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

SectionWeightObjectives
Topic 1: 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 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: 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 4: Life Insurance Products and Provisions30%- Types of Life Insurance Policies
                            • 1. Annuities and Retirement Products
                              • 2. Term, Whole Life, Universal Life
                                - Policy Provisions, Riders and Options
                                • 1. Beneficiary Designations
                                  • 2. Non-forfeiture Values and Dividends

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

                                    1. The policy provision describing the responsibilities of the master policyowner is in

                                    A) group health policies.
                                    B) individual medical policies.
                                    C) certificate of coverage.
                                    D) individual health policies.


                                    2. Which of the following statements BEST describes a disability elimination period?

                                    A) A qualifying period.
                                    B) A benefit or utilization period.
                                    C) A time deductible rather than a dollar deductible.
                                    D) A dollar deductible rather than a time deductible.


                                    3. If the premium is not paid at the time of application, a Statement of Good Health MUST be signed by the policyowner at the time of

                                    A) underwriter review.
                                    B) the medical examination.
                                    C) application.
                                    D) policy delivery.


                                    4. Which is an accurate description of the relationship between the premiums of a whole life policy and the premium payment period?

                                    A) The payment period is not related to the annual premium.
                                    B) The shorter the payment period, the higher the annual premium.
                                    C) The longer the payment period, the higher the annual premium.
                                    D) The shorter the payment period, the lower the annual premium.


                                    5. What is the purpose of the Accelerated Death Benefit Rider?

                                    A) To decrease the tax liability of the insured ' s estate.
                                    B) To increase the death benefit by a stated percentage.
                                    C) To provide for the early payment of the death benefit for a terminally ill insured.
                                    D) To adjust the death benefit to keep up with inflation.


                                    Solutions:

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

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