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

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

1. When marketing to groups for health insurance, who should be issued a certificate as proof of coverage?

A) HMO
B) Employer
C) Sponsor
D) Employee

2. With respect to small group health benefit plans, a carrier may discontinue coverage or may refuse to renew such a plan if the employer

A) has a supplemental plan with a competing carrier.
B) has filed for bankruptcy in the prior year.
C) falls to pay the premium prior to the end of the grace period.
D) employs fewer than 15 full-time employees.

3. Which of the following groups is NOT eligible for the Healthy New York Program?

A) Sole proprietors
B) Small employers
C) Working uninsured
D) Large employers

4. If a long-term care insurance policy or certificate replaces another long-term care policy, what does the replacing policy have to do?

A) waive any preexisting conditions requirements after 30 days and allow for a 45-day " free look " period
B) waive any time periods applicable to preexisting conditions as long as the client agrees in writing to stay on a doctor recommended treatment schedule
C) allow a 45-day " free look " period
D) waive any time periods applicable to preexisting conditions to the extent that similar exclusions have been satisfied under the original policy

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

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