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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Insurance Principles | 15-20% | - Ethical sales practices - Insurance contract fundamentals - Fair claims settlement practices - Agent/broker duties and ethics - Underwriting principles |
| Topic 2: Accident and Health Insurance | 25-30% | - Dental and vision insurance basics - Disability income insurance - Major medical coverage - Health insurance policy types (individual, group, HMOs) - Medical expense coverage - Long-term care insurance basics |
| Topic 3: Life Insurance Fundamentals | 25-30% | - Policy types and provisions - Dividends and nonforfeiture options - Policy reinstatement - Policy riders and endorsements - Beneficiary designations |
| Topic 4: New York State Regulations | 20-25% | - Licensing requirements and procedures - Replacement and churn rules - Consumer protection regulations - Advertising regulations - NYS Insurance Law requirements - Fiduciary responsibilities |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
For three weeks next month a company ' s employees will choose to enroll or remain enrolled in their HMO or change health plans. What is this situation called?
- A. annual gatekeeper enrollment
- B. employer sponsored health plan
- C. annual open enrollment
- D. coverage authorization period
Correct Answer: C 🗳️
Explanation: Only visible for DumpExam members. You can sign-up / login (it's free).
Which of the following is a life insurance contract written on the life of an individual?
- A. Insurance.
- B. Single-Life Insurance.
- C. Joint Life Contract.
- D. Survivorship Policy.
Correct Answer: B 🗳️
Explanation: Only visible for DumpExam members. You can sign-up / login (it's free).
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. any change in the level of benefits they receive.
- B. having to satisfy a new preexisting condition period.
- C. having to meet a new deductible.
- D. having any increase in premium costs.
Correct Answer: B 🗳️
Explanation: Only visible for DumpExam 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. Pay the insured ' s premiums if they are unable to do so.
- B. Work with rating bureaus to establish insurer ratings.
- C. Help the insured file and follow up on claims.
- D. Notify the insurance department when claims are paid.
Correct Answer: C 🗳️
Explanation: Only visible for DumpExam members. You can sign-up / login (it's free).
In health insurance policies, the reinstatement provision is
- A. not required.
- B. optional.
- C. mandatory.
- D. elective.
Correct Answer: C 🗳️
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