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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: New York State Regulations | 20-25% | - Consumer protection regulations - NYS Insurance Law requirements - Advertising regulations - Fiduciary responsibilities - Replacement and churn rules - Licensing requirements and procedures |
| Topic 2: General Insurance Principles | 15-20% | - Ethical sales practices - Fair claims settlement practices - Agent/broker duties and ethics - Insurance contract fundamentals - Underwriting principles |
| Topic 3: Accident and Health Insurance | 25-30% | - Long-term care insurance basics - Major medical coverage - Health insurance policy types (individual, group, HMOs) - Medical expense coverage - Dental and vision insurance basics - Disability income insurance |
| Topic 4: Life Insurance Fundamentals | 25-30% | - Dividends and nonforfeiture options - Beneficiary designations - Policy types and provisions - Policy riders and endorsements - Policy reinstatement |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
Question 1
Which of the following is NOT an Essential Health Benefit Category under the Affordable Care Act?
A. Laboratory Services.
B. Maternity and Newborn Care.
C. Alternative Medicine.
D. Emergency Services.
Question 2
The cause of a loss is called
A. a risk.
B. an exposure.
C. a peril.
D. a hazard.
Question 3
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.
Question 4
What period of time can a life insurance application be backdated?
A. 6 months
B. 3 months
C. 2 weeks
D. 1 year
Question 5
Who is the beneficiary of a key person insurance policy?
A. Business partner.
B. Employee.
C. Employer.
D. Insured ' s spouse.
Solutions:
| Question 1 Answer: C | Question 2 Answer: C | Question 3 Answer: B | Question 4 Answer: A | Question 5 Answer: C |
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