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

SectionObjectives
Accident and Health Insurance- Policy features and provisions
  • 1. Elimination periods and benefit limits
    • 2. Coordination of benefits
      - Health insurance products
      • 1. Disability income insurance
        • 2. Hospital and medical expense coverage
          State Regulations (New York)- Ethics and compliance
          • 1. Producer responsibilities and conduct
            • 2. Unfair trade practices
              - Licensing requirements
              • 1. Application and background checks
                • 2. Pre-licensing education requirements
                  Insurance Fundamentals- Principles of insurance and risk management
                  • 1. Risk classification and pooling of risk
                    • 2. Insurable interest and indemnity concepts
                      - Insurance contract law basics
                      • 1. Policy provisions and clauses
                        • 2. Elements of a valid contract

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

                          Question 1

                          The cost of a long-term care policy is based on all of the following EXCEPT

                          A. age.
                          B. health condition.
                          C. level of benefits provided.
                          D. personal income.


                          Question 2

                          On or after January 1, 2014, employers with no more than 25 full time equivalent employees (FTEs) with average annual wages of less than $50,000 may be eligible for a tax credit of up to how much of the premiums paid by the employer?

                          A. 25%
                          B. 70%
                          C. 50%
                          D. 10%


                          Question 3

                          Long-term care policies MUST cover which of the following conditions?

                          A. Acts of war while serving in the military.
                          B. Self-inflicted injuries.
                          C. Alcoholism or drug addiction.
                          D. Alzheimer's disease.


                          Question 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. $39,600
                          B. $35,500
                          C. $40,000
                          D. $49,500


                          Question 5

                          Under Workers ' Compensation, injured employees are covered for all of the following losses EXCEPT

                          A. loss of wages.
                          B. pain and suffering.
                          C. occupational illness.
                          D. medical expenses.


                          Solutions:

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

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