Cheat sheet

Iowa Life & Health Insurance Cheat Sheet

Quick Facts

Exams
Two: 12-IA-01, 12-IA-02
Life exam
77 scored + 10 pretest
A&H exam
80 scored + 10 pretest
Time
2 hours per exam
Fee
$44 per exam line
Pass mark
Pass/fail set by IID
Iowa portion
27 Life / 30 A&H
Guessing
No wrong-answer penalty
Retake
Wait 24 hours
Apply within
90 days of passing
Prelicensing
None required
Blueprint
Effective Jan 1 2026

Nonforfeiture Options

CRE: Cash | Reduced paid-up | Extended term

Cash: surrender valueReduced: smaller paid-upExtended: same faceExtended is the default

Term vs Whole Life

Term

  • Pure protection
  • No cash value
  • Expires at term end

Whole life

  • Lifetime coverage
  • Guaranteed cash value
  • Endows at maturity

Rent versus own

Life Product Picker

  1. Temporary need, low budgetLevel term(No cash value)
  2. Cover a mortgageDecreasing term(Falling face)
  3. Lifetime need, fixed premiumOrdinary whole life(Guaranteed values)
  4. Pay up before retirementLimited-pay life(MEC risk)
  5. Flexible premium and faceUniversal life(Adjustable)
  6. Wants market upsideVariable universal life(Securities license)
  7. Index gain, no lossIndexed life(Guaranteed floor)
  8. Estate tax liquiditySurvivorship life(Second to die)
  9. Fund a buy-sellJoint life(First to die)
  10. Guaranteed lifetime incomeLife only annuity(No refund)

Life Exam Scored Counts

I Types of Policies
15 scored
II Riders + Provisions
15 scored
III Application + Delivery
12 scored
IV Retirement Concepts
8 scored
Iowa law, all lines
15 scored
Iowa life-only law
12 scored
Life total
77 scored, 87 delivered

Dividend Options

Cash | Reduce | Accumulate | Paid-up | Term

Cash to ownerReduce next premiumAccumulate: interest taxablePaid-up additionsOne-year term

UL Option A vs Option B

Option A

  • Level death benefit
  • Net amount at risk falls
  • Lower insurance charges

Option B

  • Face plus cash value
  • Net amount at risk level
  • Higher insurance charges

Level versus increasing

Life Policy Types

Ordinary whole life
Level premium for life
Limited-pay life
Fewer, larger premiums
Single premium life
One premium, MEC risk
Universal life
Flexible premium, adjustable face
Variable universal life
Separate accounts, securities license
Indexed life
Index credit, guaranteed floor
Level term
Level face, level premium
Decreasing term
Falling face, level premium
Annually renewable term
Level face, rising premium
Return of premium term
Premiums refunded at expiry
Joint life
Pays at first death
Survivorship life
Pays at second death

Warranty vs Representation

Warranty

  • Guaranteed literally true
  • Any breach voids

Representation

  • True to best knowledge
  • Material misstatement rescinds

Applicant statements are representations

Life Riders

Waiver of premium
Premiums waived when disabled
Payor benefit
Juvenile policy, adult payer
Guaranteed insurability
Buy more, no underwriting
Accidental death
Extra for accidental death
Term rider
Temporary extra coverage
Other insured rider
Covers spouse or child
Long term care rider
Accelerates for care costs
Return of premium rider
Refunds premiums paid
Cost of living rider
Face rises with inflation
Accelerated death benefit
Terminal illness advance payout

Life Provisions + Options

Entire contract
Policy plus attached application
Insuring clause
Insurer's basic promise
Free look
Iowa: 10 days191-15.9
Grace period
Coverage continues, premium overdue
Reinstatement
Revive lapse, prove insurability
Automatic premium loan
Cash value pays premium
Incontestability
Two years from date508.28
Suicide clause
Premiums returned, not face
Misstatement of age
Benefit adjusted, not voided
Assignment
Absolute or collateral transfer
Policy loan
Borrow against cash value511.36
Settlement options
How proceeds are paid

Nonforfeiture + Dividends

Cash surrender
Take cash, coverage ends
Reduced paid-up
Smaller permanent, no premiums
Extended term
Same face, limited period
Default option
Extended term if silent
Cash dividend
Paid to the owner
Reduce premium
Applied to next premium
Accumulate at interest
Interest is taxable income
Paid-up additions
Buys small paid-up amounts
One-year term
Fifth dividend option

Annuities

Fixed annuity
Insurer bears investment risk
Variable annuity
Owner bears risk, securities
Indexed annuity
Index credit, guaranteed floor
Immediate annuity
Payout begins within year
Deferred annuity
Accumulates before payout
Accumulation period
Paying in phase
Annuity period
Paying out phase
Life only
Highest payment, no refund
Life with period certain
Guarantees minimum payout years
Joint and survivor
Continues to second annuitant

LTC Benefit Triggers

Bathe | Dress | Eat | Toilet | Transfer | Continence

Two of six ADLsOr cognitive impairmentCertified 90 days

Elimination vs Probationary

Elimination period

  • Runs after each disability
  • Time deductible, unpaid days

Probationary period

  • Runs once from issue
  • Excludes early sickness

Per claim versus per policy

Health Plan Picker

  1. Lowest cost, network onlyHMO(Gatekeeper)
  2. Wants out-of-network carePPO(No referral)
  3. Gatekeeper plus flexibilityPOS(Higher cost)
  4. Wants portable savingsHDHP with HSA(Individual owns)
  5. Employer funds onlyHRA(Employer owned)
  6. Fills Original Medicare gapsMedicare supplement(Not with Part C)
  7. Custodial care at homeLong-term care(Two ADLs)
  8. Cash on diagnosisCritical illness(Lump sum)

A&H Exam Scored Counts

I Types of Policies
16 scored
II Provisions + Clauses
15 scored
III Social Insurance
6 scored
IV Other Concepts
5 scored
V Field Underwriting
8 scored
Iowa law, all lines
15 scored
Iowa health-only law
15 scored
A&H total
80 scored, 90 delivered

Medigap vs Medicare Advantage

Medigap

  • Fills Original Medicare gaps
  • Any Medicare provider
  • Standardized lettered plans

Advantage

  • Replaces delivery of A and B
  • Private plan network
  • Often includes Part D

Cannot hold both

Disability Definition Picker

  1. Cannot do own jobOwn occupation(Costlier)
  2. Cannot do suitable workAny occupation(Stricter)
  3. Working but earning lessResidual disability(Partial benefit)
  4. Relapse from same causeRecurrent disability(No new wait)
  5. Lost sight or limbsPresumptive disability(Immediate benefit)
  6. Owner disabled, business openOverhead expense(Benefits taxable)

Health Plan Types

HMO
In-network only, gatekeeper
PPO
Out-of-network at reduced benefit
POS
Gatekeeper plus out-of-network
HDHP with HSA
High deductible, portable account
FSA
Employer plan, forfeit unused
HRA
Employer funded, employer owned
Basic hospital and surgical
First dollar, low limits
Major medical
Deductible, coinsurance, high maximum
Medicare supplement
Fills Original Medicare gaps
Long-term care
Custodial and skilled care
Hospital indemnity
Fixed dollars per day
Critical illness
Lump sum on diagnosis

Disability Income Policies

Individual disability income
Personal income replacement
Business overhead expense
Pays business fixed costs
Disability buy-out
Funds purchase of interest
Key employee disability
Employer is the beneficiary
Group disability income
Employer sponsored, benefits taxable
Own occupation
Cannot do your job
Any occupation
Cannot do suitable work
Residual disability
Pays for lost income
Recurrent disability
Same cause, no new wait
Presumptive disability
Sight, hearing, speech, limbs

A&H Uniform Provisions

Entire contract
Policy plus attached application
Time limit on defenses
Two years514A.3
Grace period
Iowa: 7/10/31 days514A.3
Reinstatement
Sickness covered after 10 days
Notice of claim
20 days after loss
Claim forms
Insurer sends within 15 days
Proof of loss
90 days after loss
Time of payment
Immediately on written proof
Physical exam and autopsy
Insurer's expense, where allowed
Legal actions
After 60 days, within 3 years
Misstatement of age
Benefits adjusted by premium
Change of occupation
Benefit or rate adjusted

Cost Sharing Terms

Deductible
Paid before plan pays
Coinsurance
Percentage split after deductible
Copayment
Flat fee per service
Out-of-pocket maximum
Caps the insured's annual share
Elimination period
Time deductible per disability
Probationary period
Early sickness excluded once
Preexisting condition
Existed before effective date
URC charges
Usual, reasonable, customary limit
Coordination of benefits
Prevents duplicate payment
Lifetime or annual maximum
Cap on plan payout

Social Insurance

Medicare Part A
Hospital, skilled nursing, hospice
Medicare Part B
Doctors, outpatient, equipment
Medicare Part C
Advantage, private plan network
Medicare Part D
Outpatient prescription drugs
Medicaid
State and federal, need based
Social Security disability
No substantial gainful activity
SSDI waiting period
Five full months
Workers compensation
Occupational injury only

