25 Free Utah Life, Accident & Health Exam Practice Questions (2026)

25 min read|Updated 2026-10-20

How to Use This Utah Question Set

Utah also lets Life and Accident & Health candidates choose their own path. You can sit one combined exam, Prometric's Series 17-03 Utah Producer's Combined Life, Accident and Health Exam, covering both lines of authority at once, or sit the two single-line exams separately, Series 17-01 (Life) and Series 17-02 (Accident and Health), in two sittings instead of one. The combined exam delivers 150 items in 2.5 hours for $44. Each single-line exam carries 100 items in 2 hours, for $32 per attempt — $64 total for both lines sat separately, a savings of $20 (about 31%) for sitting the combined exam instead. Every version is delivered by Prometric, at a Prometric test center or through its ProProctor remote-proctoring option, and Utah has never required a pre-licensing course for Life or Accident & Health producers. Prometric's current Utah bulletin does not print a flat passing-score percentage anywhere — these questions can tell you what you got right, but nothing here assumes a numeric cutoff to clear.

Prometric's Series 17-03 content outline splits the combined exam's 150 items across 16 sections, printed as percentages only rather than absolute item counts: Insurance Regulation (7%), General Insurance (5%), Life Insurance Basics (7%), Life Insurance Policies (7%), Life Insurance Policy Provisions, Options and Riders (9%), Annuities (9%), Federal Tax Considerations for Life Insurance and Annuities (7%), Qualified Plans (4%), Accident and Health Insurance Basics (12%), Disability Income and Related Insurance (2%), Medical Plans (10%), Group Accident and Health Insurance (10%), Dental Insurance (1%), Medicare (4%), Long-Term Care Insurance (4%), and Federal Tax Considerations for Accident and Health Insurance (2%). LanePrep's course groups these 16 sections into eight audio chapters that track the outline in order, plus a ninth chapter on exam-day logistics that carries no scored weight of its own.

These 25 questions come from LanePrep's Utah Life and Accident & Health quiz bank and sample across Chapters 1-8 in roughly outline-weighted proportion: 2 from Chapter 1 (Utah licensing, continuing education and the Insurance Department), 3 from Chapter 2 (general insurance concepts and life insurance basics), 4 from Chapter 3 (life insurance policies and their standard provisions, options and riders), 5 from Chapter 4 (annuities, federal tax and qualified plans — the single heaviest chapter in the course), 4 from Chapter 5 (accident and health basics and disability income), 2 from Chapter 6 (medical plans), 3 from Chapter 7 (group accident and health and dental insurance), and 2 from Chapter 8 (Medicare, long-term care and federal tax for accident and health). Chapter 9 covers exam-day logistics — including the 90-day deadline to submit your license application and fee after passing — rather than scored content, so it isn't sampled here. Each question shows its chapter, so a miss tells you exactly which chapter to go back to.

Work them before you read the answer. Every question has the explanation folded underneath it. Guessing and then reading is worth more than reading and then agreeing.

Practice Questions 1-5: Utah Licensing and General Insurance Concepts

Chapter 1 opens with Utah's licensing framework: no pre-licensing course requirement, the fees that follow a passed exam, and the two-year birth-month renewal cycle every license runs on. Chapter 2 then opens the outline's general insurance and life insurance basics sections: how a beneficiary designation survives a divorce unless the policyowner changes it, the duty of utmost good faith both sides owe each other, and why an insurance contract is called a contract of adhesion. These five move from licensing mechanics into the vocabulary every later chapter builds on.

Question 1 (Chapter 1)

A 25-year-old Utah resident applies for a Life and Accident & Health producer license. She has never held an insurance license in any state. She asks whether she must complete a state-approved pre-licensing education course before sitting for the exam. What is the correct answer under Utah law?

