Pre-trying experience before purchasing
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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| General Insurance Principles | 15-20% | - Fair claims settlement practices - Insurance contract fundamentals - Ethical sales practices - Agent/broker duties and ethics - Underwriting principles |
| New York State Regulations | 20-25% | - Replacement and churn rules - Fiduciary responsibilities - NYS Insurance Law requirements - Advertising regulations - Licensing requirements and procedures - Consumer protection regulations |
| Life Insurance Fundamentals | 25-30% | - Policy reinstatement - Dividends and nonforfeiture options - Policy riders and endorsements - Policy types and provisions - Beneficiary designations |
| Accident and Health Insurance | 25-30% | - Long-term care insurance basics - Dental and vision insurance basics - Major medical coverage - Health insurance policy types (individual, group, HMOs) - Disability income insurance - Medical expense coverage |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
1. Under the Affordable Care Act, insurers MUST offer plans within health insurance exchanges that meet distinct levels of coverage. What metal tier is REQUIRED to have an actuarial value of 70% with covered individuals paying 30% through deductibles, co-pays, and other cost sharing features?
A) Platinum Plan.
B) Bronze Plan.
C) Silver Plan.
D) Gold Plan.
2. Group long-term disability benefit amounts are usually limited to what percentage of the participant ' s income?
A) 40
B) 60
C) 100
D) 80
3. In reference to life insurance in contract law, a person MOST likely will have an insurable interest in insuring a person ' s life if
A) any type of business relationship exists between the insured party and the beneficiary.
B) the interest exists at the time of death.
C) any type of distant family relationship exists with the insured party.
D) the interest exists at the time of application.
4. Which of the following is described when a selected group of practitioners, in a certain area, agrees to provide services at a pre-arranged cost on a fee-for-service basis?
A) preferred provider organization
B) risk purchasing group
C) indemnity organization
D) coalition group
5. According to Health Insurance Portability and Accountability Act (HIPAA), when can a group health policy renewal be denied?
A) Participation or contribution rules have been changed.
B) There have been too many claims in the previous year.
C) The size of the group has increased by more than 10%.
D) Participation or contribution rules have been violated.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |


