NY state insurance license practice exam
questions/answers
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 /.- /.(correct /.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 /.misrepresentatio
n /.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 /.deli
very /.- /.(correct /.answer) /.-
,1. /.After /.a /.stated /.period /.of /.time, /.claims /.cannot /.be /.denied /.due /.to /.material /.misrepresentatio
n /.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 /.calle
d /.a(n)
1. /.antecedent /.condition
/.
2. /.pre-existing /.condition
/.
3. /.hazardous /.condition
/.
4. /.grandfathered /.condition /.- /.(correct /.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 /.- /.
(correct /.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 /.cl
aims /.of /.$400, /.$800, /.$100, /.and /.
$700 /.in /.one /.year, /.how /.much /.will /.the /.insurance /.company /.pay?
,/.1. /.$500
/.
2. /.$800
/.
3. /.$1,000
/.
4. /.$1,200 /.- /.(correct /.answer) /.-2. /.$800 /.
(($400 /.+ /.$800 /.+ /.$100 /.+ /.$700 /.= /.$2,000. /.The /.insurance /.company /.pays /.80% /.of /.$1,000 /.
(outstanding /.balance /.after /.deductible /.is /.paid), /.or /.$800.))
Long-term /.care /.policies /.issued /.in /.New /.York /.must /.provide /.benefits /.for /.at /.least
1. /.6 /.months
2. /.12 /.months
/.
3. /.18 /.months
/.
4. /.24 /.months /.- /.(correct /.answer) /.-2. /.12 /.months
Which /.of /.the /.following /.types /.of /.insurers /.limits /.the /.exposures /.it /.writes /.to /.those /.of /.its /.own
ers?
1. /.Restricted /.insurer
/.
2. /.Limited /.insurer
/.
3. /.Confined /.insurer
/.
, 4. /.Captive /.insurer /.- /.(correct /.answer) /.-4. /.Captive /.insurer
Notice /.of /.information /.practices /.must /.be /.given /.to /.a /.policyholder /.at /.least
1. /.every /.year
/.
2. /.every /.two /.years
/.
3. /.every /.three /.years
4. /.every /.four /.years /.- /.(correct /.answer) /.-3. /.Every /.three /.years
What /.is /.the /.elimination /.period /.of /.an /.individual /.disability /.policy?
1. /.Time /.period /.an /.insured /.must /.wait /.before /.coverage /.begins
2. /.Time /.period /.a /.disabled /.person /.must /.wait /.before /.benefits /.are /.paid
3. /.Time /.period /.after /.the /.policy /.issue /.date /.in /.which /.the /.provisions /.are /.still /.contestable
/.4. /.The /.point /.in /.time /.when /.benefits /.are /.no /.longer /.payable /.- /.(correct /.answer) /.-
2. /.Time /.period /.a /.disabled /.person /.must /.wait /.before /.benefits /.are /.paid
An /.individual /.long-term /.policy /.must /.be /.renewable
1. /.To /.age /.65
/.
2. /.To /.age /.75
questions/answers
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 /.- /.(correct /.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 /.misrepresentatio
n /.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 /.deli
very /.- /.(correct /.answer) /.-
,1. /.After /.a /.stated /.period /.of /.time, /.claims /.cannot /.be /.denied /.due /.to /.material /.misrepresentatio
n /.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 /.calle
d /.a(n)
1. /.antecedent /.condition
/.
2. /.pre-existing /.condition
/.
3. /.hazardous /.condition
/.
4. /.grandfathered /.condition /.- /.(correct /.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 /.- /.
(correct /.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 /.cl
aims /.of /.$400, /.$800, /.$100, /.and /.
$700 /.in /.one /.year, /.how /.much /.will /.the /.insurance /.company /.pay?
,/.1. /.$500
/.
2. /.$800
/.
3. /.$1,000
/.
4. /.$1,200 /.- /.(correct /.answer) /.-2. /.$800 /.
(($400 /.+ /.$800 /.+ /.$100 /.+ /.$700 /.= /.$2,000. /.The /.insurance /.company /.pays /.80% /.of /.$1,000 /.
(outstanding /.balance /.after /.deductible /.is /.paid), /.or /.$800.))
Long-term /.care /.policies /.issued /.in /.New /.York /.must /.provide /.benefits /.for /.at /.least
1. /.6 /.months
2. /.12 /.months
/.
3. /.18 /.months
/.
4. /.24 /.months /.- /.(correct /.answer) /.-2. /.12 /.months
Which /.of /.the /.following /.types /.of /.insurers /.limits /.the /.exposures /.it /.writes /.to /.those /.of /.its /.own
ers?
1. /.Restricted /.insurer
/.
2. /.Limited /.insurer
/.
3. /.Confined /.insurer
/.
, 4. /.Captive /.insurer /.- /.(correct /.answer) /.-4. /.Captive /.insurer
Notice /.of /.information /.practices /.must /.be /.given /.to /.a /.policyholder /.at /.least
1. /.every /.year
/.
2. /.every /.two /.years
/.
3. /.every /.three /.years
4. /.every /.four /.years /.- /.(correct /.answer) /.-3. /.Every /.three /.years
What /.is /.the /.elimination /.period /.of /.an /.individual /.disability /.policy?
1. /.Time /.period /.an /.insured /.must /.wait /.before /.coverage /.begins
2. /.Time /.period /.a /.disabled /.person /.must /.wait /.before /.benefits /.are /.paid
3. /.Time /.period /.after /.the /.policy /.issue /.date /.in /.which /.the /.provisions /.are /.still /.contestable
/.4. /.The /.point /.in /.time /.when /.benefits /.are /.no /.longer /.payable /.- /.(correct /.answer) /.-
2. /.Time /.period /.a /.disabled /.person /.must /.wait /.before /.benefits /.are /.paid
An /.individual /.long-term /.policy /.must /.be /.renewable
1. /.To /.age /.65
/.
2. /.To /.age /.75
