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

SectionWeightObjectives
Topic 1: 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
              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. Unfair Trade Practices
                      • 3. Licensing Requirements and Procedures
                        - Insurance Concepts
                        • 1. Contract Law and Policy Structure
                          • 2. Risk Management and Insurable Interest
                            Topic 4: 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

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

                                    1. Which type of annuity guarantees a level benefit payment?

                                    A) Variable.
                                    B) Universal.
                                    C) Limited Life.
                                    D) Fixed.


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

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


                                    3. If a mother and child are without life insurance, what is the MAXIMUM amount of insurance the mother can purchase on the life of her dependent 5-year-old daughter?

                                    A) $25,000
                                    B) $50,000
                                    C) $10,000
                                    D) There is no limit


                                    4. Under the Affordable Care Act, insurers MUST offer plans within health insurance exchanges that meet distinct levels of coverage. What metal tier is REQUIRED to have an actuarial value of 70% with covered individuals paying 30% through deductibles, co-pays, and other cost sharing features?

                                    A) Bronze Plan.
                                    B) Platinum Plan.
                                    C) Gold Plan.
                                    D) Silver Plan.


                                    5. A common disaster clause states that if the beneficiary dies from the same accident as the insured individual, the insurer will proceed as if the

                                    A) beneficiary was never named on the policy.
                                    B) insured individual outlived the beneficiary.
                                    C) beneficiary and the insured individual died simultaneously.
                                    D) beneficiary outlived the insured individual.


                                    Solutions:

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

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