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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Accident and Health Insurance | 25-30% | - Major medical coverage - Health insurance policy types (individual, group, HMOs) - Dental and vision insurance basics - Medical expense coverage - Disability income insurance - Long-term care insurance basics |
| Topic 2: Life Insurance Fundamentals | 25-30% | - Dividends and nonforfeiture options - Beneficiary designations - Policy reinstatement - Policy riders and endorsements - Policy types and provisions |
| Topic 3: New York State Regulations | 20-25% | - Licensing requirements and procedures - Replacement and churn rules - Fiduciary responsibilities - NYS Insurance Law requirements - Advertising regulations - Consumer protection regulations |
| Topic 4: General Insurance Principles | 15-20% | - Underwriting principles - Fair claims settlement practices - Insurance contract fundamentals - Ethical sales practices - Agent/broker duties and ethics |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
The policy provision describing the responsibilities of the master policyowner is in
- A. individual medical policies.
- B. group health policies.
- C. certificate of coverage.
- D. individual health policies.
Correct Answer: B 🗳️
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What period of time can a life insurance application be backdated?
- A. 1 year
- B. 2 weeks
- C. 6 months
- D. 3 months
Correct Answer: C 🗳️
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Which type of group has a constitution and bylaws, is organized and maintained in good faith for purposes other than obtaining insurance, and has insurance for the purpose of covering members and their employees?
- A. Credit Insurance group.
- B. Employee or individual employer group.
- C. Association or labor group.
- D. Multiple employer group.
Correct Answer: C 🗳️
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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.
Correct Answer: C 🗳️
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HICs usually structure copayments to discourage:
- A. Non-emergency visits to the emergency room
- B. Preventive care
- C. Outpatient X-rays
- D. Prescription drug usage
Correct Answer: A 🗳️
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