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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: New York State Regulations | 20-25% | - Fiduciary responsibilities - Consumer protection regulations - NYS Insurance Law requirements - Replacement and churn rules - Advertising regulations - Licensing requirements and procedures |
| Topic 2: Life Insurance Fundamentals | 25-30% | - Dividends and nonforfeiture options - Policy types and provisions - Policy reinstatement - Beneficiary designations - Policy riders and endorsements |
| Topic 3: General Insurance Principles | 15-20% | - Ethical sales practices - Insurance contract fundamentals - Agent/broker duties and ethics - Fair claims settlement practices - Underwriting principles |
| Topic 4: Accident and Health Insurance | 25-30% | - Dental and vision insurance basics - Health insurance policy types (individual, group, HMOs) - Long-term care insurance basics - Medical expense coverage - Major medical coverage - Disability income insurance |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
Question 1
Group long-term disability benefit amounts are usually limited to what percentage of the participant ' s income?
A. 60
B. 40
C. 100
D. 80
Question 2
The cause of a loss is called
A. a peril.
B. a hazard.
C. an exposure.
D. a risk.
Question 3
In a health insurance policy, an insured has an out-of-pocket limit of $10,000, a deductible of $500, and an
80%/20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much will the insurer have to pay?
A. $39,600
B. $35,500
C. $49,500
D. $40,000
Question 4
Under the Affordable Care Act, insurer may refuse to accept an internal appeal on a denied claim if
A. the insured has submitted three appeals within the calendar year.
B. the claim is under $500.
C. the appeal is filed more than 180 days after the claim denial.
D. the insured is unable to pay an appeal fee.
Question 5
The PRIMARY purpose of respite care is to
A. ensure that the patient gets some skilled care.
B. provide the patient with social opportunities.
C. provide temporary relief to the patient ' s primary caregiver.
D. provide counseling services to the patient ' s primary caregiver.
Solutions:
| Question 1 Answer: A | Question 2 Answer: A | Question 3 Answer: A | Question 4 Answer: C | Question 5 Answer: C |








