NY Series 17-52 Questions and Answers 100% Pass
How many eligible employees must be included in a contributory health insurance plan? -
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, - ANSWER The insurance through his company is primary.
What is the period of coverage for events such as death or divorce under COBRA? - 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?
- 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? - ANSWER No
benefits
For the purpose of insurance, risk is defined as - ANSWER The uncertainty or chance of loss.
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.
Which of the following is NOT true of basic medical expense plans? - ANSWER Coverage for
catastrophic medical expenses
, 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.
What is the best way to change an application? - 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 - ANSWER Deductible.
Which of the following is correct about a group health insurance policy issued in New York? -
ANSWER It cannot exclude newborn children from coverage.
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.
In which Medicare supplemental policies are the core benefits found? - 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? - 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? - 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? - ANSWER 18 months
Under which of the following disability income plans would the benefits be subject to income
tax? - ANSWER Group
How many eligible employees must be included in a contributory health insurance plan? -
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, - ANSWER The insurance through his company is primary.
What is the period of coverage for events such as death or divorce under COBRA? - 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?
- 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? - ANSWER No
benefits
For the purpose of insurance, risk is defined as - ANSWER The uncertainty or chance of loss.
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.
Which of the following is NOT true of basic medical expense plans? - ANSWER Coverage for
catastrophic medical expenses
, 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.
What is the best way to change an application? - 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 - ANSWER Deductible.
Which of the following is correct about a group health insurance policy issued in New York? -
ANSWER It cannot exclude newborn children from coverage.
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.
In which Medicare supplemental policies are the core benefits found? - 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? - 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? - 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? - ANSWER 18 months
Under which of the following disability income plans would the benefits be subject to income
tax? - ANSWER Group
