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Cheat sheet

Georgia Life & Health Cheat Sheet

Life Types

12%of exam

Life ProductsTermWhole LifeUniversal LifeAnnuities

Life Provisions

12%of exam

Life ProvisionsRidersBeneficiariesNonforfeitureExclusions

Life Underwriting

10%of exam

ApplicationsUnderwritingContract LawSTOLIDelivery

Life Concepts

6%of exam

Group LifeRetirementTaxNeedsSettlements

Health Types

13%of exam

DisabilityMedical ExpenseHMOMedigapLTC

Health Provisions

12%of exam

ClaimsRenewabilityDeductiblesCoinsuranceExclusions

Social Insurance

5%of exam

MedicareMedicaidSocial SecurityParts A-D

Health Concepts

4%of exam

CoordinationManaged CareSubrogationWorkers Comp

Health Underwriting

6%of exam

ApplicationsHIPAAMIBReceiptsReplacement

Georgia Law

15%of exam

OCITitle 33LicensingUnfair PracticesGuaranty

GA Life Rules

2%of exam

ReplacementAdvertisingInsurable InterestReg 120-2-24

GA Health Rules

2%of exam

MedigapLTCPartnershipChapter 33-29

Quick Facts

Exam
12-GA-05
License
Life + A&S
Vendor
Pearson VUE
Regulator
Georgia OCI
Scored
125 questions
Pretest
10 questions
Time
2.5 hours
Pass
70%
Exam fee
$67
License fee
$100 + $20
Prelicense
8 + 8 hours
Q1 pass
59% first-time

Term vs Whole

Term

  • Temporary
  • No cash value
  • Lower premium

Whole

  • Permanent
  • Cash value
  • Fixed premium

Temporary vs permanent

Life Product Picker

  1. Temporary needTerm(Low premium)
  2. Mortgage declinesDecreasing term(Falling face)
  3. Refund wantedROP term(Higher cost)
  4. Lifetime guaranteeWhole life(Cash value)
  5. Short pay periodLimited-pay(Paid-up)
  6. Flexible premiumUniversal life(Adjustable)
  7. Market risk OKVariable life(Securities)
  8. Second-death needSurvivorship(Estate planning)

Life Products

Term
Temporary protection
Level term
Level face
Decreasing term
Falling face
ROP term
Premium refund
Whole life
Permanent fixed
Limited-pay
Short premium
Universal life
Flexible premium
Variable life
Separate accounts
VUL
Flexible + variable
Indexed life
Index formula

UL vs VUL

UL

  • Flexible premium
  • Interest crediting
  • General account

VUL

  • Flexible premium
  • Separate accounts
  • Securities license

Interest vs market

Annuity Picker

  1. Income starts nowImmediate(Payout soon)
  2. Income laterDeferred(Accumulate)
  3. Guarantee wantedFixed(General account)
  4. Market exposureVariable(Separate account)
  5. Index formulaIndexed(Caps/floors)
  6. Tax-free swap1035(Like-kind)

Annuity Types

Annuity
Longevity income
Single premium
One payment
Flexible premium
Multiple payments
Immediate
Pays within year
Deferred
Pays later
Fixed
Guaranteed crediting
Variable
Separate accounts
Indexed
External index
Accumulation
Pay-in phase
Annuitization
Payout phase

Fixed vs Variable

Fixed

  • Guarantee
  • General account
  • Insurer risk

Variable

  • Separate account
  • Owner risk
  • Securities registration

Guarantee vs risk

Owner vs Beneficiary

Owner

  • Controls policy
  • Changes rights
  • Pays premium

Beneficiary

  • Receives proceeds
  • No control
  • Primary/contingent

Control vs receive

Life Provisions

Entire contract
Policy + application
Insuring clause
Coverage promise
Free look
Refund review
Grace period
31 days
Reinstatement
Restore lapse
Policy loan
Borrow cash
Nonforfeiture
Value protection
Dividends
Participating return
Incontestability
Contest limit
Suicide
Early exclusion

Riders + Options

Waiver premium
Disability waiver
Waiver deduction
UL waiver
GIR
Future purchase
Payor benefit
Owner disability
ADB
Accidental death extra
Term rider
Extra temporary
LTC rider
Care benefit
COLA
Inflation adjustment
Reduced paid-up
Smaller permanent
Extended term
Same face temporary

Policy Roles

Applicant
Requests policy
Insured
Covered life
Owner
Controls rights
Beneficiary
Receives proceeds
Primary
First paid
Contingent
Backup paid
Revocable
Change allowed
Irrevocable
Consent required
Class
Group designation
Minor
Guardian issue

Contract Keys

O A C C L validates.

