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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Insurance Principles | 15-20% | - Insurance contract fundamentals - Fair claims settlement practices - Underwriting principles - Ethical sales practices - Agent/broker duties and ethics |
| Topic 2: Accident and Health Insurance | 25-30% | - Dental and vision insurance basics - Major medical coverage - Medical expense coverage - Disability income insurance - Long-term care insurance basics - Health insurance policy types (individual, group, HMOs) |
| Topic 3: New York State Regulations | 20-25% | - Replacement and churn rules - Advertising regulations - Licensing requirements and procedures - Consumer protection regulations - NYS Insurance Law requirements - Fiduciary responsibilities |
| Topic 4: Life Insurance Fundamentals | 25-30% | - Beneficiary designations - Policy reinstatement - Dividends and nonforfeiture options - Policy riders and endorsements - Policy types and provisions |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
1. Which of the following is a characteristic of level premium term life insurance?
A) It matches the level amount of protection on the insured ' s life expectancy.
B) It can be used for cash value.
C) It provides for lower benefits.
D) The cost of insurance is averaged throughout the life of the contract.
2. Which of the following statements BEST describes a disability elimination period?
A) A time deductible rather than a dollar deductible.
B) A benefit or utilization period.
C) A dollar deductible rather than a time deductible.
D) A qualifying period.
3. When a provider does NOT have an agreement with the insurer for payment, they will be reimbursed
A) an absolute fee.
B) a non-scheduled plan customary fee.
C) a relative fee.
D) a usual, customary, and reasonable fee.
4. How long can an insurer exclude coverage for a preexisting condition on a Medicare Supplement Policy?
A) 24 months.
B) 12 months.
C) 18 months.
D) 6 months.
5. According to Health Insurance Portability and Accountability Act (HIPAA), when can a group health policy renewal be denied?
A) There have been too many claims in the previous year.
B) The size of the group has increased by more than 10%.
C) Participation or contribution rules have been violated.
D) Participation or contribution rules have been changed.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: C |