Iowa Guaranty Numbers

Life 300k | Annuity 250k | Health plan 500k

Cash surrender 100kAggregate 350kHealth plan aggregate 500kIowa Code 508C.5

Life Exam vs A&H Exam

Life 12-IA-01

  • 50 general, 27 Iowa
  • 77 scored, 87 delivered
  • 2 hours, $44

A&H 12-IA-02

  • 50 general, 30 Iowa
  • 80 scored, 90 delivered
  • 2 hours, $44

Separate exams, separate fees

Iowa Deadline Picker

  1. Passed the examApply within 90 days(Through NIPR)
  2. Failed the examWait 24 hours(Not at center)
  3. Agency contract executedAppoint within 30 days(522B.13)
  4. Discipline in another stateReport within 30 days(Final disposition)
  5. Criminal case filedReport within 30 days(Initial pretrial)
  6. CE term ending36 credits, 3 ethics(No carryover)
  7. Replacement application takenNotify insurer, 5 days(Business days)
  8. Death claim proof receivedPay within 30 days(Interest after)

Iowa Licensing Rules

License term
Three years522B.6
Appointment filing
Within 30 days522B.13
Business entity appointment
Never required522B.13
Temporary license
Up to 180 days522B.10
Administrative action report
30 days, final disposition522B.16
Criminal prosecution report
30 days, initial pretrial522B.16
CE per term
36 credits, 3 ethics191-11.3
One CE credit
50 minutes of instruction191-11.2
CE carryover
Not permitted191-11.3
Prelicensing education
Iowa requires none

Rebating vs Twisting

Rebating

  • Value not in contract
  • Inducement to buy

Twisting

  • Misleads into replacing
  • Harms the existing client

Bribe versus churn

Iowa Unfair Practices

Misrepresentation
Untrue statement about policy507B.4
Rebating
Value not in contract507B.4
Twisting
Replacement to client's detriment191-15.2
Unfair discrimination
Same class, unequal terms507B.4
Defamation
False statement harming insurer507B.4
Boycott and coercion
Restraining the insurance trade507B.4
False advertising
Untrue or misleading ad507B.4
Claims settlement abuse
Bad-faith claim handling507B.4
Civil penalty
$1,000 act / $10,000 cap507B.7
Knowing violation
$5,000 act / $50,000 cap507B.7
Insurance fraud
Class D felony507E.3
Fraudulent sales practices
Class D; C over $10,000507E.3A

Iowa Guaranty Limits

Life death benefit
$300,000 per life508C.5
Life cash surrender
$100,000 maximum508C.5
Annuity present value
$250,000 including surrender values508C.5
Health benefit plan
$500,000 maximum508C.5
Disability income
$300,000 maximum508C.5
Long-term care
$300,000 maximum508C.5
Other health benefits
$100,000 maximum508C.5
Aggregate per life
$350,000 general cap508C.5
Health plan aggregate
$500,000 per individual508C.5
Advertising the association
Prohibited in sales508C.18

Iowa Insurer Definitions

Domestic insurer
Organized under Iowa law521A.1
Foreign insurer
Another state's law521E.1
Alien insurer
Another country's law515.70
Certificate of authority
License to transact insurance515.41
Fraternal benefit society
Lodge system, member benefits512B
Commissioner powers
Rulemaking, exams, enforcement505.2
Examination of records
Commissioner audits insurer records507.1
Cease and desist
Order stopping a practice507B.6A

Annuity Best Interest

Care | Disclosure | Conflict | Documentation

Rule 191-15.75Four credits firstRecords ten years

Accelerated Benefit vs Settlement

Accelerated benefit

  • Paid by the insurer
  • Reduces death benefit
  • Owner keeps the policy

Life settlement

  • Sold to an investor
  • Buyer becomes owner
  • Iowa chapter 508E

Advance versus sale

Iowa Free-Look Picker

  1. New life policy10 days(191-15.9)
  2. New annuity10 days(191-15.9)
  3. Life or annuity replacement30 days(191-16.26)
  4. Individual health policy10 days(514A.3)
  5. Medicare supplement30 days(191-37.28)
  6. Variable productPolicy language governs(191-33)

Iowa Life-Only Rules

Free look
10 days191-15.9
Replacement return
30 days, full refund191-16.26
Existing insurer notice
5 business days191-16.26
Replacement notice timing
At or before application191-16.24
Replacement signatures
Applicant and producer sign191-16.24
Individual incontestability
Two years from date508.28
Group life grace
31 days509.2
Group life conversion
31 days, no evidence509.2
Group life contestability
Two years from issue509.2
Group facility of payment
Up to $500509.2
Delayed death claim interest
After 30 days511.38
Viatical and life settlements
Regulated as settlements508E

Free Look vs Replacement Return

Free look

  • 10 days on life
  • Rule 191-15.9

Replacement return

  • 30 days after delivery
  • Rule 191-16.26

Replacement triples the window

Iowa Annuity Best Interest

Care obligation
Know consumer, reasonable basis191-15.75
Disclosure obligation
Role, compensation, product scope191-15.75
Conflict obligation
No financial interest ahead191-15.75
Documentation obligation
Record the recommendation basis191-15.75
Annuity training
One-time, four credits191-15.76
Training timing
Complete before any sale191-15.76
Record retention
Ten years after transaction191-15.78

Iowa Health Grace

Weekly 7 | Monthly 10 | All others 31

Iowa Code 514A.3Group life is 31Return policy: 10 days

Guaranteed Renewable vs Noncancelable

Guaranteed renewable

  • Cannot decline renewal
  • Rates change by class

Noncancelable

  • Cannot decline renewal
  • Rates locked in

Both renew, only one reprices

Iowa Health-Only Rules

Individual grace period
7 / 10 / 31 days514A.3
Right to return
10 days, page one514A.3
Time limit on defenses
Two years514A.3
Optionally renewable
Company's option191-36.10
Conditionally renewable
Stated reasons, not health191-36.10
Guaranteed renewable
Class rate changes only191-36.10
Noncancelable
No decline, no increase191-36.10
Group health provisions
Required group terms509.3
Eligible individual
Iowa resident, recent coverage513C.3
Qualifying event window
Within the preceding 30 days513C.3

Iowa Mandated Coverages

Diabetes
Supplies and education514C.18
Mammography
Screening coverage required514C.14
Newborn coverage
From moment of birth514C.1
Adopted children
Treated like newborns514C.10
Complications of pregnancy
Covered as any illness514C.12
Credit disability
Debt-linked disability cover191-28

Iowa Medigap + LTC

Medigap open enrollment
Six months, age 65 + Part B191-37.21
Medigap right to return
30 days, page one191-37.28
Preexisting limits
Separate labeled paragraph191-37.28
No URC standard
Medigap cannot use URC191-37.28
Medigap replacement
Application and replacement forms191-37.27
LTC one-time training
Eight credits, classroom191-39.15
LTC ongoing training
Four credits each term191-39.15
LTC line requirement
Must hold A&H authority191-39.15
Iowa LTC partnership
Asset protection with Medicaid191-39.75

Iowa Health Programs

HAWK-I
Children's health program514I
HIPIOWA
High-risk pool association514E
Association notice
Tell rejected applicants514E.11
ACA marketplace
Exchange under Section 1321
ACA subsidies
Sections 1401 and 1402
Essential health benefits
Section 1302 categories
No Surprises Act
Balance-billing protections

Common Traps

Free look versus replacement

New policy is 10 days Replacement is 30 days

Grace period differs by line

Individual health 7/10/31 Group life always 31

Guaranty health limits split

Health benefit plan $500,000 Other health benefits $100,000

Misstatement of age

Benefit is adjusted Policy is not voided

Who must be appointed

Individual agents appointed Business entities never appointed

Criminal reporting clock

30 days from pretrial Not from conviction

Iowa publishes no cut score

IID sets the standard No percentage is published

Guaranteed renewable rates

Repriced by whole class Never for one insured

Medigap and Advantage

Medigap fills Original Medicare Cannot pair with Part C

Guaranty association in sales

Coverage exists by law Advertising it is prohibited

Two exams, not one

Life is 12-IA-01 A&H is 12-IA-02

Last Minute

  1. 1.Life = 77 scored; A&H = 80
  2. 2.Iowa portion: 27 Life / 30 A&H
  3. 3.2 hours and $44 each
  4. 4.Guess: no wrong-answer penalty
  5. 5.Life free look = 10 days
  6. 6.Replacement return = 30 days
  7. 7.Notify existing insurer = 5 days
  8. 8.Health grace = 7/10/31 days
  9. 9.Group life grace = 31 days
  10. 10.Incontestable after 2 years
  11. 11.Guaranty life = $300,000
  12. 12.Guaranty health plan = $500,000
  13. 13.CE = 36 credits, 3 ethics
  14. 14.Appointment filed within 30 days
  15. 15.Report pretrial within 30 days
  16. 16.Apply via NIPR within 90 days
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