  • A) Yes, Utah requires 20 hours of pre-licensing education for Life and 20 hours for Accident & Health before examination.
  • B) Yes, but only if she intends to sell long-term care insurance, which requires 8 hours of specialized pre-licensing training.
  • C) No, but she must complete a 3-hour ethics course before her application will be processed.
  • D) No, Utah does not require any pre-licensing education course for Life or Accident & Health producer applicants.
Show answer & explanation

Answer: D

Correct. Utah Code § 31A-23a-105(1)(b) enumerates the requirements for license issuance and renewal — application, character, CE, examination, training-period requirements, E&O certification, no disqualifying acts, fees, and home-state compliance for nonresidents — and contains no pre-licensing education clause. Section 31A-23a-203(4) explicitly states that training periods under that section apply only to surplus lines producers, consultants, and property-line producers selling NFIP flood coverage. Life and Accident & Health producers are not among them. The Prometric Utah Licensing Information Bulletin (effective 9/25/2025) and the Utah Insurance Department's own web page both confirm: 'Utah has no pre-licensing requirements for licensure.' Option A describes a requirement that exists in many other states but not Utah. Option B confuses the unverified ongoing LTC training requirement (3 hours initial + 3 hours per renewal period) with a pre-licensing mandate. Option C incorrectly suggests a pre-application ethics course; ethics hours are part of continuing education (3 hours per 2-year period under § 31A-23a-202(3)(b)(i)), not a pre-licensing prerequisite.

Question 2 (Chapter 1)

A Utah resident producer obtained her initial Life and Accident & Health license on March 15, 2024. Her birthday is October 22. When will her first license renewal be due?

  • A) March 15, 2026 — exactly two years from initial issuance.
  • B) October 31, 2025 — the last day of her birth month in the calendar year following issuance.
  • C) December 31, 2026 — the end of the second full calendar year after issuance.
  • D) October 31, 2026 — the last day of her birth month, falling 24–35 months after initial issuance.
Show answer & explanation

Answer: D

Correct. Utah licenses are on a 2-year birth-month renewal cycle. The Utah Insurance Department's 'Exam & Licensing Procedures' page states: 'The first renewal may fall 24–35 months after initial issuance, landing on the last day of the licensee's birth month; every renewal thereafter is exactly 2 years.' Issued March 15, 2024, with an October birthday: the first renewal lands on October 31, 2026 (31 months later), which falls within the 24–35 month window. Option A ignores the birth-month cycle. Option B would be only 19 months after issuance, outside the 24-month minimum. Option C uses a calendar-year-end cycle, which Utah does not use.

Question 3 (Chapter 2)

A Utah resident purchases a life insurance policy on their own life, names their spouse as beneficiary, and pays the first premium. The insurer issues the policy. Six months later, the insured divorces their spouse but does not change the beneficiary designation. The insured then dies in an accident. Who is entitled to the death benefit?

  • A) The insured's estate, because the divorce automatically revoked the spouse's beneficiary designation
  • B) The insured's children from a previous marriage, as they are the natural objects of the insured's bounty
  • C) The spouse, because the beneficiary designation was valid when made and was not changed before death
  • D) The ex-spouse, but only if they can prove financial dependency at the time of death
Show answer & explanation

Answer: C

Under Utah law and general insurance principles, a beneficiary designation in a life insurance policy remains valid unless changed by the policyowner. Divorce does not automatically revoke a beneficiary designation unless state statute specifically provides for it, and Utah has no such statute for life insurance (unlike some states for retirement accounts). The insured had the opportunity to change the beneficiary after the divorce but did not do so. Therefore, the spouse remains the valid beneficiary and is entitled to the death benefit.

Question 4 (Chapter 2)

A Utah insurance producer is explaining the concept of 'utmost good faith' (uberrimae fidei) in insurance contracts to a client. Which of the following statements BEST describes this principle?

  • A) The insurer must disclose all policy benefits in bold, 14-point font on the first page of the policy
  • B) Both the applicant and the insurer have a duty to disclose all material facts truthfully and completely
  • C) The insurer is liable for any losses that occur, regardless of fault, as long as the policy is in force
  • D) The policyholder can sue the insurer for emotional distress if a claim is denied
Show answer & explanation

Answer: B

Utmost good faith is a fundamental principle of insurance contracts requiring both parties (applicant/insured and insurer) to act with complete honesty and disclose all material facts relevant to the risk. The applicant must not conceal or misrepresent information, and the insurer must not misrepresent policy terms or benefits. This principle underpins doctrines like representations, warranties, and concealment. Option A describes a disclosure format requirement, not utmost good faith. Option C describes strict liability, which is not a principle of insurance contracts. Option D describes a potential legal claim, not a foundational contract principle.

