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

SectionWeightObjectives
Topic 1: Insurance Regulation and General Principles20%- Insurance Concepts
  • 1. Contract Law and Policy Structure
    • 2. Risk Management and Insurable Interest
      - New York Insurance Code and Laws
      • 1. Unfair Trade Practices
        • 2. Licensing Requirements and Procedures
          • 3. Producer Responsibilities and Ethics
            Topic 2: Underwriting, Marketing and Sales Practices15%- Application and Underwriting Procedures
            • 1. Risk Classification and Selection
              - Sales and Customer Service
              • 1. Suitability and Disclosure Requirements
                Topic 3: Accident and Health Insurance35%- Health Insurance Basics
                • 1. Medical Expense and Disability Income
                  • 2. Group vs Individual Coverage
                    - Policy Provisions and Claims
                    • 1. Coordination of Benefits
                      • 2. Eligibility and Enrollment
                        - Government Health Programs
                        • 1. New York State Specific Programs
                          • 2. Medicare and Medicaid
                            Topic 4: Life Insurance Products and Provisions30%- Policy Provisions, Riders and Options
                            • 1. Non-forfeiture Values and Dividends
                              • 2. Beneficiary Designations
                                - 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. A Medicare Supplement policy must NOT contain benefits which

                                    A) charge additional premiums.
                                    B) cover more than Medicare coverage.
                                    C) duplicate Medicare benefits.
                                    D) are covered by Workers Compensation.


                                    2. With respect to a life settlement contract, no person shall directly or indirectly pay a referral or finders fee to any person other than the

                                    A) life settlement broker.
                                    B) insurance consultant.
                                    C) owner ' s accountant.
                                    D) owner ' s physician.


                                    3. The statement, " Any person who knowingly and with intent to defraud any insurer or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty... " MUST appear in all New York

                                    A) insurance communications with consumers.
                                    B) applications for insurance and on all claim forms.
                                    C) insurance documents distributed to the general public.
                                    D) applications for credit.


                                    4. Which of the following is a basic benefit of Medicare Supplemental insurance?

                                    A) Basic drugs limit of $1,250.
                                    B) First 3 pints of blood each year.
                                    C) At-home recovery.
                                    D) Preventive care.


                                    5. Which of the following is required of a covered entity subject to New York ' s cybersecurity regulation?

                                    A) Conduct a risk assessment of its information system
                                    B) Eliminate known threats to its information system
                                    C) Publicly describe the protection of its information system
                                    D) Ensure that all nonpublic information is properly disclosed


                                    Solutions:

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

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