1|Page
NY Accident and Health Insurance Agent 17-90 Final Exam Questions
& Correct Answers | 100% Guaranteed Pass.
Q: How many eligible employees must be included in a contributory health insurance plan? - Correct Ans✓✓
50%
Q: 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, - Correct
Ans✓✓ The insurance through his company is primary.
Q: What is the period of coverage for events such as death or divorce under COBRA? - Correct Ans✓✓ 36
months
Q: 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? - Correct Ans✓✓ The
policyowner will not receive a refund because the free-look period is over.
Q: 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? - Correct Ans✓✓ No benefits
Q: For the purpose of insurance, risk is defined as - Correct Ans✓✓ The uncertainty or chance of loss.
Q: Which of the following is an example of a producer's fiduciary duty? - Correct Ans✓✓ The trust that a client
places in the producer in regard to handling premiums.
Q: Which of the following is NOT true of basic medical expense plans? - Correct Ans✓✓ Coverage for
catastrophic medical expenses
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Q: Which of the following is NOT a feature of a noncancellable policy? - Correct Ans✓✓ The insurer may
terminate the contract only at renewal for certain conditions.
Q: What is the best way to change an application? - Correct Ans✓✓ Start over with a fresh application
Q: On a major medical insurance policy, the amount that an insured must pay on a claim before the insurer will
pay is known as - Correct Ans✓✓ Deductible.
Q: Which of the following is correct about a group health insurance policy issued in New York? - Correct
Ans✓✓ It cannot exclude newborn children from coverage.
Q: Which of the following is NOT a characteristic of a group long-term disability plan? - Correct Ans✓✓ The
benefit can be up to 50% of one's yearly income.
Q: In which Medicare supplemental policies are the core benefits found? - Correct Ans✓✓ All plans
Q: When benefits are paid directly to the insured under a health insurance policy, the policy provides benefits
on what type of basis? - Correct Ans✓✓ Reimbursement
Q: 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? - Correct Ans✓✓ Conversion
Q: 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? - Correct Ans✓✓ 18 months
Q: Under which of the following disability income plans would the benefits be subject to income tax? - Correct
Ans✓✓ Group
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Q: Under the Affordable Care Act, a special enrollment period allows an individual to enroll in a qualified
health plan within how many days of a qualifying event? - Correct Ans✓✓ 60 days
Q: Which of the following individuals must pass a written examination to be licensed as a life insurance agent?
- Correct Ans✓✓ A resident of New York wishing to transact business in New York
Q: When an insurer offers services like preadmission testing, second opinions regarding surgery, and
preventative care, which term would best apply? - Correct Ans✓✓ Case management provision
Q: An individual applies for a life policy. Two years ago he suffered a head injury from an accident, so he
cannot remember parts of his past, but is otherwise competent. He has also been hospitalized for drug abuse,
but does not remember this when applying for insurance. The insurer issues the policy and learns of his history
one year later. What will probably happen? - Correct Ans✓✓ The policy will not be affected.
Q: The purpose of managed care health insurance plans is to - Correct Ans✓✓ Control health insurance claims
expenses.
Q: To attain currently insured status under Social Security, a worker must have earned at least how many
credits during the last 13 quarters? - Correct Ans✓✓ 6 credits
Q: If seeking repayment of Medicaid funds per the Medicaid Estate Recovery Act would cause a hardship to
survivors, states may - Correct Ans✓✓ Waive the estate recovery requirement.
Q: The insuring clause of a disability policy usually states all of the following EXCEPT - Correct Ans✓✓ The
method of premium payment.
Q: Which of the following statements regarding Business Overhead Expense policies is NOT true? - Correct
Ans✓✓ Benefits are usually limited to six months.
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Q: At what point must an Outline of Coverage be delivered? - Correct Ans✓✓ At the time of application or
upon delivery of the policy
Q: A medical insurance plan in which the health care provider is paid a regular fixed amount for providing care
to the insured and does not receive additional amounts of compensation dependent upon the procedure
performed is called - Correct Ans✓✓ Prepaid plan.
Q: Medicaid provides all of the following benefits EXCEPT - Correct Ans✓✓ Income assistance for work-related
injury.
Q: What would a physician utilize if he/she wanted to know if a treatment is covered under an insured's plan
and at what rate it will be paid? - Correct Ans✓✓ Prospective review
Q: Which of the following programs expands individual public assistance programs for people with insufficient
income and resources? - Correct Ans✓✓ Medicaid
Q: When the policy premium wasn't submitted with the application, what should the agent obtain from the
insured upon policy delivery? - Correct Ans✓✓ A statement of good health
Q: The Patient Protection and Affordable Care Act includes all of the following provisions EXCEPT - Correct
Ans✓✓ Individual tax deduction for premiums paid.
Q: Pertaining to insurance, what is the definition of a fiduciary responsibility? - Correct Ans✓✓ Promptly
forwarding premiums to the insurance company
Q: Which of the following persons would qualify for Medicare Part A? - Correct Ans✓✓ Anyone who has
permanent kidney failure
NY Accident and Health Insurance Agent 17-90 Final Exam Questions
& Correct Answers | 100% Guaranteed Pass.
