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Illinois Life & Health Insurance Examination

Illinois Life & Health Practice Test

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Questions updated at Sep 2, 2026, 12:29 AM CDT

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Today's 10 Illinois Life & Health questions

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Question 1 of 10
Objective Specific exam blueprint requirement: Illinois health mandates, group coverage and continuation — Concept: Illinois health mandates, group coverage and continuation (Item 151) Illinois insurance law and producer regulation

A full-time employee's hours are reduced below the minimum needed for the employer's group health plan. The group policy is subject to Illinois continuation law. Which statement is most accurate?

Concept tested:
Question 2 of 10
Objective Specific exam blueprint requirement: AD&D, critical illness, hospital indemnity and other limited-benefit products — Concept: AD&D, critical illness, hospital indemnity and other limited-benefit products (Item 126) General accident and health

A hospital-indemnity policy pays $100 for each covered inpatient day, subject to a $5,000 annual policy maximum. The insured has a covered six-day hospitalization and has received no other benefits during the policy year. How much is payable for this confinement?

Concept tested:
Question 3 of 10
Objective Specific exam blueprint requirement: term life: nature, level/decreasing/increasing forms, renewability and convertibility — Concept: term life: nature, level/decreasing/increasing forms, renewability and convertibility (Item 37) General life insurance

Marcus expects his family's income-replacement need to rise over the next decade because of planned children and inflation-sensitive obligations. Which term form is designed to increase the death benefit at stated intervals?

Concept tested:
Question 4 of 10
Objective Specific exam blueprint requirement: group health eligibility, coordination, continuation and conversion — Concept: group health eligibility, coordination, continuation and conversion (Item 72) General accident and health

A private employer with 75 employees terminates Maria's employment for reasons other than gross misconduct, causing her to lose group health coverage. Assuming the plan is subject to federal COBRA, what is her basic continuation right?

Concept tested:
Question 5 of 10
Objective Specific exam blueprint requirement: HSA, HRA and FSA distinctions — Concept: HSA, HRA and FSA distinctions (Item 118) General accident and health

Luis pays a $600 qualified medical bill from his HSA and then seeks a second tax-free reimbursement of the same $600 from his HRA. What principle applies?

Concept tested:
Question 6 of 10
Objective Specific exam blueprint requirement: cash values, nonforfeiture, policy loans and dividends — Concept: cash values, nonforfeiture, policy loans and dividends (Item 32) General life insurance

Marcus wants permanent coverage to continue after premium default, but he can accept a lower face amount and does not want future premiums. Which nonforfeiture option is designed for this?

Concept tested:
Question 7 of 10
Objective Specific exam blueprint requirement: qualified and nonqualified plans — Concept: qualified and nonqualified plans (Item 182) Tax, retirement and social insurance

A small-business owner asks whether a 401(k) plan is considered a qualified retirement plan for federal tax purposes. Which response is correct?

Concept tested:
Question 8 of 10
Objective Specific exam blueprint requirement: settlement options and accelerated death benefits — Concept: settlement options and accelerated death benefits (Item 57) General life insurance

Priya is healthy but asks whether an accelerated death benefit is simply another beneficiary settlement option that can be elected after death. What is the best response?

Concept tested:
Question 9 of 10
Objective Specific exam blueprint requirement: Illinois long-term-care and Medicare-supplement rules — Concept: Illinois long-term-care and Medicare-supplement rules (Item 168) Illinois insurance law and producer regulation

A long-term care applicant asks what activities count as ADLs under Illinois long-term care rules. Which list is correct?

Concept tested:
Question 10 of 10
Objective Specific exam blueprint requirement: policy ownership, assignments, beneficiaries and insurable interest — Concept: policy ownership, assignments, beneficiaries and insurable interest (Item 6) General life insurance

Maria owns a life policy on her own life and named her adult daughter as a revocable beneficiary. Who generally controls policyowner rights such as changing a revocable beneficiary, subject to the contract?

Concept tested:
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Question 1 A full-time employee's hours are reduced below the minimum needed for the employer's group health plan. The group policy is subject to Illinois continuation law. Which statement is most accurate?

Answer choices

  1. A. The employee must immediately buy Medicare regardless of age or Medicare eligibility.
  2. B. A reduction in hours can be a qualifying loss of coverage for which Illinois continuation rights must be evaluated under Section 367e.
  3. C. The insurer may ignore continuation because the employee remains on the payroll.
  4. D. Continuation applies only when the employer goes out of business, never when hours are reduced; the plan could rely solely on its internal contract wording without considering the separate statutory protection.

Correct answer

A reduction in hours can be a qualifying loss of coverage for which Illinois continuation rights must be evaluated under Section 367e.

Illinois continuation law addresses coverage loss caused by termination of employment or membership and certain reductions in hours.

Wrong-answer review

  • A. The employee must immediately buy Medicare regardless of age or Medicare eligibility.: Incorrect. A reduction in work hours does not itself create Medicare eligibility.
  • C. The insurer may ignore continuation because the employee remains on the payroll.: Incorrect. The relevant issue is loss of group eligibility, not merely payroll status.
  • D. Continuation applies only when the employer goes out of business, never when hours are reduced; the plan could rely solely on its internal contract wording without considering the separate statutory protection.: Incorrect. Section 367e expressly addresses qualifying losses tied to termination or reduction in hours.

Extra learning features

Why candidates miss this

The distractor “The employee must immediately buy Medicare regardless of age or Medicare eligibility.” can look plausible because it uses terminology from the same topic, but it applies the wrong rule or trigger. The coverage loss is caused by reduced hours, which is an express state-continuation trigger. Illinois Section 367e can provide continuation when covered group insurance would otherwise terminate because of a reduction in hours below plan eligibility, subject to statutory conditions. Likely wrong answer: The employee must immediately buy Medicare regardless of age or Medicare eligibility. Review focus: Illinois Insurance Content Outlines — Effective January 1, 2026; 215 ILCS 5/367e — Continuation of Group Hospital, Surgical and Major Medical Coverage

Interview question

Q: An employee loses eligibility for an Illinois group health plan because hours fall below the plan minimum. What state continuation issue should a producer recognize before telling the employee to shop for new coverage? Strong answer: Illinois Section 367e can give an employee whose group hospital, surgical or major-medical coverage would otherwise terminate because of employment termination or reduction in hours a right to continue that group coverage, subject to the statute and policy conditions. The producer should determine whether Section 367e and/or federal COBRA applies; the employee is not automatically required to enroll in Medicare.

  • Section 367e
  • reduction in hours can trigger continuation
  • subject to statutory and policy conditions
  • federal COBRA may be a separate layer

Caution: Do not say reduced hours are irrelevant because the employee remains on payroll, and do not assume Medicare eligibility.

Question 2 A hospital-indemnity policy pays $100 for each covered inpatient day, subject to a $5,000 annual policy maximum. The insured has a covered six-day hospitalization and has received no other benefits during the policy year. How much is payable for this confinement?

Answer choices

  1. A. $5,000, because the annual maximum is automatically paid whenever a covered hospitalization occurs.
  2. B. $500, because only the first five inpatient days can be counted toward the policy maximum.
  3. C. The full hospital bill, because hospital-indemnity coverage reimburses actual inpatient charges up to the annual maximum; this outcome would also assume that the limited-benefit contract pays according to the stated covered event or schedule rather than ordinary major-medical reimbursement.
  4. D. $600, because six covered days at $100 per day total $600 and the annual maximum has not been reached.

Correct answer

$600, because six covered days at $100 per day total $600 and the annual maximum has not been reached.

Question 3 Marcus expects his family's income-replacement need to rise over the next decade because of planned children and inflation-sensitive obligations. Which term form is designed to increase the death benefit at stated intervals?

Answer choices

  1. A. Increasing term insurance, with the death benefit rising by a stated amount or percentage and premiums generally increasing with the added coverage.
  2. B. Level term insurance, with a death benefit and scheduled premium that remain level for the stated term; the producer could present it as the closest fit for the temporary insurance need described.
  3. C. Single-premium whole life insurance, funded with one lump-sum premium for lifetime protection.
  4. D. Decreasing term insurance, with a death benefit that falls while the premium commonly stays level.

Correct answer

Increasing term insurance, with the death benefit rising by a stated amount or percentage and premiums generally increasing with the added coverage.

Question 4 A private employer with 75 employees terminates Maria's employment for reasons other than gross misconduct, causing her to lose group health coverage. Assuming the plan is subject to federal COBRA, what is her basic continuation right?

Answer choices

  1. A. Maria has no continuation right because COBRA applies only to employers with fewer than 20 employees; this outcome would also assume that the continuation or coordination rule would apply to the covered employee and dependents under the plan as described.
  2. B. Maria receives permanent continuation coverage at the employer's expense for life.
  3. C. Only Maria's employer may elect continuation on her behalf; Maria has no individual election right.
  4. D. Maria and other qualified beneficiaries must be offered the opportunity to elect temporary continuation coverage under COBRA, generally up to 18 months for termination or reduction in hours.

