1751.18(A)(1) prohibits cancellation or nonrenewal because of any health status-related factor. By contrast, division (B) permits cancellation for fraud or intentional misrepresentation.

Which permanent policy features flexible premiums and an adjustable death benefit?

  1. Level term
  2. Universal life ✓
  3. Whole life
  4. Single-premium whole life

Why: Universal life allows the owner to vary premium payments and adjust the death benefit (subject to underwriting); cash value earns a declared interest rate.