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

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

2. Which approach considers the future needs of the survivors in determining amounts of life insurance?

A) Living Benefits Approach.
B) Human Life Value Approach.
C) Cost Comparison Approach.
D) Needs Approach.

3. The purpose of Medicare Supplement Insurance is to address gaps in Medicare coverage, which can include

A) Medicare in-hospital deductible.
B) replacing HMO coverage.
C) covering chiropractic treatment.
D) treatment provided in a government hospital.

4. An insurer monitors the care an insured is receiving in the hospital to be sure that everything is proceeding according to schedule. This BEST describes

A) benefit checking.
B) claims adjudication.
C) concurrent review.
D) precertification authorization.

5. In a health insurance policy, an insured has an out-of-pocket limit of $10,000, a deductible of $500, and an
80%/20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much will the insurer have to pay?

A) $40,000
B) $39,600
C) $49,500
D) $35,500

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