Question 5 (Chapter 2)

A Utah insurance producer is reviewing the characteristics of insurance contracts with a trainee. The trainee asks which characteristic means that the insurance contract is prepared by the insurer and any ambiguities are interpreted against the insurer and in favor of the insured.

  • A) Aleatory contract
  • B) Unilateral contract
  • C) Contract of adhesion
  • D) Conditional contract
Show answer & explanation

Answer: C

A contract of adhesion is one drafted entirely by one party (the insurer) and presented to the other party (the insured) on a 'take it or leave it' basis, with no opportunity for negotiation. Because of this imbalance, any ambiguities in the contract language are interpreted against the drafter (the insurer) and in favor of the adhering party (the insured). This is a key characteristic of insurance contracts. An aleatory contract (A) depends on an uncertain event (death) for performance. A unilateral contract (B) means only the insurer makes a legally enforceable promise (to pay a claim); the insured's only obligation is to pay premiums, but they can stop at any time. A conditional contract (D) means the insurer's obligation is contingent on certain conditions being met (e.g., proof of death, premium payment). A personal contract (E) means the contract is tied to the individual insured and cannot be transferred without consent.

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Practice Questions 6-10: Life Insurance Policies and Annuity Taxation

Chapter 3 covers the shapes a life insurance policy can take and the standard provisions built into nearly all of them: what happens when a level term policy is outlived, why a survivorship policy waits for the second death before paying out, the free-look period that lets a new policyholder walk away with a full refund, and the nonforfeiture option that pays out the most cash immediately. Chapter 4 then opens the annuity section with how a non-qualified annuity's accumulation-phase withdrawals are taxed.

Question 6 (Chapter 3)

Maria purchases a 20-year level premium term life insurance policy with a $250,000 death benefit. After 15 years, she outlives the term and the policy expires. Which of the following statements is true regarding her policy?

  • A) Maria will receive a refund of all premiums paid because she outlived the term.
  • B) The death benefit decreases each year after the 10th year to match her declining financial responsibilities.
  • C) Maria can convert the policy to a whole life policy without evidence of insurability at any time during the term.
  • D) The policy has no cash value and no benefit is payable since she survived the term.
Show answer & explanation

Answer: D

Level premium term life insurance provides a death benefit only if the insured dies during the specified term. If the insured outlives the term, the policy expires with no cash value and no death benefit payable, unless it is a return-of-premium term policy (which Maria did not purchase). Option A is incorrect because standard level term does not refund premiums. Option B describes decreasing term, not level term. Option C is incorrect because conversion rights, if available, are typically limited to a specific period (e.g., first 10 years) and require evidence of insurability unless otherwise stated in the policy; the scenario does not mention a conversion privilege.

Question 7 (Chapter 3)

A survivorship life insurance policy (second-to-die) covers two individuals and pays the death benefit only after both insureds have died. Which of the following is a common use for this type of policy?

  • A) Providing immediate income replacement for surviving spouses after the first death.
  • B) Funding a buy-sell agreement between business partners.
  • C) Covering final expenses for a juvenile policyholder.
  • D) Paying estate taxes that arise upon the death of the second spouse.
Show answer & explanation

Answer: D

Survivorship life insurance is commonly used in estate planning to provide liquidity for paying estate taxes that are due upon the death of the second spouse, when the estate tax liability typically arises. It is not designed for immediate income replacement (which is better served by first-to-die or individual policies), nor is it typically used for buy-sell agreements (which often use first-to-die or individual policies). Juvenile policies are separate and not the focus of survivorship life.

Question 8 (Chapter 3)

Which of the following statements accurately describes the 'free-look' period in a life insurance policy?

