PSI - NY Life, Accident and Health
Practice Exam 17-55
Which policy provision permits the policy owner to take a specified number of days to
examine the contract, and allows for cancellation and a full refund if the policy owner
rejects the terms or costs? ...ANSWER...Free Look
When will a policy pay on a UCR basis? ...ANSWER...When particular benefits are not
listed on a payment schedule
Which type of rider reimburses health and social service expenses incurred in a
convalescent or nursing home facility? ...ANSWER...long term care rider
Which of the following is exempted from the incontestability provision in insurance
policies? ...ANSWER...Fraudulent misstatements
What does first dollar coverage mean? ...ANSWER...As soon as covered medical
expenses are incurred, the policy begins to pay
What is the waiver of premium provision? ...ANSWER...In a long term care contract, the
premium is waived after the insured has been confined for a specific period of time
According to the Time Payment of Claims provision, the insurer must make the payment
immediately after receiving proof of loss EXCEPT ...ANSWER...for claims involving
periodic payments
Which is a disadvantage to a flexible premium annuity? ...ANSWER...the actual amount
of the annuity benefit cannot be determined in advance
When a policy or certificate containing an accelerated benefit provision is applied for or
delivered, the producer is responsible for providing that applicant a summary of
coverage that includes all of the following EXCEPT ...ANSWER...a detailed and
comprehensive summary of the accelerated benefit
which one of the following represents an advantage of obtaining a policy loan versus a
withdrawal? ...ANSWER...the loan is not taxed while a withdrawal is taxed for amounts
above the contract cost basis
, How does a noncancelable policy differ from a guaranteed renewable
policy? ...ANSWER...with the non cancelable policy the insurer may increase premiums
only based on the terms of the policy
What does it mean if a health policy is conditionally renewable? ...ANSWER...Insurer
may elect NOT to renew only under the conditions specified in the policy
When the suicide clause is inserted in a life insurance contract, death by suicide is not
covered during the policy's initial: ...ANSWER...2 year period
What does coinsurance mean? ...ANSWER...The insurer and the insured share
expenses over the deductible.
Which of the following must be given to the insurer within 20 days after occurrence or
commencement of any loss covered by the policy, or as soon thereafter as is
reasonably possible? ...ANSWER...Notice of claim
The right to change the beneficiary or dispose of the policy or its benefits in any manner
one chooses is reserved to the policy owner UNLESS which of the following is
true? ...ANSWER...The policy owner has named an irrevocable beneficiary
Which of the following refers to how often a premium is paid? ...ANSWER...Mode
All of the following are common exclusions from loss found in disability income policies
EXCEPT for that incurred while ...ANSWER...Committing a misdemeanor
At which point are contractual death benefit settlement options determined and by
whom are they determined? ...ANSWER...At the time the policy is purchased by the
owner of the policy
All of the following are ownership rights EXCEPT ...ANSWER...Switching the policy
from one insured to another
All of the following are TRUE regarding incomplete applications
EXCEPT ...ANSWER...The incomplete application can be accepted with the missing
information added later
A consumer report used to determine eligibility for insurance may include all of the
following EXCEPT ...ANSWER...Medical underwriting exam
All of the following are required signatures on a life insurance application
EXCEPT ...ANSWER...The minor in a juvenile policy
Why are insurance policies considered conditional contracts? ...ANSWER...Certain
conditions need to be met to make the contract legally enforceable.
Practice Exam 17-55
Which policy provision permits the policy owner to take a specified number of days to
examine the contract, and allows for cancellation and a full refund if the policy owner
rejects the terms or costs? ...ANSWER...Free Look
When will a policy pay on a UCR basis? ...ANSWER...When particular benefits are not
listed on a payment schedule
Which type of rider reimburses health and social service expenses incurred in a
convalescent or nursing home facility? ...ANSWER...long term care rider
Which of the following is exempted from the incontestability provision in insurance
policies? ...ANSWER...Fraudulent misstatements
What does first dollar coverage mean? ...ANSWER...As soon as covered medical
expenses are incurred, the policy begins to pay
What is the waiver of premium provision? ...ANSWER...In a long term care contract, the
premium is waived after the insured has been confined for a specific period of time
According to the Time Payment of Claims provision, the insurer must make the payment
immediately after receiving proof of loss EXCEPT ...ANSWER...for claims involving
periodic payments
Which is a disadvantage to a flexible premium annuity? ...ANSWER...the actual amount
of the annuity benefit cannot be determined in advance
When a policy or certificate containing an accelerated benefit provision is applied for or
delivered, the producer is responsible for providing that applicant a summary of
coverage that includes all of the following EXCEPT ...ANSWER...a detailed and
comprehensive summary of the accelerated benefit
which one of the following represents an advantage of obtaining a policy loan versus a
withdrawal? ...ANSWER...the loan is not taxed while a withdrawal is taxed for amounts
above the contract cost basis
, How does a noncancelable policy differ from a guaranteed renewable
policy? ...ANSWER...with the non cancelable policy the insurer may increase premiums
only based on the terms of the policy
What does it mean if a health policy is conditionally renewable? ...ANSWER...Insurer
may elect NOT to renew only under the conditions specified in the policy
When the suicide clause is inserted in a life insurance contract, death by suicide is not
covered during the policy's initial: ...ANSWER...2 year period
What does coinsurance mean? ...ANSWER...The insurer and the insured share
expenses over the deductible.
Which of the following must be given to the insurer within 20 days after occurrence or
commencement of any loss covered by the policy, or as soon thereafter as is
reasonably possible? ...ANSWER...Notice of claim
The right to change the beneficiary or dispose of the policy or its benefits in any manner
one chooses is reserved to the policy owner UNLESS which of the following is
true? ...ANSWER...The policy owner has named an irrevocable beneficiary
Which of the following refers to how often a premium is paid? ...ANSWER...Mode
All of the following are common exclusions from loss found in disability income policies
EXCEPT for that incurred while ...ANSWER...Committing a misdemeanor
At which point are contractual death benefit settlement options determined and by
whom are they determined? ...ANSWER...At the time the policy is purchased by the
owner of the policy
All of the following are ownership rights EXCEPT ...ANSWER...Switching the policy
from one insured to another
All of the following are TRUE regarding incomplete applications
EXCEPT ...ANSWER...The incomplete application can be accepted with the missing
information added later
A consumer report used to determine eligibility for insurance may include all of the
following EXCEPT ...ANSWER...Medical underwriting exam
All of the following are required signatures on a life insurance application
EXCEPT ...ANSWER...The minor in a juvenile policy
Why are insurance policies considered conditional contracts? ...ANSWER...Certain
conditions need to be met to make the contract legally enforceable.
