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NY STATE INSURANCE LICENSE PRACTICE
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n EXAM EXAM 2025| BRAND NEW ACTUAL n n n n n
n EXAM WITH 100% VERIFIED QUESTIONS AND
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n CORRECT SOLUTIONS| GUARANTEED VALUE n n n
n PACK| ACE YOUR GRADES. n n n
Under what circumstance does an accident and health insurer
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have the right to request an autopsy?
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1. When the claim exceeds an amount specified in the policy
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2. When 2 days have passed after death
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3. When not prohibited by state law
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4. When consent is given by the beneficiary - ANSWERS_3.
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When not prohibited by state law
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Which of the following accurately describes the "time limit on
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certain defenses"?
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1. After a stated period of time, claims cannot be denied due
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to material misrepresentation on the application
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2. All claims can be disputed after two years
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3. An insured cannot file a lawsuit within 90 days of the claim
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being filed
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4. The right to return an accident and health policy must be
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within 10 days of policy delivery - ANSWERS_1. After a stated
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period of time, claims cannot be denied due to material
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misrepresentation on the application
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Patrick purchased a long-term care policy. He has a health
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condition for which medical treatment was recommended by a
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physician within 6 months prior to the policy's effective date.
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This condition is called a(n)
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1. antecedent condition n
2. pre-existing condition n
3. hazardous condition n
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4. grandfathered condition - ANSWERS_2. pre-existing n n n n
condition
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Which of the following describes coverage for the Medicare
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Part B coinsurance?
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1. Only a Long-term care policy will cover Medicare Part B
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coinsurance
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2. A Medicare Supplement optional benefit
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3. A Medicare Supplement core benefit
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4. Medicare Part B does not require a coinsurance so non n n n n n n n n
additional coverage is needed - ANSWERS_3. A Medicare
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Supplement core benefit
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Larry has a Major Medical Expense policy for his family with a
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$1,000 per family/per year deductible and an 80/20
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coinsurance provision. If Larry's family files four claims of
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$400, $800, $100, and $700 in one year, how much will the
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insurance company pay?
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1. $500
, P age
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2. $800
3. $1,000
4. $1,200 - ANSWERS_2. $800
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(($400 + $800 + $100 + $700 = $2,000. The insurance
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company pays 80% of $1,000 (outstanding balance after
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deductible is paid), or $800.))
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Long-term care policies issued in New York must provide
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benefits for at least
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1. 6 months
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2. 12 months
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3. 18 months
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4. 24 months - ANSWERS_2. 12 months
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