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Exam (elaborations)

NY State Insurance License Practice Exam 2025: Accident & Health (100% Verified Q&A)

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A comprehensive collection of 100% verified questions and answers for the 2025 New York State Insurance License Exam, focusing on Accident & Health Insurance. Covers key topics including Medicare, disability policies, ACA regulations, policy provisions, NY-specific laws, and underwriting concepts. Ideal for exam preparation with guaranteed accuracy.

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NY State Insurance License
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NY State Insurance License











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Institution
NY State Insurance License
Course
NY State Insurance License

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Uploaded on
July 23, 2025
Number of pages
116
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

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P age
n n n n |1
n




NY STATE INSURANCE LICENSE PRACTICE
n n n n




n EXAM EXAM 2025| BRAND NEW ACTUAL n n n n n




n EXAM WITH 100% VERIFIED QUESTIONS AND
n n n n n




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
n n n n n n n n




have the right to request an autopsy?
n n n n n n n




1. When the claim exceeds an amount specified in the policy
n n n n n n n n n




2. When 2 days have passed after death
n n n n n n




3. When not prohibited by state law
n n n n n




4. When consent is given by the beneficiary - ANSWERS_3.
n n n n n n n n




When not prohibited by state law
n n n n n n




Which of the following accurately describes the "time limit on
n n n n n n n n n




certain defenses"?
n n

, P age
n n n n |2 n




1. After a stated period of time, claims cannot be denied due
n n n n n n n n n n




to material misrepresentation on the application
n n n n n n




2. All claims can be disputed after two years
n n n n n n n




3. An insured cannot file a lawsuit within 90 days of the claim
n n n n n n n n n n n




being filed
n n




4. The right to return an accident and health policy must be
n n n n n n n n n n




within 10 days of policy delivery - ANSWERS_1. After a stated
n n n n n n n n n n n




period of time, claims cannot be denied due to material
n n n n n n n n n n




misrepresentation on the application
n n n n




Patrick purchased a long-term care policy. He has a health
n n n n n n n n n




condition for which medical treatment was recommended by a
n n n n n n n n n




physician within 6 months prior to the policy's effective date.
n n n n n n n n n n




This condition is called a(n)
n n n n n




1. antecedent condition n




2. pre-existing condition n




3. hazardous condition n

, P age
n n n n |3
n




4. grandfathered condition - ANSWERS_2. pre-existing n n n n




condition
n




Which of the following describes coverage for the Medicare
n n n n n n n n




Part B coinsurance?
n n n




1. Only a Long-term care policy will cover Medicare Part B
n n n n n n n n n




coinsurance
n




2. A Medicare Supplement optional benefit
n n n n




3. A Medicare Supplement core benefit
n n n n




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
n n n n n n n n




Supplement core benefit
n n n




Larry has a Major Medical Expense policy for his family with a
n n n n n n n n n n n




$1,000 per family/per year deductible and an 80/20
n n n n n n n




coinsurance provision. If Larry's family files four claims of
n n n n n n n n n




$400, $800, $100, and $700 in one year, how much will the
n n n n n n n n n n n




insurance company pay?
n n n




1. $500

, P age
n n n n |4
n




2. $800


3. $1,000


4. $1,200 - ANSWERS_2. $800
n n n




(($400 + $800 + $100 + $700 = $2,000. The insurance
n n n n n n n n n n




company pays 80% of $1,000 (outstanding balance after
n n n n n n n n




deductible is paid), or $800.))
n n n n n




Long-term care policies issued in New York must provide
n n n n n n n n




benefits for at least
n n n n




1. 6 months
n




2. 12 months
n




3. 18 months
n




4. 24 months - ANSWERS_2. 12 months
n n n n n

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