  • A) It gives the policyowner a set number of days to examine the policy and return it for a full premium refund if dissatisfied.
  • B) It allows the policyowner to increase the death benefit without evidence of insurability within the first 30 days.
  • C) It guarantees that the policy will be incontestable after the free-look period ends.
  • D) It applies only to term life insurance policies and not to permanent life insurance.
Show answer & explanation

Answer: A

The free-look period is a provision that allows the policyowner a specified number of days (typically 10-30 days, depending on state regulations) to review the policy after delivery and return it for a full refund of premiums paid if they are not satisfied, with no questions asked. It is not related to increasing the death benefit (Option B), incontestability (Option C), or limited to term insurance (Option D); it applies to most types of life insurance policies.

Question 9 (Chapter 3)

Which nonforfeiture option provides the policyowner with the highest amount of immediate cash value upon surrender of the policy?

  • A) Cash surrender value
  • B) Extended term insurance
  • C) Reduced paid-up insurance
  • D) Automatic premium loan
Show answer & explanation

Answer: A

The cash surrender value option provides the policyowner with the actual cash value of the policy in cash upon surrender, which is typically the highest immediate payout among nonforfeiture options. Extended term insurance uses the cash value to purchase term insurance for a limited period (no immediate cash). Reduced paid-up insurance provides a smaller amount of paid-up whole life coverage (no immediate cash). Automatic premium loan is not a nonforfeiture option; it is a provision that uses policy values to pay premiums to avoid lapse.

Question 10 (Chapter 4)

An individual owns a non-qualified variable annuity that has grown significantly in value. They surrender the contract during the accumulation phase, receiving a lump sum distribution. How is this distribution taxed for federal income tax purposes?

  • A) The entire distribution is tax-free as a return of principal.
  • B) The distribution is taxed using the exclusion ratio, with only the earnings portion taxable.
  • C) The distribution is taxed on a last-in-first-out (LIFO) basis, with earnings taxed as ordinary income first.
  • D) The distribution is taxed as capital gain because it represents investment growth.
Show answer & explanation

Answer: C

For non-qualified annuities surrendered during the accumulation phase, the IRS requires taxation on a LIFO (last-in-first-out) basis. This means the earnings (the last money in) are considered withdrawn first and taxed as ordinary income. Only after all earnings are exhausted is the return of principal (cost basis) received tax-free. Option B describes the exclusion ratio, which applies only during the annuitization (payout) phase. Option A is incorrect because earnings are taxable. Option D is incorrect because annuity gains are taxed as ordinary income, not capital gain.

Practice Questions 11-15: Retirement Accounts, Annuities and Accident & Health Basics

Chapter 4 continues through retirement and tax mechanics: the deductibility gap between a traditional and a Roth IRA, what happens to a period-certain annuity payout when the annuitant dies partway through the guarantee, the seven-pay test that turns an ordinary life policy into a Modified Endowment Contract, and the Section 1035 exchange that moves one contract into another tax-free. Chapter 5 then opens the accident and health section with the loss-of-income benefit that replaces wages during a disability.

Question 11 (Chapter 4)

Which of the following statements accurately describes a key difference between a traditional IRA and a Roth IRA regarding contributions?

  • A) Roth IRA contributions are always tax-deductible, while traditional IRA contributions are never deductible.
  • B) Both traditional and Roth IRAs allow tax-deductible contributions for anyone with earned income.
  • C) Roth IRA contributions are deductible only if made before the tax filing deadline, while traditional IRA contributions are deductible only if made after.
  • D) Traditional IRA contributions may be tax-deductible depending on income and coverage by an employer plan, while Roth IRA contributions are never tax-deductible.
Show answer & explanation

Answer: D

Traditional IRA contributions may be tax-deductible if the taxpayer (or spouse) is not covered by an employer retirement plan, or if covered, depending on modified adjusted gross income (MAGI) thresholds. Roth IRA contributions, however, are made with after-tax dollars and are never tax-deductible, regardless of income or employer plan coverage. Option A incorrectly reverses the deductibility. Option B is false because deductibility depends on income and plan coverage for traditional IRAs, and Roth contributions are never deductible. Option C misstates the timing rules; deductibility for traditional IRAs is not based on before/after the filing deadline in that way, and Roth contributions are never deductible.

