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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Underwriting, Marketing and Sales Practices | 15% | - Application and Underwriting Procedures
|
| Topic 2: Insurance Regulation and General Principles | 20% | - New York Insurance Code and Laws
|
| Topic 3: Accident and Health Insurance | 35% | - Government Health Programs
|
| Topic 4: Life Insurance Products and Provisions | 30% | - Policy Provisions, Riders and Options
|
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
1. Under the Affordable Care Act, insurer may refuse to accept an internal appeal on a denied claim if
A) the appeal is filed more than 180 days after the claim denial.
B) the insured has submitted three appeals within the calendar year.
C) the insured is unable to pay an appeal fee.
D) the claim is under $500.
2. In addition to the application, MIB, or consumer reports, underwriters can acquire information from all of the following EXCEPT
A) attending physician statements.
B) genetic testing.
C) medical questionnaires.
D) physical examinations.
3. Which of the following services must be provided by a health benefit plan issued on or after January 1, 2014?
A) Adult dental care services.
B) Preventive health services.
C) Adult eye care services.
D) Long-term care services.
4. If a mother and child are without life insurance, what is the MAXIMUM amount of insurance the mother can purchase on the life of her dependent 5-year-old daughter?
A) $25,000
B) $10,000
C) $50,000
D) There is no limit
5. What information must be included in the statement accompanying an insurance claim payment made by an insurer?
A) The coverage under which the payment is being made
B) A list of all claimants involved
C) The reinsurance carrier involved
D) The agent ' s name and address
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: A |
