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Summary NYS Life, accident, and health insurance EXAM 2025/2026 Exam – Verified Questions and Answers for an A Grade

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NYS Life, accident, and health insurance EXAM 2025/2026 Exam – Verified Questions and Answers for an A Grade

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NYS Life, accident, and health insurance
EXAM 2025/2026 Exam – Verified Questions
and Answers for an A Grade

Which type of life insurance policy is best suited for paying off the outstanding balance of a 30-year
mortgage in the event of the insured's death? - CORRECT ANSWERS 30-year
decreasing term.



How many days notice does the ACA require insurers to give before rescinding coverage? - CORRECT
ANSWERS 30



A signed good health statement may be requested by a life producer at the time of - CORRECT
ANSWERS Policy Delivery



Carol purchases a whole life policy that provides a choice of dividend options. This policy is required to
include a statement that the dividends are - CORRECT ANSWERS Not
Guaranteeed



Tim is confined to a nursing home but doesn't have a terminal illness. Which life insurance rider is
designed to help pay for this type of expense? - CORRECT ANSWERS Long-term
care benefit rider



An insured is covered under a group long-term disability policy. Under this type of policy, the definition
of disability based on any occupation typically applies - CORRECT ANSWERS
After two years of disability



Sylvia purchased an annuity for $100,000 from the proceeds of an inheritance. No further payments are
permitted and the income stream begins in 15 years. This contract is a(n) - CORRECT ANSWERS
Single premium deferred annuity

,Which of these is NOT a factor that influences group health insurance underwriting? - CORRECT
ANSWERS Physical exams of group members



What is the grace period required for an individual accident and health insurance policy with monthly
premiums? - CORRECT ANSWERS 10 days



In regards to technology and the ACA, which of the following statements is correct? - CORRECT
ANSWERS States which operate with an Exchange must offer an internet-based
portal



Insurable interest involves what assumption? - CORRECT ANSWERS One person
benefits from another person's continued life



Which of these policies is considered a whole life policy? - CORRECT ANSWERS
Single premium life



Which of the following would be considered an unfair claims settlement practice? - CORRECT ANSWERS
Misrepresenting pertinent policy provisions relating to coverage after a loss



A policyowner is permitted to take out a policy loan on a whole life policy at what point? - CORRECT
ANSWERS When the policy has a cash value



Which of these is NOT a factor during the health insurance underwriting process? - CORRECT ANSWERS
Former residence



New York workers compensation laws exclude benefits for disabilities caused by - CORRECT ANSWERS
Intentional, self-inflicted injuries occurring on the job



When premiums are determined, one factor would be the expenses of the - CORRECT ANSWERS
Insurer

,Scott has a life insurance policy in which the dividends are left with the insurance company. This
particular policy may be paid up when the cash value plus accumulated dividends - CORRECT ANSWERS
equal the net single premium for the same face amount at the insured's attained age



During open enrollment for Medicare Supplement coverage, an applicant MUST be at least - CORRECT
ANSWERS There is no minimum age requirement



What happens to the cash value of a market value adjusted annuity if it's surrendered prior to the end of
the stated guarantee period? - CORRECT ANSWERS Subject to market value
adjustment



Which of the following contracts offer deferred taxation, flexible payments, a guaranteed interest rate,
and death benefits equal to the cash value? - CORRECT ANSWERS Flexible
premium fixed annuity



Tonya has been diagnosed with kidney failure and has group accident and health insurance through her
large employer. Which of these accident and health plans will be primary during the months following
her diagnosis? - CORRECT ANSWERS Her employer's group accident and health
plan



Which statement regarding the certificate of insurance is accurate? - CORRECT ANSWERS
It indicates evidence of an employee's insurance coverage



According to the ACA, the proportion of premium revenues spent on clinical services and quality
improvements is called the - CORRECT ANSWERS Medical loss ratio



Which of the following statements regarding the Fair Credit Reporting Act is correct? - CORRECT
ANSWERS If credit, insurance, or employment was denied because of an
unfavorable report, the consumer must be advised

, According to the ACA, insurers can no longer deny health coverage due to pre-exsisting conditions
unless that plan is a - CORRECT ANSWERS Grandfathered plan



Which item must be considered by an agent when determining the suitability of an annuity
recommendation? - CORRECT ANSWERS The client's financial status



An applicant submits a life insurance application where an investigative consumer report is used in the
underwriting process. Which of these statements is true? - CORRECT ANSWERS
Applicant has a right to receive a copy of the report



If group Health benefit levels are too high, what could be the end result? - CORRECT ANSWERS
Overutilization of the plan



A life insurance producer licensed in New York is authorized to - CORRECT ANSWERS
Solicit, receive and forward applications to the insurer



A group-owned insurance company that is formed to assume and spread the liability risks of its
members is known as a - CORRECT ANSWERS Risk retention group



Any employee insured under a group life insurance plan is normally - CORRECT ANSWERS
Covered with term life insurance



A life insurance guaranteed insurability rider gives the insured the right, without proving insurability, to -
CORRECT ANSWERS Periodically purchase additional insurance



A policy owner has decided to replace an existing life insurance policy with a new one. The existing life
policy should be terminated - CORRECT ANSWERS After the new life policy has
been issued and delivered to the policy owner

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