Question 12 (Chapter 4)

An annuity owner elects to receive payments under a life annuity with period certain option, guaranteeing payments for 10 years or life, whichever is longer. The annuitant dies after receiving 7 years of monthly payments. What happens to the payments?

  • A) Payments stop immediately upon the annuitant's death.
  • B) Payments continue to the beneficiary for the remaining 3 years of the period certain.
  • C) The beneficiary receives a lump sum equal to the present value of the remaining 3 years of payments.
  • D) Payments continue for life to the beneficiary, as the life contingency overrides the period certain.
Show answer & explanation

Answer: B

Under a life annuity with period certain (e.g., 10 years certain and life), if the annuitant dies before the period certain expires, payments continue to the beneficiary for the remainder of the guaranteed period. In this case, 7 years of payments have been made, so 3 years remain on the 10-year guarantee. Payments do not stop (A), are not typically commuted to a lump sum unless specified (C), and do not continue for life to the beneficiary (D)—the obligation ends after the period certain is satisfied.

Question 13 (Chapter 4)

Which of the following best describes the 'seven-pay test' used to determine if a life insurance policy is a modified endowment contract (MEC)?

  • A) The policy fails the test if the sum of premiums paid in the first seven years exceeds the cash value at the end of year seven.
  • B) The policy fails the test if the cash value exceeds the face amount at any point during the first seven years.
  • C) The policy fails the test if more than seven premium payments are made in the first seven years.
  • D) The policy fails the test if the total premiums paid in the first seven years exceed the net level premiums required to fund the same benefit amount if provided by a paid-up whole life policy with premiums payable for seven years.
Show answer & explanation

Answer: D

The seven-pay test compares the actual premiums paid in the first seven years to the net level premiums that would be required to fund the same death benefit if the policy were a paid-up whole life insurance policy with premiums payable level for seven years. If the actual premiums exceed this amount, the policy is classified as a MEC. Option A incorrectly compares premiums to cash value. Option B is unrelated to the test (cash value exceeding face amount is not a MEC trigger). Option C misstates the test as a count of payments rather than an amount comparison.

Question 14 (Chapter 4)

A Utah resident wants to exchange an existing life insurance policy for a new annuity contract without recognizing taxable gain at the time of exchange. Which IRS provision allows for this tax-free transfer?

  • A) Section 1035 of the Internal Revenue Code
  • B) Section 72(e) of the Internal Revenue Code
  • C) Section 402(c) of the Internal Revenue Code
  • D) Section 408(d)(3) of the Internal Revenue Code
Show answer & explanation

Answer: A

Section 1035 of the Internal Revenue Code allows for the tax-free exchange of certain insurance contracts, including life insurance for life insurance, life insurance for an annuity, endowment for life insurance or annuity, and annuity for annuity, provided the exchange meets specific requirements (same insured/owner, no receipt of money or other property). This enables the policyholder to upgrade or change contracts without triggering immediate taxation of gain. Section 72(e) deals with annuity taxation. Sections 402(c) and 408(d)(3) govern rollovers from qualified plans and IRAs, respectively, not insurance-to-insurance exchanges.

Question 15 (Chapter 5)

Which of the following best describes the 'loss of income' principal type of benefit in accident and health insurance?

  • A) Reimbursement for hospital room and board expenses incurred during a covered sickness or injury.
  • B) A lump-sum payment upon the accidental death or dismemberment of the insured.
  • C) Payment for diagnostic tests and physician visits related to a covered illness.
  • D) Weekly indemnity payments designed to replace a portion of the insured's wages when they are unable to work due to a covered disability.
Show answer & explanation

Answer: D

The 'loss of income' benefit refers to disability income or weekly indemnity payments that replace a portion of lost wages when the insured is unable to work due to a covered sickness or injury. Option A describes medical expense coverage (hospitalization). Option B describes accidental death and dismemberment (AD&D) benefits. Option C describes medical expense coverage for outpatient services. Only option D correctly defines loss of income as wage replacement.