OfferAcceptanceConsiderationCapacityLegal purpose

Life Underwriting

Application
Primary source
Signatures
Required consent
Changes
Applicant initials
Receipt
Conditional coverage
Replacement
Existing policy swap
HIPAA
Health disclosure
GLBA
Privacy rules
FCRA
Consumer report
Risk class
Pricing category
STOLI
Investor-originated life

Contract Law

Offer
Applicant act
Acceptance
Insurer issue
Consideration
Premium + statements
Capacity
Competent parties
Legal purpose
Allowed object
Conditional
Duties required
Unilateral
One enforceable promise
Adhesion
Insurer drafted
Aleatory
Unequal exchange
Representation
Best statement

Life Concepts

Third-party
Owner differs
Life settlement
Policy sale
Group life
Master policy
Conversion
Individual switch
Contributory
Employee shares
Noncontributory
Employer pays
Qualified plan
Tax favored
Needs analysis
Coverage target
Key person
Business protection
MEC
Overfunded life

HMO vs PPO

HMO

  • PCP gatekeeper
  • Network focus
  • Lower cost

PPO

  • Provider choice
  • Out-network possible
  • Higher cost

Gatekeeper vs choice

Health Product Picker

  1. Lost incomeDisability income(Earnings)
  2. Business billsBOE(Overhead)
  3. Broad medicalMajor medical(Comprehensive)
  4. Gatekeeper careHMO(Network)
  5. Provider choicePPO(Flexible)
  6. Referral blendPOS(Hybrid)
  7. Custodial careLTC(ADLs)
  8. Medicare gapsMedigap(Supplement)

Health Products

Medical expense
Care costs
Major medical
Broad coverage
Disability income
Lost earnings
BOE
Overhead expenses
Key employee
Business disability
AD&D
Accident benefits
HMO
Gatekeeper network
PPO
Preferred network
POS
Referral blend
HDHP
HSA eligible

Limited Health

Dental
Oral care
Vision
Eye care
Cancer
Specified disease
Critical illness
Lump-sum trigger
Worksite
Employer sponsored
Hospital indemnity
Fixed hospital pay
Short-term medical
Temporary medical
Accident
Accidental injury

Claim Flow

Notice, forms, proof, pay, sue.

NoticeFormsProofPaymentLegal action

Deductible vs Coinsurance

Deductible

  • First dollars
  • Annual amount
  • Before sharing

Coinsurance

  • Percentage share
  • After deductible
  • Until cap

Before vs after

Health Claim Picker

  1. Loss occursNotice claim(Start process)
  2. Insurer respondsClaim forms(Send forms)
  3. Evidence readyProof loss(Document claim)
  4. Payment dueTime payment(Pay promptly)
  5. Suit consideredLegal actions(Timing rule)
  6. Rate certaintyNoncancelable(Strongest)

Health Provisions

Entire contract
Policy contents
Time limit
Defense limit
Grace period
Late-pay window
Reinstatement
Restore lapse
Notice claim
Claim trigger
Claim forms
Insurer sends
Proof loss
Claim evidence
Legal actions
Suit timing
Misstatement
Adjust benefits
Change occupation
Benefit adjustment

Health Costs

Deductible
Before plan pays
Coinsurance
Cost percentage
Copayment
Fixed cost share
Eligible expense
Covered charge
URC
Usual charge
Preauthorization
Advance approval
Elimination
Waiting period
Exclusion
Not covered
Noncancelable
Strongest renewal
Guaranteed
Class-rate changes

Medicare ABCD

A hospital, B medical, C advantage, D drugs.

A: hospitalB: doctorsC: privateD: drugs

Advantage vs Medigap

Part C

  • Private alternative
  • Replaces Original
  • Network plan

Medigap

  • Supplement policy
  • Keeps Original
  • Pays gaps

Replace vs supplement

Social Insurance

Part A
Hospital insurance
Part B
Medical insurance
Part C
Medicare Advantage
Part D
Prescription drugs
Medigap
Supplement gaps
Medicaid
Need-based aid
Social Security
Federal benefits
Open enrollment
Six months

Health Concepts

Total disability
Cannot work
Partial
Limited duties
Residual
Income loss
Recurrent
Repeated disability
COB
Primary order
Nonduplication
No double pay
Occupational
Work related
Managed care
Network controls
Subrogation
Recover from third
Workers comp
Work injury

Health Underwriting

Application
Primary source
HIPAA
Privacy notice
MIB
Fraud database
FCRA
Report rules
Initial premium
Receipt trigger
Conditional receipt
Coverage condition
Submit app
Underwriting start
Policy delivery
Explain policy
Replacement
Existing coverage swap
Warranties
Guaranteed truth

Exam Count

125 scored, 10 pretest, 2.5 hours.

12-GA-05125 scored10 pretest70 pass

OCI vs Pearson

OCI

  • Regulates insurance
  • Issues licenses
  • Enforces Title 33

Pearson

  • Schedules exams
  • Runs test centers
  • Reports scores

Regulator vs vendor

GA Compliance Picker

  1. Need licenseSircon(Apply online)
  2. Represent insurerCA(After license)
  3. Renew licenseCE(24 hours)
  4. Sell annuityRule 120-2-94(Training)
  5. Hold premiumFiduciary(No commingle)
  6. Swap policyReplacement notice(Disclose)
  7. Insurer insolventGuaranty(Limits)
  8. Failed examRetake wait(14/60 days)

Exam Map

12-GA-05
Combo agent exam
Scored
125 questions
Pretest
10 unscored
Time
2.5 hours
Pass
70 percent
Fee
$67 exam
Outline
Oct 2024 effective
Spanish
Available exam

License Hours

Eight life plus eight sickness.

