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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| New York State Regulations | 20-25% | - Fiduciary responsibilities - Replacement and churn rules - Consumer protection regulations - Licensing requirements and procedures - Advertising regulations - NYS Insurance Law requirements |
| Accident and Health Insurance | 25-30% | - Disability income insurance - Long-term care insurance basics - Health insurance policy types (individual, group, HMOs) - Medical expense coverage - Dental and vision insurance basics - Major medical coverage |
| General Insurance Principles | 15-20% | - Fair claims settlement practices - Underwriting principles - Agent/broker duties and ethics - Ethical sales practices - Insurance contract fundamentals |
| Life Insurance Fundamentals | 25-30% | - Beneficiary designations - Policy types and provisions - Policy reinstatement - Dividends and nonforfeiture options - Policy riders and endorsements |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
1. 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) preferred provider organization
B) indemnity organization
C) risk purchasing group
D) coalition group
2. Which of the following statements is TRUE regarding a waiver of premium rider?
A) The insured will automatically become eligible for accelerated death benefits.
B) There will be no change in the policy other than the insured no longer has to pay the premiums on the policy.
C) The death benefit will be reduced by the amount of the unpaid premiums.
D) The policy ' s cash value will continue to grow, but at a slower rate because the insured is no longer paying premiums.
3. The following statement refers to which type of clause? "We have issued the policy in consideration of the representations in your application and payment of the first-term premium."
A) A whole contract clause.
B) A concealment clause.
C) A consideration clause.
D) A contestability clause.
4. An insurer monitors the care an insured is receiving in the hospital to be sure that everything is proceeding according to schedule. This BEST describes
A) concurrent review.
B) benefit checking.
C) precertification authorization.
D) claims adjudication.
5. 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) Publicly describe the protection of its information system
D) Eliminate known threats to its information system
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A |


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