Practice Questions 16-20: Disability Income and Medical Plans

Chapter 5 closes with disability income mechanics: how an applicant's job duties set their occupation class, why the elimination period exists at all, and how a residual disability benefit differs from a full disability payout. Chapter 6 then moves into medical plan structure: the referral an HMO requires before a specialist visit is covered, and the out-of-network rule that separates an EPO from a PPO. These five move from individual disability underwriting into managed-care plan design.

Question 16 (Chapter 5)

In the context of individual disability income insurance underwriting in Utah, which factor is most directly used to determine the appropriate occupation class for an applicant?

  • A) The applicant's age and gender.
  • B) The applicant's income level and net worth.
  • C) The applicant's medical history and family history of illness.
  • D) The duties and risks associated with the applicant's job.
Show answer & explanation

Answer: D

Occupation class in disability underwriting is determined by the nature of the job duties and the associated risks of injury or disability. Jobs with higher physical risk or hazardous duties are assigned to higher (more risky) occupation classes, affecting premiums and eligibility. Age and gender (A) may influence rates but not occupation class directly. Income level (B) affects the benefit amount but not the occupation classification. Medical history (C) is used for risk classification but is separate from occupation class, which is based solely on job characteristics.

Question 17 (Chapter 5)

What is the primary purpose of the elimination period in an individual disability income insurance policy?

  • A) To allow the insured time to recover and return to work before benefits begin.
  • B) To serve as a probationary period during which the insurer can cancel the policy for any reason.
  • C) To period during which the insured must be hospitalized to qualify for benefits.
  • D) To delay the start of benefit payments after the insured becomes disabled, thereby reducing the insurer's risk and premium.
Show answer & explanation

Answer: D

The elimination period (also called the waiting period) is the time between the onset of disability and when benefit payments begin. Its purpose is to reduce the likelihood of paying for short-term disabilities, lower the insurer's risk, and thereby reduce the premium. It is not intended to allow recovery (A), as benefits begin after this period regardless of recovery status. It is not a probationary period for policy cancellation (B), which is governed by incontestability and other provisions. It is not tied to hospitalization (C); eligibility is based on the inability to work due to disability, not inpatient status.

Question 18 (Chapter 5)

Which of the following best describes 'residual disability' benefit in an individual disability income policy?

  • A) A benefit paid when the insured can work but suffers a loss of income due to a disability, even if they are able to perform some duties of their occupation.
  • B) A benefit paid only when the insured is completely unable to work in any occupation.
  • C) A lump-sum payment for the loss of use of a limb or eye due to an accident.
  • D) A benefit that increases annually to keep pace with inflation, regardless of the insured's income.
Show answer & explanation

Answer: A

Residual (or partial) disability benefits are paid when the insured is able to work but experiences a loss of income (typically a defined percentage, e.g., 20% or more) due to a disability, allowing them to work in a limited capacity or in a different role. Option B describes total disability, not residual. Option C describes accidental death and dismemberment (AD&D) benefits. Option D describes a cost-of-living adjustment (COLA) rider, which is separate from the residual disability benefit itself.

Question 19 (Chapter 6)

A Utah resident enrolled in an HMO plan needs to see a cardiologist for a heart condition. Under the typical HMO gatekeeping model, what step must the insured take before the specialist visit will be covered?

  • A) Pay the full specialist fee upfront and submit a claim for indemnity reimbursement
  • B) Verify the cardiologist participates in the plan's preferred provider network
  • C) Request precertification directly from the insurance company's utilization review department
  • D) Obtain a referral from their designated primary care physician
Show answer & explanation

Answer: D

D is correct because HMOs require a primary care physician (PCP) to act as a gatekeeper; the PCP must issue a referral before a specialist visit is covered. A is incorrect because indemnity reimbursement describes a fee-for-service model, not an HMO's managed-care approach. B is incorrect because verifying network participation is a PPO/EPO concept; HMOs generally require referrals even for in-network specialists. C is incorrect because precertification is a utilization review function typically initiated by the provider, not a substitute for the HMO's referral requirement.

Question 20 (Chapter 6)

A Utah health insurance producer is explaining the difference between an EPO and a PPO to a client. Which statement accurately describes a key distinction?

