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- Total Questions: 122
- Updated on: Sep 03, 2026
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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Accident and Health Insurance | 25-30% | - Dental and vision insurance basics - Long-term care insurance basics - Disability income insurance - Medical expense coverage - Major medical coverage - Health insurance policy types (individual, group, HMOs) |
| General Insurance Principles | 15-20% | - Agent/broker duties and ethics - Underwriting principles - Insurance contract fundamentals - Fair claims settlement practices - Ethical sales practices |
| New York State Regulations | 20-25% | - Fiduciary responsibilities - Consumer protection regulations - Replacement and churn rules - Advertising regulations - NYS Insurance Law requirements - Licensing requirements and procedures |
| Life Insurance Fundamentals | 25-30% | - Policy riders and endorsements - Beneficiary designations - Policy types and provisions - Policy reinstatement - Dividends and nonforfeiture options |
Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:
Question 1
Under the Affordable Care Act, insurer may refuse to accept an internal appeal on a denied claim if
A. the insured has submitted three appeals within the calendar year.
B. the insured is unable to pay an appeal fee.
C. the claim is under $500.
D. the appeal is filed more than 180 days after the claim denial.
Question 2
In reference to life insurance in contract law, a person MOST likely will have an insurable interest in insuring a person ' s life if
A. the interest exists at the time of death.
B. the interest exists at the time of application.
C. any type of business relationship exists between the insured party and the beneficiary.
D. any type of distant family relationship exists with the insured party.
Question 3
A single contract for group medical insurance issued to an employer is known as
A. a group policy.
B. an employer policy.
C. a master policy.
D. a certificate policy.
Question 4
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. applications for credit.
B. applications for insurance and on all claim forms.
C. insurance documents distributed to the general public.
D. insurance communications with consumers.
Question 5
Group long-term disability benefit amounts are usually limited to what percentage of the participant ' s income?
A. 60
B. 40
C. 100
D. 80
Solutions:
| Question 1 Answer: D | Question 2 Answer: B | Question 3 Answer: C | Question 4 Answer: B | Question 5 Answer: A |
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