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

2. If an annuitant dies during the accumulation period, his or her beneficiary will receive

A) the lesser of the accumulated cash value or the total premiums paid.
B) the greater of the accumulated cash value or the total premiums paid.
C) both the accumulated cash value and the total premiums paid.
D) no monetary funds.

3. Which statement is NOT a characteristic of a Group Life Insurance Plan?

A) A master contract.
B) Certificate of Insurance.
C) Probationary periods.
D) Individual underwriting.

4. Who is the beneficiary of a key person insurance policy?

A) Insured ' s spouse.
B) Employee.
C) Employer.
D) Business partner.

5. Under the Affordable Care Act, insurer may refuse to accept an internal appeal on a denied claim if

A) the appeal is filed more than 180 days after the claim denial.
B) the insured has submitted three appeals within the calendar year.
C) the insured is unable to pay an appeal fee.
D) the claim is under $500.

Solutions: