NY SERIES 17-52 EXAM WITH 170 QUESTIONS AND
VERIFIED ANSWERS ||LATEST 2024/2025
How many eligible employees must be included in a contributory health
insurance plan? - CORRECT 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, -
CORRECT ANSWER The insurance through his company is primary.
What is the period of coverage for events such as death or divorce under
COBRA? - CORRECT 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? - CORRECT
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? - CORRECT
ANSWER No benefits
For the purpose of insurance, risk is defined as - CORRECT ANSWER
The uncertainty or chance of loss.
Which of the following is an example of a producer's fiduciary duty? -
CORRECT 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? -
CORRECT ANSWER Coverage for catastrophic medical expenses
Which of the following is NOT a feature of a noncancellable policy? -
CORRECT ANSWER The insurer may terminate the contract only at
renewal for certain conditions.
What is the best way to change an application? - CORRECT ANSWER
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 - CORRECT
ANSWER Deductible.
Which of the following is correct about a group health insurance policy
issued in New York? - CORRECT ANSWER It cannot exclude
newborn children from coverage.
Which of the following is NOT a characteristic of a group long-term
disability plan? - CORRECT ANSWER The benefit can be up to 50%
of one's yearly income.
In which Medicare supplemental policies are the core benefits found? -
CORRECT ANSWER All plans
When benefits are paid directly to the insured under a health insurance
policy, the policy provides benefits on what type of basis? - CORRECT
ANSWER 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? - CORRECT ANSWER
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? - CORRECT ANSWER 18 months
Under which of the following disability income plans would the benefits
be subject to income tax? - CORRECT ANSWER 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? - CORRECT ANSWER 60 days
Which of the following individuals must pass a written examination to
be licensed as a life insurance agent? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER The policy will not be affected.
The purpose of managed care health insurance plans is to - CORRECT
ANSWER 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? -
CORRECT ANSWER 6 credits
, If seeking repayment of Medicaid funds per the Medicaid Estate
Recovery Act would cause a hardship to survivors, states may -
CORRECT ANSWER Waive the estate recovery requirement.
The insuring clause of a disability policy usually states all of the
following EXCEPT - CORRECT ANSWER The method of premium
payment.
Which of the following statements regarding Business Overhead
Expense policies is NOT true? - CORRECT ANSWER Benefits are
usually limited to six months.
At what point must an Outline of Coverage be delivered? - CORRECT
ANSWER 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 - CORRECT ANSWER Prepaid plan.
Medicaid provides all of the following benefits EXCEPT - CORRECT
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? -
CORRECT ANSWER Prospective review
Which of the following programs expands individual public assistance
programs for people with insufficient income and resources? -
CORRECT ANSWER Medicaid
When the policy premium wasn't submitted with the application, what
should the agent obtain from the insured upon policy delivery? -
CORRECT ANSWER A statement of good health
VERIFIED ANSWERS ||LATEST 2024/2025
How many eligible employees must be included in a contributory health
insurance plan? - CORRECT 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, -
CORRECT ANSWER The insurance through his company is primary.
What is the period of coverage for events such as death or divorce under
COBRA? - CORRECT 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? - CORRECT
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? - CORRECT
ANSWER No benefits
For the purpose of insurance, risk is defined as - CORRECT ANSWER
The uncertainty or chance of loss.
Which of the following is an example of a producer's fiduciary duty? -
CORRECT 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? -
CORRECT ANSWER Coverage for catastrophic medical expenses
Which of the following is NOT a feature of a noncancellable policy? -
CORRECT ANSWER The insurer may terminate the contract only at
renewal for certain conditions.
What is the best way to change an application? - CORRECT ANSWER
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 - CORRECT
ANSWER Deductible.
Which of the following is correct about a group health insurance policy
issued in New York? - CORRECT ANSWER It cannot exclude
newborn children from coverage.
Which of the following is NOT a characteristic of a group long-term
disability plan? - CORRECT ANSWER The benefit can be up to 50%
of one's yearly income.
In which Medicare supplemental policies are the core benefits found? -
CORRECT ANSWER All plans
When benefits are paid directly to the insured under a health insurance
policy, the policy provides benefits on what type of basis? - CORRECT
ANSWER 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? - CORRECT ANSWER
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? - CORRECT ANSWER 18 months
Under which of the following disability income plans would the benefits
be subject to income tax? - CORRECT ANSWER 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? - CORRECT ANSWER 60 days
Which of the following individuals must pass a written examination to
be licensed as a life insurance agent? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER The policy will not be affected.
The purpose of managed care health insurance plans is to - CORRECT
ANSWER 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? -
CORRECT ANSWER 6 credits
, If seeking repayment of Medicaid funds per the Medicaid Estate
Recovery Act would cause a hardship to survivors, states may -
CORRECT ANSWER Waive the estate recovery requirement.
The insuring clause of a disability policy usually states all of the
following EXCEPT - CORRECT ANSWER The method of premium
payment.
Which of the following statements regarding Business Overhead
Expense policies is NOT true? - CORRECT ANSWER Benefits are
usually limited to six months.
At what point must an Outline of Coverage be delivered? - CORRECT
ANSWER 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 - CORRECT ANSWER Prepaid plan.
Medicaid provides all of the following benefits EXCEPT - CORRECT
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? -
CORRECT ANSWER Prospective review
Which of the following programs expands individual public assistance
programs for people with insufficient income and resources? -
CORRECT ANSWER Medicaid
When the policy premium wasn't submitted with the application, what
should the agent obtain from the insured upon policy delivery? -
CORRECT ANSWER A statement of good health
