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

SectionWeightObjectives
Topic 1: Accident and Health Insurance35%- Policy Provisions and Claims
  • 1. Eligibility and Enrollment
    • 2. Coordination of Benefits
      - Government Health Programs
      • 1. Medicare and Medicaid
        • 2. New York State Specific Programs
          - Health Insurance Basics
          • 1. Medical Expense and Disability Income
            • 2. Group vs Individual Coverage
              Topic 2: Underwriting, Marketing and Sales Practices15%- Sales and Customer Service
              • 1. Suitability and Disclosure Requirements
                - Application and Underwriting Procedures
                • 1. Risk Classification and Selection
                  Topic 3: Insurance Regulation and General Principles20%- Insurance Concepts
                  • 1. Risk Management and Insurable Interest
                    • 2. Contract Law and Policy Structure
                      - New York Insurance Code and Laws
                      • 1. Licensing Requirements and Procedures
                        • 2. Producer Responsibilities and Ethics
                          • 3. Unfair Trade Practices
                            Topic 4: Life Insurance Products and Provisions30%- Types of Life Insurance Policies
                            • 1. Annuities and Retirement Products
                              • 2. Term, Whole Life, Universal Life
                                - Policy Provisions, Riders and Options
                                • 1. Beneficiary Designations
                                  • 2. Non-forfeiture Values and Dividends

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

                                    1. According to the Affordable Care Act, a child can remain on a parent ' s health benefit plan until the child

                                    A) graduates from college.
                                    B) reaches age 19.
                                    C) reaches age 26.
                                    D) marries.


                                    2. An insured individual who has been diagnosed with osteoporosis needs therapy in her home. Which type of long-term care benefit would be MOST appropriate for her?

                                    A) Home health care.
                                    B) Skilled nursing care.
                                    C) Adult day care.
                                    D) Intermediate care.


                                    3. Which of the following is required of a covered entity subject to New York ' s cybersecurity regulation?

                                    A) Conduct a risk assessment of its information system
                                    B) Ensure that all nonpublic information is properly disclosed
                                    C) Eliminate known threats to its information system
                                    D) Publicly describe the protection of its information system


                                    4. In a health insurance policy, an insured has an out-of-pocket limit of $10,000, a deductible of $500, and an
                                    80%/20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much will the insurer have to pay?

                                    A) $49,500
                                    B) $40,000
                                    C) $35,500
                                    D) $39,600


                                    5. Which of the following statements is TRUE concerning classification of risks?

                                    A) A preferred individual is issued a rated policy.
                                    B) Rated policies merit lower premiums.
                                    C) Substandard applicants are never issued policies.
                                    D) Preferred risks pay a lower premium than standard risks.


                                    Solutions:

                                    Question # 1
                                    Answer: C
                                    Question # 2
                                    Answer: A
                                    Question # 3
                                    Answer: A
                                    Question # 4
                                    Answer: D
                                    Question # 5
                                    Answer: D

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