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

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

2. If an insured under a life insurance policy dies with an outstanding loan balance then the death benefit will

A) not be paid until the loan is repaid.
B) be paid less the amount of the loan but not the interest.
C) be reduced by the amount of the loan and interest owed.
D) be paid less the amount of the loan interest but not the principal.

3. 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) concurrent review.
C) claims adjudication.
D) precertification authorization.

4. In addition to the application, MIB, or consumer reports, underwriters can acquire information from all of the following EXCEPT

A) attending physician statements.
B) physical examinations.
C) medical questionnaires.
D) genetic testing.

5. For three weeks next month a company ' s employees will choose to enroll or remain enrolled in their HMO or change health plans. What is this situation called?

A) annual open enrollment
B) employer sponsored health plan
C) coverage authorization period
D) annual gatekeeper enrollment

Solutions: