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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Accident and Health Insurance25-30%- Major medical coverage
- Medical expense coverage
- Long-term care insurance basics
- Disability income insurance
- Health insurance policy types (individual, group, HMOs)
- Dental and vision insurance basics
Topic 2: General Insurance Principles15-20%- Ethical sales practices
- Fair claims settlement practices
- Agent/broker duties and ethics
- Underwriting principles
- Insurance contract fundamentals
Topic 3: Life Insurance Fundamentals25-30%- Policy types and provisions
- Policy riders and endorsements
- Beneficiary designations
- Dividends and nonforfeiture options
- Policy reinstatement
Topic 4: New York State Regulations20-25%- Consumer protection regulations
- Replacement and churn rules
- Licensing requirements and procedures
- Fiduciary responsibilities
- Advertising regulations
- NYS Insurance Law requirements

Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:

An insured owns a whole life policy that has accumulated cash value. Which of the following statements is true about the policy ' s cash value?

  • A. The growth of the policy ' s cash value is not subject to income tax while the policy is in force.
  • B. The cash value is not guaranteed.
  • C. The policy ' s cash value is viewed as investment growth and therefore subject to taxation for each calendar year.
  • D. It is subject to fluctuations of the company ' s overall performance.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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An insurer monitors the care an insured is receiving in the hospital to be sure that everything is proceeding according to schedule. This BEST describes

  • A. precertification authorization.
  • B. claims adjudication.
  • C. benefit checking.
  • D. concurrent review.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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If an annuitant dies during the accumulation period, his or her beneficiary will receive

  • A. the lesser of the accumulated cash value or the total premiums paid.
  • B. both the accumulated cash value and the total premiums paid.
  • C. the greater of the accumulated cash value or the total premiums paid.
  • D. no monetary funds.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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The purpose of Medicare Supplement Insurance is to address gaps in Medicare coverage, which can include

  • A. covering chiropractic treatment.
  • B. replacing HMO coverage.
  • C. treatment provided in a government hospital.
  • D. Medicare in-hospital deductible.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Insurance is defined as what type of risk?

  • A. Legal
  • B. Pure
  • C. Physical
  • D. Speculative
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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