NY Series 17-52 2025 EXAM QUESTIONS AND VERIFIED
ANSWERS (100% CORRECT ANSWERS) A+ GRADED |
ALREADY PASSED!! GUARANTEED PASS!!
How many eligible employees must be included in a contributory health insurance plan? -
(answers)50%
A man works for Company A and his wife works for Company B. The spouses are covered by
health plans through their respective companies that also cover the other spouse. If the husband
files a claim, - (answers)The insurance through his company is primary.
What is the period of coverage for events such as death or divorce under COBRA? - (answers)36
months
Twenty-five days after a health insurance policy is delivered, the policyowner decides that she
would like to return the policy and receive a refund of premium. Which of the following is true?
- (answers)The policyowner will not receive a refund because the free-look period is over.
An insured is involved in a car accident. In addition to general, less serious injuries, he
permanently loses the use of his leg and is rendered completely blind. The blindness improves a
month later. To what extent will he receive Presumptive Disability benefits? - (answers)No
benefits
For the purpose of insurance, risk is defined as - (answers)The uncertainty or chance of loss.
Which of the following is an example of a producer's fiduciary duty? - (answers)The trust that a
client places in the producer in regard to handling premiums.
Which of the following is NOT true of basic medical expense plans? - (answers)Coverage for
catastrophic medical expenses
,Which of the following is NOT a feature of a noncancellable policy? - (answers)The insurer may
terminate the contract only at renewal for certain conditions.
What is the best way to change an application? - (answers)Start over with a fresh application
On a major medical insurance policy, the amount that an insured must pay on a claim before the
insurer will pay is known as - (answers)Deductible.
Which of the following is correct about a group health insurance policy issued in New York? -
(answers)It cannot exclude newborn children from coverage.
Which of the following is NOT a characteristic of a group long-term disability plan? -
(answers)The benefit can be up to 50% of one's yearly income.
In which Medicare supplemental policies are the core benefits found? - (answers)All plans
When benefits are paid directly to the insured under a health insurance policy, the policy
provides benefits on what type of basis? - (answers)Reimbursement
If an employee terminates her employment, which of the following provisions would allow her
to continue health coverage under an individual policy, if requested within 60 days? -
(answers)Conversion
To be eligible under HIPAA regulations, for how long should an individual converting to an
individual health plan have been covered under the previous group plan? - (answers)18 months
Under which of the following disability income plans would the benefits be subject to income
tax? - (answers)Group
Under the Affordable Care Act, a special enrollment period allows an individual to enroll in a
qualified health plan within how many days of a qualifying event? - (answers)60 days
, Which of the following individuals must pass a written examination to be licensed as a life
insurance agent? - (answers)A resident of New York wishing to transact business in New York
When an insurer offers services like preadmission testing, second opinions regarding surgery,
and preventative care, which term would best apply? - (answers)Case management provision
An individual applies for a life policy. Two years ago he suffered a head injury from an accident,
so he cannot remember parts of his past, but is otherwise competent. He has also been
hospitalized for drug abuse, but does not remember this when applying for insurance. The insurer
issues the policy and learns of his history one year later. What will probably happen? -
(answers)The policy will not be affected.
The purpose of managed care health insurance plans is to - (answers)Control health insurance
claims expenses.
To attain currently insured status under Social Security, a worker must have earned at least how
many credits during the last 13 quarters? - (answers)6 credits
If seeking repayment of Medicaid funds per the Medicaid Estate Recovery Act would cause a
hardship to survivors, states may - (answers)Waive the estate recovery requirement.
The insuring clause of a disability policy usually states all of the following EXCEPT -
(answers)The method of premium payment.
Which of the following statements regarding Business Overhead Expense policies is NOT true? -
(answers)Benefits are usually limited to six months.
At what point must an Outline of Coverage be delivered? - (answers)At the time of application or
upon delivery of the policy
A medical insurance plan in which the health care provider is paid a regular fixed amount for
providing care to the insured and does not receive additional amounts of compensation
dependent upon the procedure performed is called - (answers)Prepaid plan.
