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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% | - Replacement and churn rules - NYS Insurance Law requirements - Licensing requirements and procedures - Fiduciary responsibilities - Advertising regulations - Consumer protection regulations |
| Topic 2: Life Insurance Fundamentals | 25-30% | - Policy types and provisions - Dividends and nonforfeiture options - Beneficiary designations - Policy riders and endorsements - Policy reinstatement |
| Topic 3: Accident and Health Insurance | 25-30% | - Disability income insurance - Major medical coverage - Health insurance policy types (individual, group, HMOs) - Medical expense coverage - Long-term care insurance basics - Dental and vision insurance basics |
| Topic 4: General Insurance Principles | 15-20% | - Insurance contract fundamentals - Ethical sales practices - Agent/broker duties and ethics - Underwriting principles - Fair claims settlement practices |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
1. For three weeks next month a company ' s employees will choose to enroll or remain enrolled in their HMO or change health plans. What is this situation called?
A) employer sponsored health plan
B) annual gatekeeper enrollment
C) annual open enrollment
D) coverage authorization period
2. What is the primary feature of a Joint Life insurance policy?
A) It is designed exclusively for estate planning.
B) It pays the death benefit after the last insured dies.
C) It requires separate premiums for each insured.
D) It insures two or more lives under one policy.
3. An insured owns a whole life policy that has accumulated cash value. Which of the following statements is true about the policy ' s cash value?
A) The policy ' s cash value is viewed as investment growth and therefore subject to taxation for each calendar year.
B) The cash value is not guaranteed.
C) The growth of the policy ' s cash value is not subject to income tax while the policy is in force.
D) It is subject to fluctuations of the company ' s overall performance.
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) precertification authorization.
D) concurrent review.
5. Penalties that may be levied by the Department of Insurance for committing insurance fraud do NOT include
A) probation.
B) license revocation.
C) fines.
D) license suspension.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: A |
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