NY Series 17-52 FINAL EXAM 2025
NEWEST COMPLETE EXAM QUESTIONS
AND CORRECT ANSWERS||100%
GUARANTEED PASS||A+ GRADED!!!
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 - ANSWER ✓
Prepaid plan.
Medicaid provides all of the following benefits EXCEPT - ANSWER ✓ Income
assistance for work-related injury.
What would a physician utilize if he/she wanted to know if a treatment is covered
under an insured's plan and at what rate it will be paid? - ANSWER ✓ Prospective
review
Which of the following programs expands individual public assistance programs
for people with insufficient income and resources? - ANSWER ✓ Medicaid
When the policy premium wasn't submitted with the application, what should the
agent obtain from the insured upon policy delivery? - ANSWER ✓ A statement of
good health
The Patient Protection and Affordable Care Act includes all of the following
provisions EXCEPT - ANSWER ✓ Individual tax deduction for premiums paid.
Under which of the following circumstances may the uniform individual accident
and sickness policy provisions be changed? - ANSWER ✓ If the change is more
favorable to the policyholder
In an HMO policy, one of the main responsibilities of the primary care physician
(PCP) as a gatekeeper is to do which of the following? - ANSWER ✓ Help control
costs
, Short term - ANSWER ✓ less than 2 years
How many eligible employees must be included in a contributory health insurance
plan? - ANSWER ✓ 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, - ANSWER ✓ The insurance through his
company is primary.
What is the period of coverage for events such as death or divorce under COBRA?
- ANSWER ✓ 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? - ANSWER ✓ 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? - ANSWER ✓ No benefits
For the purpose of insurance, risk is defined as - ANSWER ✓ The uncertainty or
chance of loss.
Which of the following is an example of a producer's fiduciary duty? - ANSWER
✓ 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? - ANSWER
✓ Coverage for catastrophic medical expenses
Which of the following is NOT a feature of a noncancellable policy? - ANSWER
✓ The insurer may terminate the contract only at renewal for certain conditions.
What is the best way to change an application? - ANSWER ✓ Start over with a
fresh application
NEWEST COMPLETE EXAM QUESTIONS
AND CORRECT ANSWERS||100%
GUARANTEED PASS||A+ GRADED!!!
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 - ANSWER ✓
Prepaid plan.
Medicaid provides all of the following benefits EXCEPT - ANSWER ✓ Income
assistance for work-related injury.
What would a physician utilize if he/she wanted to know if a treatment is covered
under an insured's plan and at what rate it will be paid? - ANSWER ✓ Prospective
review
Which of the following programs expands individual public assistance programs
for people with insufficient income and resources? - ANSWER ✓ Medicaid
When the policy premium wasn't submitted with the application, what should the
agent obtain from the insured upon policy delivery? - ANSWER ✓ A statement of
good health
The Patient Protection and Affordable Care Act includes all of the following
provisions EXCEPT - ANSWER ✓ Individual tax deduction for premiums paid.
Under which of the following circumstances may the uniform individual accident
and sickness policy provisions be changed? - ANSWER ✓ If the change is more
favorable to the policyholder
In an HMO policy, one of the main responsibilities of the primary care physician
(PCP) as a gatekeeper is to do which of the following? - ANSWER ✓ Help control
costs
, Short term - ANSWER ✓ less than 2 years
How many eligible employees must be included in a contributory health insurance
plan? - ANSWER ✓ 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, - ANSWER ✓ The insurance through his
company is primary.
What is the period of coverage for events such as death or divorce under COBRA?
- ANSWER ✓ 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? - ANSWER ✓ 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? - ANSWER ✓ No benefits
For the purpose of insurance, risk is defined as - ANSWER ✓ The uncertainty or
chance of loss.
Which of the following is an example of a producer's fiduciary duty? - ANSWER
✓ 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? - ANSWER
✓ Coverage for catastrophic medical expenses
Which of the following is NOT a feature of a noncancellable policy? - ANSWER
✓ The insurer may terminate the contract only at renewal for certain conditions.
What is the best way to change an application? - ANSWER ✓ Start over with a
fresh application
