NY state insurance license practice exam [ACTUAL EXAM] LATEST
VERSION [QUESTIONS AND ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
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
4. grandfathered condition - CORRECT ANSWER 2. pre-existing condition
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
- CORRECT ANSWER 3. A Medicare Supplement core benefit
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 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 - CORRECT ANSWER 2. $800
(($400 + $800 + $100 + $700 = $2,000. The insurance company pays 80% of $1,000
(outstanding balance after deductible is paid), or $800.))
,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 - CORRECT ANSWER 2. 12 months
Which of the following types of insurers limits the exposures it writes to those of its
owners?
1. Restricted insurer
2. Limited insurer
3. Confined insurer
4. Captive insurer - CORRECT ANSWER 4. Captive insurer
Notice of information practices must be given to a policyholder at least
1. every year
2. every two years
3. every three years
4. every four years - CORRECT ANSWER 3. Every three years
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 - CORRECT ANSWER 2.
Time period a disabled person must wait before benefits are paid
An individual long-term policy must be renewable
1. To age 65
,2. To age 75
3. To age 85
4. For life - CORRECT ANSWER 4. For life
When the New York Superintendent of Insurance examines a licensee's insurance
records, the primary purpose is to determine
1. The licensee's sales volume
2. The solvency of the licensee's personal accounts
3. The number of insurers represented
4. The licensee's compliance with state insurance law regulations - CORRECT
ANSWER 4. The licensee's compliance with state insurance law regulations
Medicare supplement insurance that provides a preventative medical care benefit will
often cover
1. respite care
2. hospitalization
3. custodial care
4. yearly physical examinations - CORRECT ANSWER 4. yearly physical
examinations
A family group accident and health insurance policy must continue coverage for each
unmarried child at least until age
1. 16
2. 18
3. 19.
4. 21 - CORRECT ANSWER 3. 19
When long-term care insurance is replaced, the insurer issuing the new policy cannot
1. impose a new pre-existing conditions exclusion
, 2. Charge higher premiums than applied under the replaced policy
3. Require a physical examination
4. Provide a lesser benefit than was available under the replaced policy - CORRECT
ANSWER 1. Impose a new pre-existing conditions exclusion
Accident and health insurance standard provisions require that
1. The policy, endorsements, and attached papers constitute the entire contract
2. Policies contain a coordination of benefits provision
3. Nonpayment of premium by the due date constitutes irrevocable cancellation by
insured
4. The time for payment of claims may be waived by the insured - CORRECT
ANSWER 1. The policy, endorsements, and attached papers constitute the entire
contract
Why does New York law require an insurance agent to examine the existing Medicare
Supplement policies of a prospective insured?
1. To uncover instances of unfair trade practices
2. To increase the agent's practical knowledge of insurance
3. To monitor insurance company compliance
4. To determine the suitability of potential changes - CORRECT ANSWER 4. To
determine the suitability of potential changes
An insured must notify an insurer of a medical claim within how many days after an
accident?
1. 10
2. 20
3. 30
4.40 - CORRECT ANSWER 2. 20 days
A reciprocal insurer typically has an administrator who manages the premiums collected
from the group's members. This administrator is called a(n)
VERSION [QUESTIONS AND ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
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
4. grandfathered condition - CORRECT ANSWER 2. pre-existing condition
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
- CORRECT ANSWER 3. A Medicare Supplement core benefit
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 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 - CORRECT ANSWER 2. $800
(($400 + $800 + $100 + $700 = $2,000. The insurance company pays 80% of $1,000
(outstanding balance after deductible is paid), or $800.))
,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 - CORRECT ANSWER 2. 12 months
Which of the following types of insurers limits the exposures it writes to those of its
owners?
1. Restricted insurer
2. Limited insurer
3. Confined insurer
4. Captive insurer - CORRECT ANSWER 4. Captive insurer
Notice of information practices must be given to a policyholder at least
1. every year
2. every two years
3. every three years
4. every four years - CORRECT ANSWER 3. Every three years
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 - CORRECT ANSWER 2.
Time period a disabled person must wait before benefits are paid
An individual long-term policy must be renewable
1. To age 65
,2. To age 75
3. To age 85
4. For life - CORRECT ANSWER 4. For life
When the New York Superintendent of Insurance examines a licensee's insurance
records, the primary purpose is to determine
1. The licensee's sales volume
2. The solvency of the licensee's personal accounts
3. The number of insurers represented
4. The licensee's compliance with state insurance law regulations - CORRECT
ANSWER 4. The licensee's compliance with state insurance law regulations
Medicare supplement insurance that provides a preventative medical care benefit will
often cover
1. respite care
2. hospitalization
3. custodial care
4. yearly physical examinations - CORRECT ANSWER 4. yearly physical
examinations
A family group accident and health insurance policy must continue coverage for each
unmarried child at least until age
1. 16
2. 18
3. 19.
4. 21 - CORRECT ANSWER 3. 19
When long-term care insurance is replaced, the insurer issuing the new policy cannot
1. impose a new pre-existing conditions exclusion
, 2. Charge higher premiums than applied under the replaced policy
3. Require a physical examination
4. Provide a lesser benefit than was available under the replaced policy - CORRECT
ANSWER 1. Impose a new pre-existing conditions exclusion
Accident and health insurance standard provisions require that
1. The policy, endorsements, and attached papers constitute the entire contract
2. Policies contain a coordination of benefits provision
3. Nonpayment of premium by the due date constitutes irrevocable cancellation by
insured
4. The time for payment of claims may be waived by the insured - CORRECT
ANSWER 1. The policy, endorsements, and attached papers constitute the entire
contract
Why does New York law require an insurance agent to examine the existing Medicare
Supplement policies of a prospective insured?
1. To uncover instances of unfair trade practices
2. To increase the agent's practical knowledge of insurance
3. To monitor insurance company compliance
4. To determine the suitability of potential changes - CORRECT ANSWER 4. To
determine the suitability of potential changes
An insured must notify an insurer of a medical claim within how many days after an
accident?
1. 10
2. 20
3. 30
4.40 - CORRECT ANSWER 2. 20 days
A reciprocal insurer typically has an administrator who manages the premiums collected
from the group's members. This administrator is called a(n)