  • A) EPOs require referrals for specialist visits; PPOs do not
  • B) EPOs cover out-of-network care at a higher cost-sharing level; PPOs do not cover out-of-network care at all
  • C) EPOs have no network restrictions; PPOs require members to use only contracted providers
  • D) EPOs do not cover out-of-network care except for emergencies; PPOs cover out-of-network care at a higher cost-sharing level
Show answer & explanation

Answer: D

D is correct: EPOs (Exclusive Provider Organizations) restrict coverage to network providers except for emergency services, similar to HMOs but without referral requirements. PPOs cover both in-network and out-of-network care, with higher cost-sharing for out-of-network. A is incorrect because EPOs typically do not require referrals (a key difference from HMOs). B is incorrect because it reverses the plans' out-of-network coverage rules. C is incorrect because it reverses the network restrictions entirely.

Practice Questions 21-25: Group Insurance, Medicare and Long-Term Care

Chapter 7 closes the group section with the debtor group a bank forms around its loan customers and the stop-loss coverage that caps a self-funded employer's claims risk, alongside the core difference between a fully insured and a self-funded plan. Chapter 8 then closes the outline with two federal programs: the 24-month wait before Social Security disability benefits convert into Medicare eligibility, and the indemnity benefit design that pays a long-term care policy's benefit at a fixed daily rate regardless of actual cost.

Question 21 (Chapter 7)

A Utah bank offers credit disability insurance to customers who take out personal loans. This arrangement is an example of which type of eligible group under Utah Code?

  • A) Employer-employee group
  • B) Debtor group
  • C) Labor union group
  • D) Trust group
Show answer & explanation

Answer: B

A debtor group consists of individuals who incur a debt to a creditor (such as a bank) and are offered insurance coverage related to that debt, such as credit life or credit disability insurance. This is explicitly defined in Utah insurance regulations as an eligible group type. Options A, C, and D describe other eligible group types (employer-employee, labor union, and trust groups) that do not fit this creditor-debtor relationship.

Question 22 (Chapter 7)

A Utah employer chooses a self-funded group health plan and purchases stop-loss insurance. What is the primary purpose of the stop-loss coverage in this arrangement?

  • A) To pay routine claims up to a fixed dollar amount
  • B) To administer claims processing and provider network access
  • C) To provide guaranteed issue coverage regardless of group health status
  • D) To reimburse the employer for claims that exceed a specified attachment point
Show answer & explanation

Answer: D

In a self-funded (or administrative-services-only) arrangement, stop-loss insurance protects the employer against catastrophic claims by reimbursing them for medical expenses that exceed a predetermined threshold (attachment point). It does not pay routine claims (A), which remain the employer's responsibility. Claims administration (B) is typically handled by a third-party administrator, not the stop-loss carrier. Stop-loss does not confer guaranteed issue (C), which is a characteristic of fully insured small group markets under Utah and federal law.

Question 23 (Chapter 7)

Which of the following best describes a key difference between fully insured and self-funded group health arrangements in Utah?

  • A) In self-funded plans, the employer assumes the financial risk for claims; in fully insured plans, the insurer assumes that risk
  • B) Only fully insured plans are subject to state benefit mandates
  • C) Self-funded plans always have lower administrative costs than fully insured plans
  • D) Fully insured plans are prohibited from using stop-loss insurance
Show answer & explanation

Answer: A

A is correct. In a fully insured arrangement the employer pays a premium and the insurer carries the risk of claims; in a self-funded arrangement the employer pays claims from its own funds and carries that risk, usually buying stop-loss cover to cap it. B is wrong because self-funded plans are generally exempt from state benefit mandates under federal preemption, not the other way round. C is wrong because administrative costs depend on the arrangement. D is wrong because stop-loss insurance belongs to self-funded plans but is not prohibited anywhere.

Question 24 (Chapter 8)

A Utah resident is eligible for Medicare due to receiving Social Security disability benefits. After how many months of receiving these benefits does his Medicare eligibility begin?

