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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Life Insurance Fundamentals | 25-30% | - Policy types and provisions - Policy riders and endorsements - Policy reinstatement - Dividends and nonforfeiture options - Beneficiary designations |
| Topic 2: Accident and Health Insurance | 25-30% | - Major medical coverage - Health insurance policy types (individual, group, HMOs) - Dental and vision insurance basics - Long-term care insurance basics - Medical expense coverage - Disability income insurance |
| Topic 3: General Insurance Principles | 15-20% | - Agent/broker duties and ethics - Fair claims settlement practices - Insurance contract fundamentals - Ethical sales practices - Underwriting principles |
| Topic 4: New York State Regulations | 20-25% | - Consumer protection regulations - Replacement and churn rules - Advertising regulations - NYS Insurance Law requirements - Licensing requirements and procedures - Fiduciary responsibilities |
Which of the following is a Health Insurance Policy where the insurer has the right to change the premiums for policyowners, but CANNOT cancel the policy?
Correct Answer: C 🗳️
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Under the Affordable Care Act, insurers MUST offer plans within health insurance exchanges that meet distinct levels of coverage. What metal tier is REQUIRED to have an actuarial value of 70% with covered individuals paying 30% through deductibles, co-pays, and other cost sharing features?
Correct Answer: C 🗳️
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Sue Ellen is the sister of a licensed New York insurance producer, Frank Gillespie. Frank was recently killed in a car accident and Sue Ellen has been issued a temporary license to run Frank ' s agency. For what period of time is the initial temporary license valid?
Correct Answer: A 🗳️
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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
Correct Answer: C 🗳️
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The following statement refers to which type of clause? "We have issued the policy in consideration of the representations in your application and payment of the first-term premium."
Correct Answer: B 🗳️
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