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

SectionObjectives
Topic 1: State Regulations (New York)- Ethics and compliance
  • 1. Producer responsibilities and conduct
    • 2. Unfair trade practices
      - Licensing requirements
      • 1. Application and background checks
        • 2. Pre-licensing education requirements
          Topic 2: 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. Policy provisions and clauses
                • 2. Elements of a valid contract
                  Topic 3: Accident and Health Insurance- Health insurance products
                  • 1. Hospital and medical expense coverage
                    • 2. Disability income insurance
                      - Policy features and provisions
                      • 1. Coordination of benefits
                        • 2. Elimination periods and benefit limits

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

                          1. With respect to small group health benefit plans, a carrier may discontinue coverage or may refuse to renew such a plan if the employer

                          A) has a supplemental plan with a competing carrier.
                          B) has filed for bankruptcy in the prior year.
                          C) employs fewer than 15 full-time employees.
                          D) falls to pay the premium prior to the end of the grace period.


                          2. A Medicare Supplement policy must NOT contain benefits which

                          A) duplicate Medicare benefits.
                          B) cover more than Medicare coverage.
                          C) are covered by Workers Compensation.
                          D) charge additional premiums.


                          3. What information must be included in the statement accompanying an insurance claim payment made by an insurer?

                          A) The agent ' s name and address
                          B) The reinsurance carrier involved
                          C) A list of all claimants involved
                          D) The coverage under which the payment is being made


                          4. Which of the following services must be provided by a health benefit plan issued on or after January 1, 2014?

                          A) Long-term care services.
                          B) Adult eye care services.
                          C) Preventive health services.
                          D) Adult dental care services.


                          5. The cost of a long-term care policy is based on all of the following EXCEPT

                          A) age.
                          B) level of benefits provided.
                          C) personal income.
                          D) health condition.


                          Solutions:

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

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