NY state insurance license practice exam questions/answers rated A+

Under what circumstance does an accident and health insurer have the right to request an autopsy? 1. When the claim exceeds an amount specified in the policy 2. When 2 days have passed after death 3. When not prohibited by state law 4. When consent is given by the beneficiary - Answer- 3. When not prohibited by state law Which of the following accurately describes the "time limit on certain defenses"? 1. After a stated period of time, claims cannot be denied due to material misrepresentation on the application 2. All claims can be disputed after two years 3. An insured cannot file a lawsuit within 90 days of the claim being filed 4. The right to return an accident and health policy must be within 10 days of policy delivery - Answer- 1. After a stated period of time, claims cannot be denied due to material misrepresentation on the application Patrick purchased a long-term care policy. He has a health condition for which medical treatment was recommended by a physician within 6 months prior to the policy's effective date. This condition is called a(n) 1. antecedent condition 2. pre-existing condition 3. hazardous condition 4. grandfathered condition - Answer- 2. pre-existing condition Which of the following describes coverage for the Medicare Part B coinsurance? 1. Only a Long-term care policy will cover Medicare Part B coinsurance 2. A Medicare Supplement optional benefit 3. A Medicare Supplement core benefit 4. Medicare Part B does not require a coinsurance so no additional coverage is needed - Answer- 3. A Medicare Supplement core benefit Larry has a Major Medical Expense policy for his family with a $1,000 per family/per year deductible and an 80/20 coinsurance provision. If Larry's family files four claims of $400, $800, $100, and $700 in one year, how much will the insurance company pay?