Q: How many eligible employees must be included in a contributory health insurance plan? - Correct Ans✓✓
50%
Q: 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, - Correct
Ans✓✓ The insurance through his company is primary.
Q: What is the period of coverage for events such as death or divorce under COBRA? - Correct Ans✓✓ 36
months
Q: 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? - Correct Ans✓✓ The
policyowner will not receive a refund because the free-look period is over.
Q: 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? - Correct Ans✓✓ No benefits
Q: For the purpose of insurance, risk is defined as - Correct Ans✓✓ The uncertainty or chance of loss.
Q: Which of the following is an example of a producer's fiduciary duty? - Correct Ans✓✓ The trust that a client
places in the producer in regard to handling premiums.
Q: Which of the following is NOT true of basic medical expense plans? - Correct Ans✓✓ Coverage for
catastrophic medical expenses
,2|Page
Q: Which of the following is NOT a feature of a noncancellable policy? - Correct Ans✓✓ The insurer may
terminate the contract only at renewal for certain conditions.
Q: What is the best way to change an application? - Correct Ans✓✓ Start over with a fresh application
Q: On a major medical insurance policy, the amount that an insured must pay on a claim before the insurer will
pay is known as - Correct Ans✓✓ Deductible.
Q: Which of the following is correct about a group health insurance policy issued in New York? - Correct
Ans✓✓ It cannot exclude newborn children from coverage.
Q: Which of the following is NOT a characteristic of a group long-term disability plan? - Correct Ans✓✓ The
benefit can be up to 50% of one's yearly income.
Q: In which Medicare supplemental policies are the core benefits found? - Correct Ans✓✓ All plans
Q: When benefits are paid directly to the insured under a health insurance policy, the policy provides benefits
on what type of basis? - Correct Ans✓✓ Reimbursement
Q: 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? - Correct Ans✓✓ Conversion
Q: 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? - Correct Ans✓✓ 18 months
Q: Under which of the following disability income plans would the benefits be subject to income tax? - Correct
Ans✓✓ Group
,3|Page
Q: Under the Affordable Care Act, a special enrollment period allows an individual to enroll in a qualified
health plan within how many days of a qualifying event? - Correct Ans✓✓ 60 days
Q: Which of the following individuals must pass a written examination to be licensed as a life insurance agent?
- Correct Ans✓✓ A resident of New York wishing to transact business in New York
Q: When an insurer offers services like preadmission testing, second opinions regarding surgery, and
preventative care, which term would best apply? - Correct Ans✓✓ Case management provision
Q: An individual applies for a life policy. Two years ago he suffered a head injury from an accident, so he
cannot remember parts of his past, but is otherwise competent. He has also been hospitalized for drug abuse,
but does not remember this when applying for insurance. The insurer issues the policy and learns of his history
one year later. What will probably happen? - Correct Ans✓✓ The policy will not be affected.
Q: The purpose of managed care health insurance plans is to - Correct Ans✓✓ Control health insurance claims
expenses.
Q: To attain currently insured status under Social Security, a worker must have earned at least how many
credits during the last 13 quarters? - Correct Ans✓✓ 6 credits
Q: If seeking repayment of Medicaid funds per the Medicaid Estate Recovery Act would cause a hardship to
survivors, states may - Correct Ans✓✓ Waive the estate recovery requirement.
Q: The insuring clause of a disability policy usually states all of the following EXCEPT - Correct Ans✓✓ The
method of premium payment.
Q: Which of the following statements regarding Business Overhead Expense policies is NOT true? - Correct
Ans✓✓ Benefits are usually limited to six months.
, 4|Page
Q: At what point must an Outline of Coverage be delivered? - Correct Ans✓✓ At the time of application or
upon delivery of the policy
Q: A medical insurance plan in which the health care provider is paid a regular fixed amount for providing care
to the insured and does not receive additional amounts of compensation dependent upon the procedure
performed is called - Correct Ans✓✓ Prepaid plan.
Q: Medicaid provides all of the following benefits EXCEPT - Correct Ans✓✓ Income assistance for work-related
injury.
Q: What would a physician utilize if he/she wanted to know if a treatment is covered under an insured's plan
and at what rate it will be paid? - Correct Ans✓✓ Prospective review
Q: Which of the following programs expands individual public assistance programs for people with insufficient
income and resources? - Correct Ans✓✓ Medicaid
Q: When the policy premium wasn't submitted with the application, what should the agent obtain from the
insured upon policy delivery? - Correct Ans✓✓ A statement of good health
Q: The Patient Protection and Affordable Care Act includes all of the following provisions EXCEPT - Correct
Ans✓✓ Individual tax deduction for premiums paid.
Q: Pertaining to insurance, what is the definition of a fiduciary responsibility? - Correct Ans✓✓ Promptly
forwarding premiums to the insurance company
Q: Which of the following persons would qualify for Medicare Part A? - Correct Ans✓✓ Anyone who has
permanent kidney failure
