Cheat sheet

Washington Life & Health Cheat Sheet

Washington Law

30%of exam

General Concepts

6%of exam

RiskContractsAgencyFederal RulesAuthority

Life Products

33%of exam

Life BasicsPolicy TypesLife ProvisionsRidersBeneficiaries

Annuities + Tax

7%of exam

AnnuitiesBest InterestBuyer GuideSurrenderTax

Health + Group

21%of exam

Health ProvisionsDisabilityMedical PlansGroup HealthPrograms

Seniors + LTC

3%of exam

MedigapLTCWA CaresSHIBAGuaranty Trap

Quick Facts

Exam
Life + Disability
Body
OIC / PSI
Items
150 items
Time
195 min
Fee
$55
Pass
70%
PLE
Not required
Apply
180 days
CE
24 CE + 3 ethics
Term
Health = disability

OIC Powers

Elect, license, investigate, discipline, protect.

ElectedLicensingMarket conductComplaintsEnforcement

License vs Appointment

License

  • Line authority
  • OIC issued
  • Producer status

Appointment

  • Insurer link
  • Carrier representation
  • Before acting

Authority vs representation

Licensing Picker

  1. Need exam factsPSI bulletin(Current outline)
  2. Need line authorityProducer license(OIC issued)
  3. Need insurer linkAppointment(Before acting)
  4. Passed examApply promptly(180 days)
  5. Resident applicantFingerprints(Before license)
  6. Nonresident applicantNo WA prints(Still licensed)
  7. Renewing resident24 CE(3 ethics)

Exam Map

Combo
Life + disability
150 items
Scored exam
195 min
Time limit
$55
Combo fee
70%
Passing score
45 items
WA law
3 items
Federal law
PSI
Exam vendor

Producer Path

Exam, prints, apply, appoint, renew.

PassFingerprints180 daysAppointmentCE

Resident vs Nonresident

Resident

  • WA fingerprints
  • WA CE
  • Birth-month renewal

Nonresident

  • No WA prints
  • Home-state CE
  • WA license still

Duties differ

Sales Duty Picker

  1. Client replaces policyReplacement forms(Compare clearly)
  2. New annuityBest interest(Profile based)
  3. Senior needs cashLiquidity check(Surrender risk)
  4. Projected values shownIllustration rules(Separate guarantees)
  5. Premium collectedTrust handling(No commingling)
  6. Insurer status unknownVerify authority(Before placement)
  7. OIC asks recordsRespond promptly(Duty continues)

OIC Authority

OIC
State regulator
Commissioner
Elected statewide
Term
4 years
RCW 48
Insurance statutes
WAC 284
Insurance rules
Licensing
Issue or revoke
Market conduct
Business exams
Complaints
Consumer protection

License Basics

Age
18 minimum
PLE
Not required
PLE date
July 23 2023
Application
Complete within 180
Resident prints
$49 processing
Nonresident
No WA prints
NIPR
Application route
Retakes
New fee

Renewal + CE

Resident producer
24 CE credits
Ethics
3 credits
Cycle
Renewal period
Birth month
Expiration cue
Carryover
Not allowed
Certificate
24 months
Nonresident CE
Usually exempt
Product training
May still apply

Producer Duties

License
Line authority
Appointment
Insurer link
Sell
Exchange insurance
Solicit
Urge purchase
Negotiate
Advise terms
Premiums
Trust funds
OIC request
Respond promptly
Authorization
Verify insurer

Unfair Practices

Misrepresentation
False policy facts
Twisting
Misleading replacement
Churning
Commission replacement
Rebating
Illegal inducement
Defamation
False insurer attack
Boycott
Coercive refusal
Discrimination
Unfair class treatment
Commingling
Mixed premium funds

Risk + Contracts

Pure risk
Loss or no loss
Speculative
Gain possible
Peril
Loss cause
Hazard
Increases loss
Moral
Dishonesty
Morale
Carelessness
Aleatory
Unequal exchange
Adhesion
Insurer drafted

Agency + Federal

Express
Written authority
Implied
Necessary authority
Apparent
Public appearance
Fiduciary
Trust duty
FCRA
Consumer reports
GLBA
Privacy notices
HIPAA
Health privacy
1033
Felony consent

Replacement Watch

Compare costs, values, charges, limits, timing.

CostsCash valueSurrenderExclusionsRecords

Replacement vs Twisting

Replacement

  • Disclosed switch
  • Documented comparison
  • May be suitable

Twisting

  • Misleading switch
  • Omitted costs
  • Unfair practice

Disclosure changes outcome

Life Policy Types

Term
Temporary protection
Whole life
Lifetime guarantees
Universal life
Flexible premiums
Variable life
Separate accounts
VUL
Flexible + market
Group life
Certificate coverage
Credit life
Pays debt
Final expense
Small burial policy

Life Provisions

Free look
Cancel review
Grace
Late premium window
Incontestability
2-year limit
Suicide
2-year exclusion
Age error
Adjust benefits
Entire contract
Policy + application
Reinstatement
Revive lapse
Conversion
31-day group right

Beneficiaries + Riders

Revocable
Owner can change
Irrevocable
Consent required
Per stirpes
By family branch
Assignment
Transfer rights
Collateral
Loan security
Waiver premium
Disability rider
ADB
Early death benefit
GI rider
Future purchase

Replacement + Illustrations

Replacement
Document comparison
Twisting
Misleading switch
Churning
Commission churn
Existing notice
5 business days
Records
5-year retention
Surrender
Lost value
Illustrations
Separate guarantees
Conservation
Existing insurer effort

Annuity Profile

Age, income, liquidity, risk, horizon.

