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

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

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

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


                                    2. Which of the following statements is TRUE regarding a waiver of premium rider?

                                    A) The policy ' s cash value will continue to grow, but at a slower rate because the insured is no longer paying premiums.
                                    B) The insured will automatically become eligible for accelerated death benefits.
                                    C) The death benefit will be reduced by the amount of the unpaid premiums.
                                    D) There will be no change in the policy other than the insured no longer has to pay the premiums on the policy.


                                    3. Penalties that may be levied by the Department of Insurance for committing insurance fraud do NOT include

                                    A) probation.
                                    B) license revocation.
                                    C) license suspension.
                                    D) fines.


                                    4. An annuitant dies during the accumulation period. What happens to the cash value in the annuity?

                                    A) The cash value is paid into the estate.
                                    B) The cash value is paid to the IRS.
                                    C) The cash value is paid to the beneficiary.
                                    D) The company keeps the cash value.


                                    5. Which of the following services must be provided by a health benefit plan issued on or after January 1, 2014?

                                    A) Adult eye care services.
                                    B) Preventive health services.
                                    C) Long-term care services.
                                    D) Adult dental care services.


                                    Solutions:

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

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