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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. Producer Responsibilities and Ethics
        • 2. Licensing Requirements and Procedures
          • 3. Unfair Trade Practices
            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%- Sales and Customer Service
                    • 1. Suitability and Disclosure Requirements
                      - Application and Underwriting Procedures
                      • 1. Risk Classification and Selection
                        Accident and Health Insurance35%- Health Insurance Basics
                        • 1. Medical Expense and Disability Income
                          • 2. Group vs Individual Coverage
                            - Policy Provisions and Claims
                            • 1. Coordination of Benefits
                              • 2. Eligibility and Enrollment
                                - Government Health Programs
                                • 1. New York State Specific Programs
                                  • 2. Medicare and Medicaid

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

                                    1. Which of the following is NOT an Essential Health Benefit Category under the Affordable Care Act?

                                    A) Emergency Services.
                                    B) Maternity and Newborn Care.
                                    C) Alternative Medicine.
                                    D) Laboratory Services.


                                    2. 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) coalition group
                                    B) risk purchasing group
                                    C) preferred provider organization
                                    D) indemnity organization


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

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


                                    4. In addition to the application, MIB, or consumer reports, underwriters can acquire information from all of the following EXCEPT

                                    A) medical questionnaires.
                                    B) physical examinations.
                                    C) genetic testing.
                                    D) attending physician statements.


                                    5. Which type of life insurance policy is written under a single contract for both spouses in which it is payable upon the first death?

                                    A) Joint.
                                    B) Dual capacity.
                                    C) Survivorship.
                                    D) Spousal.


                                    Solutions:

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

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