8 Life8 A&S12 months

License vs CA

License

  • State qualification
  • Producer authority
  • Sircon issued

CA

  • Insurer appointment
  • Company authority
  • After licensure

Qualified vs appointed

Licensing Path

Age
18 minimum
Residency
GA resident/business
Life course
8 hours
A&S course
8 hours
Course age
Last 12 months
Application
Sircon filing
Affidavit
Citizenship/lawful presence
Fingerprints
Resident background check
License cost
$120 total
CA
Company authority

CE Split

Twenty-four total, three ethics.

24 total3 ethics2 years

Rebate vs Commission

Rebate

  • Client inducement
  • Not in policy
  • Illegal gift

Commission

  • Producer pay
  • Insurer contract
  • Not client gift

Gift vs compensation

Renewal + CE

License term
Two years
Expiration
Birth-month end
CE total
24 hours
Ethics
3 hours
20+ years
20 hours
Designations
12-hour route
Duplicate CE
No repeat credit
Transcript
Sircon lookup

Guaranty Caps

Life 300, cash 100, health 500.

Life: 300KCash: 100KAnnuity: 250KHealth: 500K

Guaranty vs Insurance

Guaranty

  • Insolvency safety
  • Statutory caps
  • No sales pitch

Insurance

  • Contract promise
  • Policy benefits
  • Insurer strength

Safety net vs product

OCI Authority

OCI
Georgia regulator
Commissioner
Statewide elected
Title 33
Insurance code
Rules
120-2 chapters
Certificates
Insurer authority
Market conduct
OCI oversight
Hearings
Due process
Penalties
Administrative sanctions

Unfair Practices

Rebating
Unfiled inducement
Twisting
Misleading replacement
Churning
Commission replacement
Defamation
False insurer attack
Misrepresentation
False policy facts
Coercion
Forced purchase
Controlled business
Self-dealing focus
Commingling
Mixed client funds
Fraud
Intentional deception
Claims
Unfair settlement

Guaranty Limits

Purpose
Insolvency safety net
Member insurer
Licensed carrier
Life death
$300,000
Life cash
$100,000
Major medical
$500,000
Disability
$300,000
LTC
$300,000
Annuity cash
$250,000
Payout annuity
$300,000
Sales pitch
Prohibited use

Replacement vs Twisting

Replacement

  • Policy swap
  • Can be legal
  • Disclosure required

Twisting

  • Misleading swap
  • Illegal practice
  • False comparison

Disclosure vs deception

GA Life Rules

Replacement
Reg 120-2-24
Notice
Disclosure before swap
Existing insurer
Receives notice
Advertising
No misleading pitch
Solicitation
Reg 120-2-11
Insurable interest
Issue-date requirement
Group conversion
31-day privilege
STOLI
No valid interest

GA Annuity Rules

Best interest
Rule 120-2-94
Training
One-time 4 credits
Consumer profile
Needs documented
Conflicts
Disclose material
Replacement
Suitability review
Free look
At least 10 days
Variable annuity
Securities registration
1035 exchange
Tax deferral

GA Health Rules

A&S rules
Chapters 33-29/30
Medigap
Reg 120-2-8
Standard plans
Lettered benefits
Duplicate coverage
Avoid unsuitable sale
LTC
Chapter 33-42
Partnership
Asset disregard
Mini-COBRA
GA continuation
Small employer
1-50 employees

Common Traps

Exam Count Trap

125 scored 10 pretest unscored

Exam Code Trap

05 is combo 01/02 separate

License Trap

License qualifies CA authorizes

CE Trap

24 hours standard 3 hours ethics

Retake Trap

14 days first 60 days third

Replacement Trap

Disclosure can comply Deception becomes twisting

Guaranty Trap

Safety net only Not sales inducement

Variable Trap

Separate account risk Securities registration needed

Medigap Trap

Supplements Original Not Advantage replacement

Annuity Trap

Best interest rule Training before sales

Last Minute

  1. 1.12-GA-05 combo exam
  2. 2.125 scored; 10 pretest
  3. 3.2.5 hours; 70% pass
  4. 4.Exam fee is $67
  5. 5.Prelicense = 8 + 8
  6. 6.License fee = $120
  7. 7.CA needed after license
  8. 8.CE = 24; ethics = 3
  9. 9.Retakes: 14 then 60
  10. 10.OCI regulates; Pearson tests
  11. 11.Title 33 drives law
  12. 12.GA law: 19 questions
  13. 13.Life products: 15 questions
  14. 14.Health products: 16 questions
  15. 15.Term temporary; whole permanent
  16. 16.UL flexible; VUL securities
  17. 17.Medigap supplements Original Medicare
  18. 18.Guaranty never sells policies
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