Page | 1
NY state insurance license practice
exam Questions and Expert Answers
the Latest Version
Question: 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
Question: 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
, Page | 2
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
Question: 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
Question: 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
, Page | 3
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
Question: 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?
1. $500
2. $800
3. $1,000
4. $1,200
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.))
, Page | 4
Question: 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
Answer: 2. 12 months
Question: Which of the following types of insurers limits the exposures it
writes to those of its owners?
1. Restricted insurer
2. Limited insurer
3. Confined insurer
4. Captive insurer
Answer: 4. Captive insurer
Question: Notice of information practices must be given to a policyholder at
least
NY state insurance license practice
exam Questions and Expert Answers
the Latest Version
Question: 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
Question: 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
, Page | 2
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
Question: 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
Question: 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
, Page | 3
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
Question: 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?
1. $500
2. $800
3. $1,000
4. $1,200
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.))
, Page | 4
Question: 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
Answer: 2. 12 months
Question: Which of the following types of insurers limits the exposures it
writes to those of its owners?
1. Restricted insurer
2. Limited insurer
3. Confined insurer
4. Captive insurer
Answer: 4. Captive insurer
Question: Notice of information practices must be given to a policyholder at
least
