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

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

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

                                    Which of the following is an example of risk sharing?

                                    • A. purchasing an insurance policy to cover liability exposures
                                    • B. pooling money to cover malpractice exposures
                                    • C. choosing not to purchase a car
                                    • D. installing a sprinkler system in a high-rise building
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Explanation: Only visible for TestKingIT members. You can sign-up / login (it's free).

                                    The Group Life Underwriting risk selection process helps protect insurers from

                                    • A. risk selection.
                                    • B. adverse selection.
                                    • C. risk underwriting.
                                    • D. medical underwriting.
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Explanation: Only visible for TestKingIT members. You can sign-up / login (it's free).

                                    Which type of policy pays an amount per day for hospitalization directly to the insured regardless of the insured ' s other health insurance?

                                    • A. Medigap.
                                    • B. Hospital indemnity.
                                    • C. Blanket.
                                    • D. Limited-amount per diem.
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Explanation: Only visible for TestKingIT members. You can sign-up / login (it's free).

                                    With the majority of companies, within how many days does the free-look provision allow the insured the right to return the life insurance policy for full premium?

                                    • A. 30 days.
                                    • B. 10 days.
                                    • C. 15 days.
                                    • D. 5 days.
                                    Reveal Solution  Discussion  0

                                    Correct Answer: B  🗳️

                                    Explanation: Only visible for TestKingIT members. You can sign-up / login (it's free).

                                    With respect to small group health benefit plans, a carrier may discontinue coverage or may refuse to renew such a plan if the employer

                                    • A. has a supplemental plan with a competing carrier.
                                    • B. has filed for bankruptcy in the prior year.
                                    • C. employs fewer than 15 full-time employees.
                                    • D. falls to pay the premium prior to the end of the grace period.
                                    Reveal Solution  Discussion  0

                                    Correct Answer: D  🗳️

                                    Explanation: Only visible for TestKingIT members. You can sign-up / login (it's free).

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