AgeIncomeLiquidityRiskHorizon

Fixed vs Variable

Fixed

  • Insurer risk
  • General account
  • Minimum guarantee

Variable

  • Owner risk
  • Separate account
  • Securities license

Guarantee vs market

Annuity Rules

Best interest
Consumer profile
Buyer Guide
Before application
Training
Required before sale
Liquidity
Senior trap
Fixed
Insurer risk
Variable
Owner risk
Indexed
Formula crediting
SPIA
Immediate income

Tax Cues

Life proceeds
Usually tax-free
MEC
Fails 7-pay
MEC loans
LIFO taxation
Penalty
Pre-59.5 cue
Nonqualified
After-tax premium
Annuity withdrawal
Earnings first
Exclusion ratio
Tax-free portion
HSA
HDHP paired

Apple Health vs Healthplanfinder

Apple Health

  • WA Medicaid
  • Income eligibility
  • Public coverage

Healthplanfinder

  • State marketplace
  • ACA plans
  • Tax credits

Program vs portal

Health Program Picker

  1. Low-income residentApple Health(Medicaid)
  2. Individual marketplaceHealthplanfinder(ACA plans)
  3. Coverage denialExternal review(IRO path)
  4. Small employer lossMini-COBRA(18 months)
  5. Medicare gapsMedigap(WAC 284-66)
  6. LTC public benefitWA Cares(Limited benefit)
  7. Medicare confusionSHIBA(Free counseling)

Health Provisions

Disability
WA health line
Outline
Coverage summary
Time limit
Defenses clause
Proof loss
Claim evidence
Notice claim
Start claim
Reinstatement
Restore coverage
External review
Independent review
Parity
Mental health equal

Medical + Group

HMO
Network gatekeeping
PPO
Network discounts
POS
Hybrid plan
Indemnity
Fee-for-service
Mini-COBRA
Under 20 workers
Duration
18 months
Certificate
Group evidence
Coordination
Avoid duplicate pay

State Programs

Apple Health
WA Medicaid
Expansion
Adults to 138%
Healthplanfinder
State marketplace
Open enrollment
Nov 1-Jan 15
Tax credits
Income based
SEP
Qualifying event
SHIBA
Free counseling
IRO
External review

LTC Trigger

Two ADLs or severe cognitive impairment.

BathingDressingEatingToiletingTransferringContinence

Medigap vs Advantage

Medigap

  • Supplements Original Medicare
  • WAC 284-66
  • Replacement forms

Advantage

  • Part C plan
  • Network rules
  • Not Medigap

Supplement vs replacement

Seniors + LTC

Medigap
Medicare supplement
WAC 284-66
Medigap standards
Guaranteed issue
Limited underwriting
Replacement forms
Required disclosures
LTC training
Product education
ADLs
2 of 6
Cognitive
Supervision trigger
Elimination
Waiting period

WA Cares vs Private LTC

WA Cares

  • Payroll funded
  • Limited benefit
  • Public program

Private LTC

  • Policy premium
  • Contract benefits
  • Underwritten product

Public vs policy

WA Cares + Guaranty

WA Cares
Public LTC
Payroll
0.58% wages
Benefit
$36,500 in 2026
Benefits
Start July 2026
Vesting
Contribution pathway
Guaranty
Insolvency safety net
Advertising
Never sell with it
Limits
Statutory caps

Guaranty vs Solvency

Guaranty

  • After insolvency
  • Statutory limits
  • No advertising

Solvency

  • Company strength
  • OIC oversight
  • Before sale

Safety net only

Common Traps

Pass vs License

Passed exam Not yet licensed

No PLE Trap

Study recommended PLE not required

Fingerprint Trap

Resident fingerprints Nonresident no prints

Guaranty Trap

Safety net Not sales point

Replacement Trap

Disclosed replacement Misleading twisting

Annuity Trap

Best interest Not commission first

Health Term Trap

Washington disability Common health line

WA Cares Trap

Limited benefit Not full LTC

Last Minute

  1. 1.Know 150 items
  2. 2.Budget 195 minutes
  3. 3.Pass needs 70%
  4. 4.WA law has 45
  5. 5.PLE not required
  6. 6.Apply within 180
  7. 7.Residents fingerprint first
  8. 8.CE is 24 plus ethics
  9. 9.Health means disability
  10. 10.Appointment follows license
  11. 11.Premiums are trust funds
  12. 12.Replacement needs documentation
  13. 13.Guaranty never sells policies
  14. 14.WA Cares is limited
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