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Exam Overview
The Colorado Health Insurance License Examination is administered by the Colorado
Division of Insurance and tests candidates on both general insurance principles and
specific Colorado laws and regulations.
Section 1: Insurance Fundamentals & Principles
1. An agent is considered to be the agent of which party in an insurance
transaction?
A) The insured
B) The beneficiary
C) The insurer
D) The applicant
Correct Answer: C) The insurer
Explanation: Agents are the agents of the insurer (principal) under the law of
agency. The insurer is legally responsible for the acts of its agents within the scope
,of their authority. Agents represent the insurance company, not the insured, in the
transaction of insurance .
2. Which of the following is NOT required for a contract to be legally binding?
A) Agreement (offer and acceptance)
B) Consideration
C) Notarized signatures
D) Legal purpose
Correct Answer: C) Notarized signatures
Explanation: The four essential elements of a legally binding contract are:
agreement (offer and acceptance), consideration, competent parties, and legal
purpose . Notarized signatures are not required for insurance contracts to be valid.
3. What is the definition of "insurable interest" in health insurance?
A) The policyowner must be related to the insured by blood
B) The policyowner must face the possibility of financial loss if the insured dies or
becomes ill
C) The insured must have a life expectancy of at least 10 years
D) The beneficiary must have insurable interest at the time of claim
Correct Answer: B) The policyowner must face the possibility of financial loss if the
insured dies or becomes ill
,Explanation: Insurable interest means the policy owner must face the possibility of
losing money or something of value in the event of loss. It can be proven by love
and affection or economic/financial loss required at the time of policy issuance .
4. In an insurance contract, what is the "consideration" provided by the insured?
A) The promise to pay claims
B) The premium payment and statements made in the application
C) The policy delivery
D) The agent's commission
Correct Answer: B) The premium payment and statements made in the application
Explanation: Consideration is the value each party gives to the other. The insured's
consideration is the payment of premium and the representations made in the
application. The insurer's consideration is the promise to pay in the event of a
covered loss .
5. A statement made on an insurance application that is believed to be true to the
best of the applicant's knowledge is called a:
A) Warranty
B) Representation
C) Material misrepresentation
D) Guarantee
Correct Answer: B) Representation
, Explanation: Representations are statements believed to be true to the best of one's
knowledge, but they are not guaranteed to be true. Warranties are true statements
on which the validity of the insurance policy depends. Untrue statements are
considered misrepresentations .
6. When a material misrepresentation is discovered after the policy has been
issued, what is the insurer's remedy?
A) The insurer must pay all claims regardless of the misrepresentation
B) The policy may be voided or the insurer may deny claims related to the
misrepresentation
C) The agent's license is automatically revoked
D) The premium must be refunded in full
Correct Answer: B) The policy may be voided or the insurer may deny claims
related to the misrepresentation
Explanation: If a material misrepresentation is discovered after the underwriting
decision, it can void the contract. If material misrepresentations are intentional,
they are considered fraud .
7. A producer gathers information about the applicant for the insurer to help
avoid adverse selection. This is called:
A) Policy delivery
B) Field underwriting
C) Claims adjustment
D) Risk retention