  • A) Immediately upon approval of disability benefits
  • B) After 6 months of receiving disability benefits
  • C) After 12 months of receiving disability benefits
  • D) After 24 months of receiving disability benefits
Show answer & explanation

Answer: D

D is correct because individuals under 65 qualify for Medicare after receiving Social Security disability benefits for 24 months. This waiting period does not apply to those with end-stage renal disease or amyotrophic lateral sclerosis (ALS), who may qualify sooner. A, B, and C are incorrect as they do not match the 24-month requirement for disability-based Medicare eligibility.

Question 25 (Chapter 8)

A Utah resident is evaluating long-term care (LTC) insurance policies. She wants a policy that will pay a set dollar amount for each day she receives covered care, regardless of the actual cost of services up to that limit. Which type of LTC benefit design is she describing?

  • A) Indemnity benefit design
  • B) Expense-incurred benefit design
  • C) Pool-of-money benefit design
  • D) Cash benefit design
Show answer & explanation

Answer: A

A is correct because an indemnity benefit design pays a pre-determined daily or monthly amount for covered services, regardless of the actual cost incurred, up to the policy limit. B is incorrect because an expense-incurred design reimburses only for actual expenses incurred, up to the daily limit. C is incorrect because a pool-of-money design sets a total maximum benefit amount (e.g., $100,000) that can be used over time, rather than a daily or monthly payment. D is incorrect because 'cash benefit design' is not a standard LTC insurance term; the correct term for a fixed payment regardless of expenses is indemnity.

The Mistakes That Cost Marks

Assuming the wrong exam vendor. Utah's exam vendor is Prometric — registration, scheduling and the ProProctor remote-proctoring option all run through prometric.com/utah/insurance.

Assuming a flat percentage passing score. Prometric's current Utah bulletin does not print a numeric passing score anywhere in its exam-results section — don't borrow a neighboring state's cutoff and assume it applies here.

Mixing up the free-look period with incontestability. Free look is the early return window right after delivery; incontestability is the two-year mark after which the insurer can no longer void a life policy for a misstatement in the application. They sit at opposite ends of a policy's life, not next to each other.

Confusing key person insurance with buy-sell funding. Both are business uses of life insurance, but key person insurance compensates the business itself for the loss of a vital employee, while buy-sell funding lets a surviving owner purchase a deceased partner's share from the estate. The death benefit flows to a different purpose in each.

Reading 'no pre-licensing course required' as 'no preparation required.' Utah has never required one, but the pass rates have not followed — barely half of first-time Life candidates and just over half of first-time combined-exam candidates passed in 2024. Skipping a course does not mean the exam itself is easy.

Your Next Step

How did you score?

Prometric's current Utah bulletin does not publish a flat passing-score percentage at all, so there is no honest X-out-of-25 threshold to hand you here — guessing one would be worse than not answering the question at all. What these 25 questions can tell you is where you stand, chapter by chapter.

18 or more correct: You're clearing nearly every chapter in the outline, which is a meaningfully stronger position than working through half of them, whichever exam path you take. Decide whether you need one line of authority or both, then work whichever deeper set matches: the Life set or the Accident & Health set.

12-17 correct: You're getting most of it, but 25 questions stand in for an exam of 150 scored items (or two exams testing the same material split across two sittings). Note the chapter of every question you missed and replay that chapter's audio lesson before moving to the sets above.

Under 12 correct: You need the material, not more questions. Start with the study plan in how to pass the Utah Life & Accident and Health exam on the first try and work through the audio chapters before testing yourself again. First-time pass rates ran 66.2% (Life), 76.8% (Accident and Health) and 71.3% (combined) in 2025 (NAIC compiled) — up sharply from 2024, but still not numbers to guess through.

Chapters 1 and 9 of the LanePrep Utah course are free at /ut/l-and-h/preview — full audio and the chapter quiz, no signup. For the full cost picture, see how much a Utah Life & Accident and Health license costs.

Exam structure and fees from Prometric's Utah Insurance Department Licensing Information Bulletin (effective September 25, 2025). Content outline weights from Prometric's Series 17-03 Utah Producer's Combined Life, Accident and Health Exam content outline (effective January 1, 2020). Pass rates from the NAIC 2024 and 2025 compiled pass-rate reports. Utah's passing score is not published in the Bulletin and is not stated here. Read October 2026.

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