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Exam (elaborations)

NEW YORK STATE LAW QUESTIONS WITH COMPLETE ANSWERS

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NEW YORK STATE LAW QUESTIONS WITH COMPLETE ANSWERS

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The Superintendent can only revoke a license __________________.


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after a hearing




Insurance producers are required to complete how many hours of approved
continuing education during each 2-year license period?


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15

,Illegal Occupation-The insurer is __________ for any loss if a contributing cause was the
insured's engagement in an illegal occupation or commission of, or attempt to
commit, a felony.


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not liable




___________________ insurance insures a group of persons against death or injury arising from
accident. Airline, Cruise ship, college campus, city , town, village etc.
An association of persons with a common interest or calling - so long as the
association has at least 50 members


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Blanket accident and health




The Superintendent's powers are granted by the ____________since insurance is __________
regulated.


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state




An employee or member covered under a GROUP LIFE policy will be allowed to
convert to an individual policy, without evidence of insurability, within ______ of the
group policy's termination or reduction. *

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31 days




This provision allows an insurer to deduct any unpaid premiums from claim payments.


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Unpaid Premiums Provision




Optional Benefits- _____________________________
New York insurers must offer inflation protection - as either a policy provision or rider
- when offering Long-term Care Insurance insurance. Offers of inflation protection to
provide for the increase of benefit levels and maximums can be no less favorable to
the insured than the following:


Increase benefit levels on an annual basis of at least 5% compounded annually (based
on the Consumer Price Index)


Guarantee the insured the right to periodically increase benefit levels without medical
underwriting if the option for such increases wasn't declined by the insured (the
minimum amount of any increase must be the difference between the current benefit
limit and the current limit compounded annually at a rate of no less than 5%)


The benefit level does not include a maximum specified indemnity amount or limit
and, instead, covers a specified percentage of actual or reasonable charges


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Inflation Protection (COLA)

, Under the New York required benefits for those entities providing hospital, surgical or
medical expense coverage, home care coverage may be subjected to an annual
deductible not to exceed ___________ per person and a coinsurance provision of not less
than 75% of the reasonable charges


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$50




If notice under an employer group health insurance conversion privilege is provided
more than 15 days but less than 90 days after termination, the conversion privilege
must be extended to 45 days.


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45




If the insured pays a renewal premium after a policy has lapsed, and the insurer does
not require a _____________ application, the policy will be reinstated automatically upon
acceptance of the premium payment by the insurer or its agent or broker.


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reinstatement




Qualified Health Plan (QHP)
A qualified health plan is any plan which provides coverage for the 10 Essential Health

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