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

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

Question 1

The insured, who is 59 years of age decides to replace a long-term care policy they had for five years for a new policy. Which of the following is true of the insurer?

A. The replacement insurer will impose new probationary period and preexisting condition limitations.
B. The replacement insurer will not honor previous exclusions that had previously been satisfied under the original policy.
C. The original insurer will reimburse benefit dollars not used under the original policy period.
D. The replacement insurer will waive probationary periods pertaining to preexisting conditions satisfied under the original policy.

Question 2

A single contract for group medical insurance issued to an employer is known as

A. a group policy.
B. a master policy.
C. a certificate policy.
D. an employer policy.

Question 3

According to Health Insurance Portability and Accountability Act (HIPAA), when can a group health policy renewal be denied?

A. The size of the group has increased by more than 10%.
B. There have been too many claims in the previous year.
C. Participation or contribution rules have been violated.
D. Participation or contribution rules have been changed.

Question 4

Under the Affordable Care Act, insurers MUST offer plans within health insurance exchanges that meet distinct levels of coverage. What metal tier is REQUIRED to have an actuarial value of 70% with covered individuals paying 30% through deductibles, co-pays, and other cost sharing features?

A. Silver Plan.
B. Gold Plan.
C. Platinum Plan.
D. Bronze Plan.

Question 5

What is an insurer ' s liability when it is discovered after an insured dies that the insured ' s age on the policy was misstated?

A. The insurer must pay the full amount of the policy, minus any additional premiums the insurance company would have paid based on the insured ' s actual age.
B. The insurer must pay a prorated amount of the policy based on the amount of insurance the insured ' s premiums would have bought if purchased at the correct age.
C. The insurer must pay the full amount as stated in the policy, as age is not considered a relevant factor.
D. The insurer is not liable to pay any amount due to the insured ' s misstatement of age.

Solutions: