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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Insurance Principles | 15-20% | - Fair claims settlement practices - Insurance contract fundamentals - Ethical sales practices - Underwriting principles - Agent/broker duties and ethics |
| Topic 2: Accident and Health Insurance | 25-30% | - Major medical coverage - Dental and vision insurance basics - Disability income insurance - Medical expense coverage - Health insurance policy types (individual, group, HMOs) - Long-term care insurance basics |
| Topic 3: Life Insurance Fundamentals | 25-30% | - Policy reinstatement - Dividends and nonforfeiture options - Policy riders and endorsements - Policy types and provisions - Beneficiary designations |
| Topic 4: New York State Regulations | 20-25% | - Licensing requirements and procedures - NYS Insurance Law requirements - Advertising regulations - Replacement and churn rules - Consumer protection regulations - Fiduciary responsibilities |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
1. The general enrollment period for Medicare Part B ends on
A) March 31.
B) December 31.
C) June 30.
D) May 31.
2. If the premium is not paid at the time of application, a Statement of Good Health MUST be signed by the policyowner at the time of
A) policy delivery.
B) application.
C) the medical examination.
D) underwriter review.
3. Which of the following is an example of risk sharing?
A) purchasing an insurance policy to cover liability exposures
B) installing a sprinkler system in a high-rise building
C) choosing not to purchase a car
D) pooling money to cover malpractice exposures
4. Which of the following is described when a selected group of practitioners, in a certain area, agrees to provide services at a pre-arranged cost on a fee-for-service basis?
A) risk purchasing group
B) preferred provider organization
C) indemnity organization
D) coalition group
5. 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) employs fewer than 15 full-time employees.
B) has filed for bankruptcy in the prior year.
C) falls to pay the premium prior to the end of the grace period.
D) has a supplemental plan with a competing carrier.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: C |




