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Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions:

1. What is an insurer ' s liability when it is discovered after an insured dies that the insured ' s age on the policy was misstated?

A) The insurer must pay the full amount of the policy, minus any additional premiums the insurance company would have paid based on the insured ' s actual age.
B) The insurer must pay the full amount as stated in the policy, as age is not considered a relevant factor.
C) The insurer is not liable to pay any amount due to the insured ' s misstatement of age.
D) The insurer must pay a prorated amount of the policy based on the amount of insurance the insured ' s premiums would have bought if purchased at the correct age.

2. Which of the following is a common exclusion from coverages found in accident and health policies?

A) self-inflicted injuries
B) emergency room coverages
C) coordination of benefits
D) chiropractic services

3. An annuity product linked to a market-related rate of return is called

A) a tax-sheltered annuity.
B) an indexed annuity.
C) a deferred annuity.
D) a fixed annuity.

4. An insurer monitors the care an insured is receiving in the hospital to be sure that everything is proceeding according to schedule. This BEST describes

A) benefit checking.
B) claims adjudication.
C) concurrent review.
D) precertification authorization.

5. The statement, " Any person who knowingly and with intent to defraud any insurer or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty... " MUST appear in all New York

A) insurance documents distributed to the general public.
B) applications for insurance and on all claim forms.
C) applications for credit.
D) insurance communications with consumers.

Solutions: