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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% | - Long-term care insurance basics - Disability income insurance - Major medical coverage - Medical expense coverage - Health insurance policy types (individual, group, HMOs) - Dental and vision insurance basics |
| Topic 2: General Insurance Principles | 15-20% | - Ethical sales practices - Agent/broker duties and ethics - Underwriting principles - Insurance contract fundamentals - Fair claims settlement practices |
| Topic 3: New York State Regulations | 20-25% | - Advertising regulations - NYS Insurance Law requirements - Fiduciary responsibilities - Replacement and churn rules - Consumer protection regulations - Licensing requirements and procedures |
| Topic 4: Life Insurance Fundamentals | 25-30% | - Policy reinstatement - Dividends and nonforfeiture options - Policy riders and endorsements - Policy types and provisions - Beneficiary designations |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
Question 1
Under the Affordable Care Act, insurer may refuse to accept an internal appeal on a denied claim if
A. the insured is unable to pay an appeal fee.
B. the claim is under $500.
C. the appeal is filed more than 180 days after the claim denial.
D. the insured has submitted three appeals within the calendar year.
Question 2
Upon receipt of notice of claim, the insurance company will furnish to the claimant such forms for filing proof of loss within how many days?
A. 15
B. 20
C. 30
D. 10
Question 3
When a buyer is considering a long-term care policy, they are encouraged to review carefully all policy
A. limitations.
B. carriers.
C. facilities.
D. agents.
Question 4
Who would NOT be covered under an additional insured rider attached to a life insurance policy?
A. Dependent parents.
B. Employees.
C. A spouse.
D. Minor children.
Question 5
Which of the following is a characteristic of level premium term life insurance?
A. The cost of insurance is averaged throughout the life of the contract.
B. It provides for lower benefits.
C. It matches the level amount of protection on the insured ' s life expectancy.
D. It can be used for cash value.
Solutions:
| Question 1 Answer: C | Question 2 Answer: A | Question 3 Answer: A | Question 4 Answer: B | Question 5 Answer: A |
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