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NY Life Accident & Health Insurance
Agent/Broker Exam Series 17-55 Actual
Questions with Verified Answers & Detailed
Rationales | 2026/2027 Grade A Study Guide
1. A client asks the nurse, "What is the primary purpose of disability income
insurance?" Which response by the nurse is most accurate?
A. It pays for all medical expenses related to a disabling condition.
B. It replaces lost income if you are unable to work due to disability.
C. It provides a lump sum payment upon diagnosis of a critical illness.
D. It covers the cost of hiring a replacement for a key employee.
CORRECT ANSWER: B. Disability income insurance is designed to replace a
portion of earned income when the insured is unable to perform their
occupational duties due to illness or injury.
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2. The nurse is reviewing an insurance policy with a client. The clause stating
that loss of sight or limbs qualifies the client for full benefits is an example of
which provision?
A. Recurrent disability
B. Elimination period
C. Presumptive disability
D. Benefit limitation
CORRECT ANSWER: C. A presumptive disability clause specifies certain
severe conditions (like loss of sight or limbs) that automatically qualify the
insured for full benefits, often without a waiting period.
3. A client's disability insurance includes a clause stating that if the same
disability returns within 6 months, it will be considered the same claim. The
nurse identifies this as which provision?
A. Probationary period
B. Benefit period
C. Recurrent disability
D. Elimination period
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CORRECT ANSWER: C. A recurrent disability provision defines a period during
which the return of a prior condition is treated as a continuation of the
original disability, preventing the start of a new elimination period.
4. When teaching a client about disability insurance, how should the nurse
define the "elimination period"?
A. The maximum length of time benefits will be paid.
B. The waiting period between the onset of disability and the start of
benefits.
C. The time after policy issuance when illness-related claims are not covered.
D. The period for assessing if the disability is total or partial.
CORRECT ANSWER: B. The elimination period (or waiting period) is the time
an insured must be disabled before benefit payments begin, similar to a
deductible in time instead of money.
5. A client is concerned that an illness occurring right after a new disability
policy starts won't be covered. The nurse explains that this is addressed by
which policy feature?
A. Benefit Period
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B. Probationary Period
C. Grace Period
D. Elimination Period
CORRECT ANSWER: B. A probationary period is a specific time after a policy's
effective date during which coverage for illness-related disabilities is not
provided, though accident coverage is usually immediate.
6. The nurse is explaining policy terms to a client. The "benefit period" is best
defined as which of the following?
A. The waiting period before benefits begin.
B. The maximum percentage of income the policy will replace.
C. The length of time benefits will be paid for a covered disability.
D. The time frame for submitting a claim after a loss.
CORRECT ANSWER: C. The benefit period determines the duration (e.g., 2
years, to age 65) for which monthly disability benefits will be paid for a
covered claim.
7. A client's disability policy will only cover up to 60% of their pre-disability
earnings. The nurse identifies this as which type of provision?
NY Life Accident & Health Insurance
Agent/Broker Exam Series 17-55 Actual
Questions with Verified Answers & Detailed
Rationales | 2026/2027 Grade A Study Guide
1. A client asks the nurse, "What is the primary purpose of disability income
insurance?" Which response by the nurse is most accurate?
A. It pays for all medical expenses related to a disabling condition.
B. It replaces lost income if you are unable to work due to disability.
C. It provides a lump sum payment upon diagnosis of a critical illness.
D. It covers the cost of hiring a replacement for a key employee.
CORRECT ANSWER: B. Disability income insurance is designed to replace a
portion of earned income when the insured is unable to perform their
occupational duties due to illness or injury.
,2|Page
2. The nurse is reviewing an insurance policy with a client. The clause stating
that loss of sight or limbs qualifies the client for full benefits is an example of
which provision?
A. Recurrent disability
B. Elimination period
C. Presumptive disability
D. Benefit limitation
CORRECT ANSWER: C. A presumptive disability clause specifies certain
severe conditions (like loss of sight or limbs) that automatically qualify the
insured for full benefits, often without a waiting period.
3. A client's disability insurance includes a clause stating that if the same
disability returns within 6 months, it will be considered the same claim. The
nurse identifies this as which provision?
A. Probationary period
B. Benefit period
C. Recurrent disability
D. Elimination period
,3|Page
CORRECT ANSWER: C. A recurrent disability provision defines a period during
which the return of a prior condition is treated as a continuation of the
original disability, preventing the start of a new elimination period.
4. When teaching a client about disability insurance, how should the nurse
define the "elimination period"?
A. The maximum length of time benefits will be paid.
B. The waiting period between the onset of disability and the start of
benefits.
C. The time after policy issuance when illness-related claims are not covered.
D. The period for assessing if the disability is total or partial.
CORRECT ANSWER: B. The elimination period (or waiting period) is the time
an insured must be disabled before benefit payments begin, similar to a
deductible in time instead of money.
5. A client is concerned that an illness occurring right after a new disability
policy starts won't be covered. The nurse explains that this is addressed by
which policy feature?
A. Benefit Period
, 4|Page
B. Probationary Period
C. Grace Period
D. Elimination Period
CORRECT ANSWER: B. A probationary period is a specific time after a policy's
effective date during which coverage for illness-related disabilities is not
provided, though accident coverage is usually immediate.
6. The nurse is explaining policy terms to a client. The "benefit period" is best
defined as which of the following?
A. The waiting period before benefits begin.
B. The maximum percentage of income the policy will replace.
C. The length of time benefits will be paid for a covered disability.
D. The time frame for submitting a claim after a loss.
CORRECT ANSWER: C. The benefit period determines the duration (e.g., 2
years, to age 65) for which monthly disability benefits will be paid for a
covered claim.
7. A client's disability policy will only cover up to 60% of their pre-disability
earnings. The nurse identifies this as which type of provision?