ANSWERS (100% CORRECT ANSWERS) A+ GRADED |
ALREADY PASSED!! GUARANTEED PASS!!
How many eligible employees must be included in a contributory health insurance plan? -
(answers)50%
A man works for Company A and his wife works for Company B. The spouses are covered by
health plans through their respective companies that also cover the other spouse. If the husband
files a claim, - (answers)The insurance through his company is primary.
What is the period of coverage for events such as death or divorce under COBRA? - (answers)36
months
Twenty-five days after a health insurance policy is delivered, the policyowner decides that she
would like to return the policy and receive a refund of premium. Which of the following is true?
- (answers)The policyowner will not receive a refund because the free-look period is over.
An insured is involved in a car accident. In addition to general, less serious injuries, he
permanently loses the use of his leg and is rendered completely blind. The blindness improves a
month later. To what extent will he receive Presumptive Disability benefits? - (answers)No
benefits
For the purpose of insurance, risk is defined as - (answers)The uncertainty or chance of loss.
Which of the following is an example of a producer's fiduciary duty? - (answers)The trust that a
client places in the producer in regard to handling premiums.
Which of the following is NOT true of basic medical expense plans? - (answers)Coverage for
catastrophic medical expenses
,Which of the following is NOT a feature of a noncancellable policy? - (answers)The insurer may
terminate the contract only at renewal for certain conditions.
What is the best way to change an application? - (answers)Start over with a fresh application
On a major medical insurance policy, the amount that an insured must pay on a claim before the
insurer will pay is known as - (answers)Deductible.
Which of the following is correct about a group health insurance policy issued in New York? -
(answers)It cannot exclude newborn children from coverage.
Which of the following is NOT a characteristic of a group long-term disability plan? -
(answers)The benefit can be up to 50% of one's yearly income.
In which Medicare supplemental policies are the core benefits found? - (answers)All plans
When benefits are paid directly to the insured under a health insurance policy, the policy
provides benefits on what type of basis? - (answers)Reimbursement
If an employee terminates her employment, which of the following provisions would allow her
to continue health coverage under an individual policy, if requested within 60 days? -
(answers)Conversion
To be eligible under HIPAA regulations, for how long should an individual converting to an
individual health plan have been covered under the previous group plan? - (answers)18 months
Under which of the following disability income plans would the benefits be subject to income
tax? - (answers)Group
Under the Affordable Care Act, a special enrollment period allows an individual to enroll in a
qualified health plan within how many days of a qualifying event? - (answers)60 days
, Which of the following individuals must pass a written examination to be licensed as a life
insurance agent? - (answers)A resident of New York wishing to transact business in New York
When an insurer offers services like preadmission testing, second opinions regarding surgery,
and preventative care, which term would best apply? - (answers)Case management provision
An individual applies for a life policy. Two years ago he suffered a head injury from an accident,
so he cannot remember parts of his past, but is otherwise competent. He has also been
hospitalized for drug abuse, but does not remember this when applying for insurance. The insurer
issues the policy and learns of his history one year later. What will probably happen? -
(answers)The policy will not be affected.
The purpose of managed care health insurance plans is to - (answers)Control health insurance
claims expenses.
To attain currently insured status under Social Security, a worker must have earned at least how
many credits during the last 13 quarters? - (answers)6 credits
If seeking repayment of Medicaid funds per the Medicaid Estate Recovery Act would cause a
hardship to survivors, states may - (answers)Waive the estate recovery requirement.
The insuring clause of a disability policy usually states all of the following EXCEPT -
(answers)The method of premium payment.
Which of the following statements regarding Business Overhead Expense policies is NOT true? -
(answers)Benefits are usually limited to six months.
At what point must an Outline of Coverage be delivered? - (answers)At the time of application or
upon delivery of the policy
A medical insurance plan in which the health care provider is paid a regular fixed amount for
providing care to the insured and does not receive additional amounts of compensation
dependent upon the procedure performed is called - (answers)Prepaid plan.
