Exam Code: NY-Life-Accident-and-Health
Exam Name: New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55
Certification Provider: Insurance Licensing
Corresponding Certification: Life, Accident, and Health
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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:

SectionObjectives
Insurance Fundamentals- Principles of insurance and risk management
  • 1. Insurable interest and indemnity concepts
    • 2. Risk classification and pooling of risk
      - 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
                  State Regulations (New York)- Licensing requirements
                  • 1. Application and background checks
                    • 2. Pre-licensing education requirements
                      - Ethics and compliance
                      • 1. Producer responsibilities and conduct
                        • 2. Unfair trade practices

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

                          Question 1

                          Which statement is NOT a characteristic of a Group Life Insurance Plan?

                          A. Certificate of Insurance.
                          B. Individual underwriting.
                          C. A master contract.
                          D. Probationary periods.


                          Question 2

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


                          Question 3

                          Which of the following is a basic benefit of Medicare Supplemental insurance?

                          A. At-home recovery.
                          B. Basic drugs limit of $1,250.
                          C. First 3 pints of blood each year.
                          D. Preventive care.


                          Question 4

                          Which of the following is NOT an Essential Health Benefit Category under the Affordable Care Act?

                          A. Alternative Medicine.
                          B. Emergency Services.
                          C. Laboratory Services.
                          D. Maternity and Newborn Care.


                          Question 5

                          An insured wants to purchase a policy with three key elements: flexible premium, death benefit, and the choice of how the cash value will be invested. The insured should purchase

                          A. graded premium whole life.
                          B. variable universal life.
                          C. adjustable life.
                          D. universal term life.


                          Solutions:

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

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