Correct answer

Maria and other qualified beneficiaries must be offered the opportunity to elect temporary continuation coverage under COBRA, generally up to 18 months for termination or reduction in hours.

Question 5 Luis pays a $600 qualified medical bill from his HSA and then seeks a second tax-free reimbursement of the same $600 from his HRA. What principle applies?

Answer choices

  1. A. The HSA distribution becomes taxable only because the HRA is employer-funded, even if no second reimbursement occurs.
  2. B. The HRA must reimburse the expense first in every case because federal law creates a universal HRA priority rule; the employee’s eligibility would be determined under the federal rules governing other health coverage.
  3. C. He may collect unlimited tax-free reimbursements for the same expense from every available account.
  4. D. The same expense cannot be treated as an unreimbursed qualified expense for multiple tax-free reimbursements; plan coordination rules must prevent duplicate reimbursement.

Correct answer

The same expense cannot be treated as an unreimbursed qualified expense for multiple tax-free reimbursements; plan coordination rules must prevent duplicate reimbursement.

Question 6 Marcus wants permanent coverage to continue after premium default, but he can accept a lower face amount and does not want future premiums. Which nonforfeiture option is designed for this?

Answer choices

  1. A. Policy loan, which automatically converts the contract to a smaller paid-up policy.
  2. B. Extended term insurance, which keeps the original face amount permanently with no expiration.
  3. C. Reduced paid-up insurance, using the policy's value to purchase a smaller fully paid permanent death benefit.
  4. D. Cash surrender, which preserves the original death benefit while paying the cash value to the owner, with the policyowner retaining the contractual rights that are not specifically changed by the transaction.

Correct answer

Reduced paid-up insurance, using the policy's value to purchase a smaller fully paid permanent death benefit.

Question 7 A small-business owner asks whether a 401(k) plan is considered a qualified retirement plan for federal tax purposes. Which response is correct?

Answer choices

  1. A. A 401(k) must distribute all earnings tax-free immediately each year.
  2. B. A 401(k) is an individual life insurance policy and is not a retirement plan.
  3. C. A 401(k) is available only to state governments and cannot be maintained by private employers, with no separate qualified-plan rule changing the result under the facts given.
  4. D. A 401(k) plan is a type of qualified retirement plan and generally provides tax-favored retirement saving under applicable contribution and distribution rules.

Correct answer

A 401(k) plan is a type of qualified retirement plan and generally provides tax-favored retirement saving under applicable contribution and distribution rules.

Question 8 Priya is healthy but asks whether an accelerated death benefit is simply another beneficiary settlement option that can be elected after death. What is the best response?

Answer choices

  1. A. Yes. Accelerated benefits and fixed-period settlements are legally identical because both divide a death benefit into installments; this outcome would also assume that the settlement method would control only the manner or timing of payment rather than create a new insured risk.
  2. B. Yes. Accelerated benefits are elected only by the beneficiary after the insured's death.
  3. C. No. Accelerated benefits are annuity contracts and therefore cannot be attached to life insurance.
  4. D. No. An accelerated death benefit is a living-benefit provision for an insured who meets the rider's qualifying conditions; settlement options govern how proceeds are paid when a death claim becomes payable.

Correct answer

No. An accelerated death benefit is a living-benefit provision for an insured who meets the rider's qualifying conditions; settlement options govern how proceeds are paid when a death claim becomes payable.

Question 9 A long-term care applicant asks what activities count as ADLs under Illinois long-term care rules. Which list is correct?

Answer choices

  1. A. Shopping, driving, cooking, banking, housekeeping and medication management.
  2. B. Walking, reading, hearing, speaking, breathing and sleeping.
  3. C. Bathing, continence, dressing, eating, toileting and transferring.
  4. D. Working, exercising, bathing, driving, shopping and dressing.

Correct answer

Bathing, continence, dressing, eating, toileting and transferring.

Question 10 Maria owns a life policy on her own life and named her adult daughter as a revocable beneficiary. Who generally controls policyowner rights such as changing a revocable beneficiary, subject to the contract?

Answer choices

  1. A. Maria, because the policyowner holds the contractual ownership rights while the beneficiary designation remains revocable.
  2. B. The daughter, because any named beneficiary automatically becomes the policyowner when designated.
  3. C. The insurer, because insurers control beneficiary changes after policy issue.
  4. D. The producer, because the producer may alter ownership records whenever the insured requests advice; this outcome would also assume that the ownership or beneficiary change would be effective under the policy without the additional condition described elsewhere.

Correct answer

Maria, because the policyowner holds the contractual ownership rights while the beneficiary designation remains revocable.

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