1 Exampromax - Stuvia US
NY state insurance license practice exam
Questions and Answers 100% Correct Answers
Already Graded A+
Q: Under what circumstance does an accident and health insurer have the
right to request an autopsy?
1. When the claim exceeds an amount specified in the policy
Exampromax - Stuvia US
2. When 2 days have passed after death
3. When not prohibited by state law
4. When consent is given by the beneficiary
Ans: 3. When not prohibited by state law
Q: Which of the following accurately describes the "time limit on certain
defenses"?
1. After a stated period of time, claims cannot be denied due to material
misrepresentation on the application
2. All claims can be disputed after two years
3. An insured cannot file a lawsuit within 90 days of the claim being filed
4. The right to return an accident and health policy must be within 10 days
of policy delivery
, 2 Exampromax - Stuvia US
Ans: 1. After a stated period of time, claims cannot be denied due to material
misrepresentation on the application
Q: Patrick purchased a long-term care policy. He has a health condition for
which medical treatment was recommended by a physician within 6 months
prior to the policy's effective date. This condition is called a(n)
1. antecedent condition
2. pre-existing condition
3. hazardous condition
Exampromax - Stuvia US
4. grandfathered condition
Ans: 2. pre-existing condition
Q: Which of the following describes coverage for the Medicare Part B
coinsurance?
1. Only a Long-term care policy will cover Medicare Part B coinsurance
2. A Medicare Supplement optional benefit
3. A Medicare Supplement core benefit
4. Medicare Part B does not require a coinsurance so no additional coverage
is needed
Ans: 3. A Medicare Supplement core benefit
Q: Larry has a Major Medical Expense policy for his family with a $1,000
per family/per year deductible and an 80/20 coinsurance provision. If
, 3 Exampromax - Stuvia US
Larry's family files four claims of $400, $800, $100, and $700 in one year,
how much will the insurance company pay?
1. $500
2. $800
3. $1,000
4. $1,200
Ans: 2. $800
Exampromax - Stuvia US
(($400 + $800 + $100 + $700 = $2,000. The insurance company pays 80% of
$1,000 (outstanding balance after deductible is paid), or $800.))
Q: Long-term care policies issued in New York must provide benefits for at
least
1. 6 months
2. 12 months
3. 18 months
4. 24 months
Ans: 2. 12 months
Q: Which of the following types of insurers limits the exposures it writes to
those of its owners?
1. Restricted insurer
, 4 Exampromax - Stuvia US
2. Limited insurer
3. Confined insurer
4. Captive insurer
Ans: 4. Captive insurer
Q: Notice of information practices must be given to a policyholder at least
1. every year
Exampromax - Stuvia US
2. every two years
3. every three years
4. every four years
Ans: 3. Every three years
Q: What is the elimination period of an individual disability policy?
1. Time period an insured must wait before coverage begins
2. Time period a disabled person must wait before benefits are paid
3. Time period after the policy issue date in which the provisions are still
contestable
4. The point in time when benefits are no longer payable
NY state insurance license practice exam
Questions and Answers 100% Correct Answers
Already Graded A+
Q: Under what circumstance does an accident and health insurer have the
right to request an autopsy?
1. When the claim exceeds an amount specified in the policy
Exampromax - Stuvia US
2. When 2 days have passed after death
3. When not prohibited by state law
4. When consent is given by the beneficiary
Ans: 3. When not prohibited by state law
Q: Which of the following accurately describes the "time limit on certain
defenses"?
1. After a stated period of time, claims cannot be denied due to material
misrepresentation on the application
2. All claims can be disputed after two years
3. An insured cannot file a lawsuit within 90 days of the claim being filed
4. The right to return an accident and health policy must be within 10 days
of policy delivery
, 2 Exampromax - Stuvia US
Ans: 1. After a stated period of time, claims cannot be denied due to material
misrepresentation on the application
Q: Patrick purchased a long-term care policy. He has a health condition for
which medical treatment was recommended by a physician within 6 months
prior to the policy's effective date. This condition is called a(n)
1. antecedent condition
2. pre-existing condition
3. hazardous condition
Exampromax - Stuvia US
4. grandfathered condition
Ans: 2. pre-existing condition
Q: Which of the following describes coverage for the Medicare Part B
coinsurance?
1. Only a Long-term care policy will cover Medicare Part B coinsurance
2. A Medicare Supplement optional benefit
3. A Medicare Supplement core benefit
4. Medicare Part B does not require a coinsurance so no additional coverage
is needed
Ans: 3. A Medicare Supplement core benefit
Q: Larry has a Major Medical Expense policy for his family with a $1,000
per family/per year deductible and an 80/20 coinsurance provision. If
, 3 Exampromax - Stuvia US
Larry's family files four claims of $400, $800, $100, and $700 in one year,
how much will the insurance company pay?
1. $500
2. $800
3. $1,000
4. $1,200
Ans: 2. $800
Exampromax - Stuvia US
(($400 + $800 + $100 + $700 = $2,000. The insurance company pays 80% of
$1,000 (outstanding balance after deductible is paid), or $800.))
Q: Long-term care policies issued in New York must provide benefits for at
least
1. 6 months
2. 12 months
3. 18 months
4. 24 months
Ans: 2. 12 months
Q: Which of the following types of insurers limits the exposures it writes to
those of its owners?
1. Restricted insurer
, 4 Exampromax - Stuvia US
2. Limited insurer
3. Confined insurer
4. Captive insurer
Ans: 4. Captive insurer
Q: Notice of information practices must be given to a policyholder at least
1. every year
Exampromax - Stuvia US
2. every two years
3. every three years
4. every four years
Ans: 3. Every three years
Q: What is the elimination period of an individual disability policy?
1. Time period an insured must wait before coverage begins
2. Time period a disabled person must wait before benefits are paid
3. Time period after the policy issue date in which the provisions are still
contestable
4. The point in time when benefits are no longer payable
