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

SectionObjectives
State Regulations (New York)- Ethics and compliance
  • 1. Unfair trade practices
    • 2. Producer responsibilities and conduct
      - Licensing requirements
      • 1. Application and background checks
        • 2. Pre-licensing education requirements
          Insurance Fundamentals- Principles of insurance and risk management
          • 1. Risk classification and pooling of risk
            • 2. Insurable interest and indemnity concepts
              - Insurance contract law basics
              • 1. Elements of a valid contract
                • 2. Policy provisions and clauses
                  Accident and Health Insurance- Policy features and provisions
                  • 1. Elimination periods and benefit limits
                    • 2. Coordination of benefits
                      - Health insurance products
                      • 1. Disability income insurance
                        • 2. Hospital and medical expense coverage

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

                          1. 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) concurrent review.
                          B) claims adjudication.
                          C) benefit checking.
                          D) precertification authorization.


                          2. With the majority of companies, within how many days does the free-look provision allow the insured the right to return the life insurance policy for full premium?

                          A) 30 days.
                          B) 10 days.
                          C) 15 days.
                          D) 5 days.


                          3. When a buyer is considering a long-term care policy, they are encouraged to review carefully all policy

                          A) carriers.
                          B) facilities.
                          C) agents.
                          D) limitations.


                          4. Which of the following Long Term Disability clauses states that insureds are considered totally disabled when they CANNOT perform the major duties of a gainful occupation for which they are reasonably suited because of education, training, or experience?

                          A) Any occupation clause.
                          B) Partial disability clause.
                          C) Regular occupation clause.
                          D) Presumptive disability clause.


                          5. Which type of annuity guarantees a level benefit payment?

                          A) Variable.
                          B) Universal.
                          C) Fixed.
                          D) Limited Life.


                          Solutions:

                          Question # 1
                          Answer: A
                          Question # 2
                          Answer: B
                          Question # 3
                          Answer: D
                          Question # 4
                          Answer: A
                          Question # 5
                          Answer: C

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