Exam Code: NY-Life-Accident-and-Health
Exam Name: New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55
Certification Provider: Insurance Licensing
Corresponding Certification: Life, Accident, and Health
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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Accident and Health Insurance35%- Health Insurance Basics
  • 1. Medical Expense and Disability Income
    • 2. Group vs Individual Coverage
      - Government Health Programs
      • 1. Medicare and Medicaid
        • 2. New York State Specific Programs
          - Policy Provisions and Claims
          • 1. Eligibility and Enrollment
            • 2. Coordination of Benefits
              Topic 2: Underwriting, Marketing and Sales Practices15%- Sales and Customer Service
              • 1. Suitability and Disclosure Requirements
                - Application and Underwriting Procedures
                • 1. Risk Classification and Selection
                  Topic 3: Insurance Regulation and General Principles20%- New York Insurance Code and Laws
                  • 1. Producer Responsibilities and Ethics
                    • 2. Licensing Requirements and Procedures
                      • 3. Unfair Trade Practices
                        - Insurance Concepts
                        • 1. Contract Law and Policy Structure
                          • 2. Risk Management and Insurable Interest
                            Topic 4: Life Insurance Products and Provisions30%- Policy Provisions, Riders and Options
                            • 1. Beneficiary Designations
                              • 2. Non-forfeiture Values and Dividends
                                - Types of Life Insurance Policies
                                • 1. Term, Whole Life, Universal Life
                                  • 2. Annuities and Retirement Products

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

                                    1. A whole life policy is replaced with an annuity without incurring a tax penalty. This is referred to as

                                    A) an Endowment Contract.
                                    B) a 1035 Exchange.
                                    C) a Cross-Purchase Plan.
                                    D) a Transfer of Value.


                                    2. An annuity that guarantees a given number of income payments, whether or not the annuitant is alive to receive them, is referred to as

                                    A) a guaranteed survivor annuity.
                                    B) an Irrevocable endowed annuity.
                                    C) a life annuity certain.
                                    D) an assured life annuity.


                                    3. Which of the following is a common exclusion from coverages found in accident and health policies?

                                    A) coordination of benefits
                                    B) emergency room coverages
                                    C) self-inflicted injuries
                                    D) chiropractic services


                                    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) benefit checking.
                                    B) claims adjudication.
                                    C) concurrent review.
                                    D) precertification authorization.


                                    5. Which of the following is a Health Insurance Policy where the insurer has the right to change the premiums for policyowners, but CANNOT cancel the policy?

                                    A) A conditionally renewable policy.
                                    B) A noncancellable policy.
                                    C) A guaranteed renewable policy.
                                    D) An optionally renewable policy.


                                    Solutions:

                                    Question # 1
                                    Answer: B
                                    Question # 2
                                    Answer: C
                                    Question # 3
                                    Answer: C
                                    Question # 4
                                    Answer: C
                                    Question # 5
                                    Answer: C

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