NY SERIES 17-52 2025
UPDATE OVER 200
QUESTIONS AND VERIFIED
ANSWERS 100% CORRECT
GRADED A+
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. How many eligible employees must be included in a contributory health
insurance plan?
Answer: 50%
2. 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, what is true?
Answer: The insurance through his company is primary.
3. What is the period of coverage for events such as death or divorce under
COBRA?
Answer: 36 months.
4. 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.
5. 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.
6. For the purpose of insurance, risk is defined as:
Answer: The uncertainty or chance of loss.
7. 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.
8. Which of the following is NOT true of basic medical expense plans?
Answer: Coverage for catastrophic medical expenses.
9. 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.
10. What is the best way to change an application?
Answer: Start over with a fresh application.
11. On a major medical insurance policy, the amount that an insured must pay
on a claim before the insurer will pay is known as:
Answer: Deductible.
, 12. Which of the following is correct about a group health insurance policy
issued in New York?
Answer: It cannot exclude newborn children from coverage.
13. Which of the following is NOT a characteristic of a group long-term disability
plan?
Answer: The benefit can be up to 50% of one's yearly income.
14. In which Medicare supplemental policies are the core benefits found?
Answer: All plans.
15. When benefits are paid directly to the insured under a health insurance
policy, the policy provides benefits on what type of basis?
Answer: Reimbursement.
16. 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?
Answer: Conversion.
17. 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?
Answer: 18 months.
18. Under which of the following disability income plans would the benefits be
subject to income tax?
Answer: Group.
19. 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?
Answer: 60 days.
20. Which of the following individuals must pass a written examination to be
licensed as a life insurance agent?
Answer: A resident of New York wishing to transact business in New York.
21. When an insurer offers services like preadmission testing, second opinions
regarding surgery, and preventative care, which term would best apply?
Answer: Case management provision.
22. 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
UPDATE OVER 200
QUESTIONS AND VERIFIED
ANSWERS 100% CORRECT
GRADED A+
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. How many eligible employees must be included in a contributory health
insurance plan?
Answer: 50%
2. 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, what is true?
Answer: The insurance through his company is primary.
3. What is the period of coverage for events such as death or divorce under
COBRA?
Answer: 36 months.
4. 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.
5. 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.
6. For the purpose of insurance, risk is defined as:
Answer: The uncertainty or chance of loss.
7. 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.
8. Which of the following is NOT true of basic medical expense plans?
Answer: Coverage for catastrophic medical expenses.
9. 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.
10. What is the best way to change an application?
Answer: Start over with a fresh application.
11. On a major medical insurance policy, the amount that an insured must pay
on a claim before the insurer will pay is known as:
Answer: Deductible.
, 12. Which of the following is correct about a group health insurance policy
issued in New York?
Answer: It cannot exclude newborn children from coverage.
13. Which of the following is NOT a characteristic of a group long-term disability
plan?
Answer: The benefit can be up to 50% of one's yearly income.
14. In which Medicare supplemental policies are the core benefits found?
Answer: All plans.
15. When benefits are paid directly to the insured under a health insurance
policy, the policy provides benefits on what type of basis?
Answer: Reimbursement.
16. 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?
Answer: Conversion.
17. 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?
Answer: 18 months.
18. Under which of the following disability income plans would the benefits be
subject to income tax?
Answer: Group.
19. 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?
Answer: 60 days.
20. Which of the following individuals must pass a written examination to be
licensed as a life insurance agent?
Answer: A resident of New York wishing to transact business in New York.
21. When an insurer offers services like preadmission testing, second opinions
regarding surgery, and preventative care, which term would best apply?
Answer: Case management provision.
22. 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
