TX Life & Health study plan

Define the elements of a valid insurance contract (offer, acceptance, consideration, legal purpose) and distinguish representations from warranties and concealment from fraud

Differentiate insurer types (stock, mutual, fraternal, reciprocal, Lloyd's) and the roles of agent, broker, and MGA

Outline Texas licensing requirements, continuing education, and the commissioner's enforcement authority including unfair trade practices and rebating prohibitions

Explain the purpose of the Texas Life and Health Insurance Guaranty Association and its coverage limits

Compute human life value and needs-approach underwriting amounts and identify which method fits a given client scenario

Sequence the underwriting steps from application through policy delivery, including the Fair Credit Reporting Act and MIB notices

Differentiate term, whole life, universal life, and variable products by premium, cash value, and death benefit behavior

Contrast participating and nonparticipating policies and explain how dividends and nonforfeiture values arise

Match each policy type to a stated client need (temporary protection, permanent coverage, cash accumulation, estate liquidity)

List and explain every mandatory and optional policy provision in the order they appear in the contract, including grace period, reinstatement, incontestability, and misstatement of age

Distinguish the nonforfeiture options, dividend options, and settlement options and select the correct one for a stated objective

Differentiate riders: waiver of premium, disability income, accidental death, guaranteed insurability, term, and long-term care

Apply the suicide and free-look clauses to dated fact patterns and state the correct insurer payout

Explain the incontestability period and what misstatements the insurer can still contest after it expires

Classify annuity types by funding (single vs. flexible), payout timing (immediate vs. deferred), and payout structure (life, period certain, joint and survivor)

Distinguish the accumulation and annuity periods and identify which party bears investment risk in fixed, indexed, and variable annuities

Apply exclusion ratio logic conceptually to determine the taxable portion of annuity income and identify the penalty for early withdrawal

Determine the tax treatment of life premiums, dividends, cash value growth, policy loans, surrenders, and death benefits

Explain the tax status of modified endowment contracts, 1035 exchanges, and employer-owned life insurance

Distinguish indemnity, managed care, and consumer-directed health plans by network rules, cost sharing, and provider access

Define coinsurance, copay, deductible, out-of-pocket maximum, and usual/reasonable/customary charges and calculate a member's share on a stated claim

Sequence the individual health policy general provisions: entire contract, time limit on certain defenses, grace period, reinstatement, and claim procedures

Apply the coordination of benefits and subrogation rules to a dual-coverage claim

Identify the mandated uniform policy provisions and the notice and proof-of-loss deadlines that accompany them

Differentiate own-occupation from any-occupation disability definitions and determine whether a claimant qualifies under each

Calculate disability income benefits from an elimination period, benefit period, and benefit percentage applied to a stated income

Explain residual, partial, and total disability benefit triggers and how presumptive disability applies

Compare basic medical expense, major medical, hospital indemnity, and critical illness coverage by what each pays

Identify the underwriting factors and exclusions that most affect disability income eligibility, including occupational classification and income replacement limits

Distinguish group underwriting characteristics from individual underwriting, including eligibility, actively-at-work rules, and open enrollment

Explain COBRA continuation requirements, qualifying events, duration, and who pays the premium, and apply them to Texas state continuation rules

Differentiate group life, group disability, and group medical tax treatment for employer and employee

Determine the taxability of employer-paid premiums, employee-paid premiums, and benefits received under each coverage type

Explain HIPAA portability, creditable coverage, and nondiscrimination concepts in group plans

Retake every missed question from weeks 1 through 7 and re-derive the governing rule for each

Complete two full-length timed practice exams of 150 questions under standard time limits

Rank all ten domains by practice-exam accuracy and spend remaining study hours on the two weakest

Drill the highest-frequency traps: incontestability timing, exclusion ratio, coordination of benefits, and taxability of group benefits

Rehearse state-specific Texas rules on replacement, licensing, and continuation to eliminate state-law misses