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

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

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

                          The Health Insurance Portability and Accountability Act (HIPAA) ensures that qualified individuals who change jobs will have access to group health insurance with their new employer without

                          • A. having to satisfy a new preexisting condition period.
                          • B. having any increase in premium costs.
                          • C. having to meet a new deductible.
                          • D. any change in the level of benefits they receive.
                          Reveal Solution  Discussion  0

                          Correct Answer: A  🗳️

                          Explanation: Only visible for FreeCram members. You can sign-up / login (it's free).

                          Insurance agents have duties and responsibilities to the insured and the insurer. Which of the following responsibilities does an agent owe the insured during the policy year?

                          • A. Work with rating bureaus to establish insurer ratings.
                          • B. Notify the insurance department when claims are paid.
                          • C. Help the insured file and follow up on claims.
                          • D. Pay the insured ' s premiums if they are unable to do so.
                          Reveal Solution  Discussion  0

                          Correct Answer: C  🗳️

                          Explanation: Only visible for FreeCram members. You can sign-up / login (it's free).

                          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. falls to pay the premium prior to the end of the grace period.
                          • D. employs fewer than 15 full-time employees.
                          Reveal Solution  Discussion  0

                          Correct Answer: C  🗳️

                          Explanation: Only visible for FreeCram members. You can sign-up / login (it's free).

                          The limitation expressed in limited payment policies is a limit on the number of annual premiums or the

                          • A. maximum amount available for loan purposes.
                          • B. maximum amount of benefits payable.
                          • C. age beyond which premiums will no longer be required.
                          • D. minimum interest rate on policy cash values.
                          Reveal Solution  Discussion  0

                          Correct Answer: C  🗳️

                          Explanation: Only visible for FreeCram members. You can sign-up / login (it's free).

                          With regard to Disability Insurance, the waiting period is to

                          • A. exclude payments for a short-term illness.
                          • B. accurately calculate medical expenses.
                          • C. determine policyowner ' s eligibility.
                          • D. determine severity of illness.
                          Reveal Solution  Discussion  0

                          Correct Answer: A  🗳️

                          Explanation: Only visible for FreeCram members. You can sign-up / login (it's free).

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