(New York, NY)
[Risk Management and Insurance Program.]
State Insurance Claims Adjusters Certification
New York, NY Claims Adjuster Exam
Course Title and Number: Claims Adjuster Exam
Exam Title: Board Exam
Exam Date: Exam 2024- 2025
Instructor: [Insert Instructor’s Name]
Student Name: [Insert Student’s Name]
Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you have completed
the Exam.
6. This test has a time limit, The test will save and submit automatically when the
time expires
7. This is Exam which will assess your knowledge on the course Learning
Resources.
Good Luck!
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State Insurance Claims Adjusters Certification 2024-
2025
New York N.Y Independent Adjuster Series 17-63
Insurance Adjuster and N.Y Health Insurance Law Exam
Review Questions and Answers | 100% Pass
Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
One objective of a concurrent review provision in group
accident and health insurance is to? - =Answer>>
Monitor length of stay in the hospital once the patient is
admitted.
For groups with high prior claims experience, an insurer
would be likely to? - =Answer>> Expect high future
claims experience
On a Medicare Supplement, the renewal commission
paid to a producer in later years must be the same as
the amount of the commission paid by the insurer in
the second year and must be paid for no fewer than
____ renewal years. - =Answer>> 5
Which of the following is true when an employee with
kidney disease needs kidney dialysis? - =Answer>>
Their employer's group health plan is primary for 30
months and then Medicare is primary
Under the Unpaid Premium clause in a health insurance
policy, if an insured has not paid his or her renewal
premium and has a claim in the grace period, the
insurer will: - =Answer>> Pay the claim after
subtracting the overdue premium
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Which of the following can an insurer change on a
noncancelable health insurance policy? - =Answer>>
Nothing
The New York State Disability Benefits law will cover
____% of a disabled employee's wages. - =Answer>>
50%
An employee health benefit program where employers
pay employee claims up to a specified limit and
amounts above that limit are paid by an insurer is
known as a: - =Answer>> Stop loss
On a fee-for-service health insurance plan, the fee is
payable to the: - =Answer>> Provider
Small employer group policies are subject to which type
of rating plan? - =Answer>> Community
Which of the following types of medical expense
insurance plans are required to cover infertility? -
=Answer>> Both individual and group
Medicare Part C is also known as: - =Answer>>
Managed care
A contract offered for acceptance or rejection without
negotiation is called ? - =Answer>> contract adhesion
How does the Medicare Supplement at-home recovery
services benefit differ from the Medicare home health
care benefit? - =Answer>> The Medicare Supplement
benefit covers assistance with daily living
A mandatory second surgical opinion provision typically
would encourage all of the following EXCEPT? -
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