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Insurance Licensing NY-Life-Accident-and-Health Exam Syllabus Topics:

SectionWeightObjectives
Insurance Regulation and General Principles20%- Insurance Concepts
  • 1. Risk Management and Insurable Interest
    • 2. Contract Law and Policy Structure
      - New York Insurance Code and Laws
      • 1. Licensing Requirements and Procedures
        • 2. Unfair Trade Practices
          • 3. Producer Responsibilities and Ethics
            Underwriting, Marketing and Sales Practices15%- Application and Underwriting Procedures
            • 1. Risk Classification and Selection
              - Sales and Customer Service
              • 1. Suitability and Disclosure Requirements
                Life Insurance Products and Provisions30%- Types of Life Insurance Policies
                • 1. Term, Whole Life, Universal Life
                  • 2. Annuities and Retirement Products
                    - Policy Provisions, Riders and Options
                    • 1. Non-forfeiture Values and Dividends
                      • 2. Beneficiary Designations
                        Accident and Health Insurance35%- Policy Provisions and Claims
                        • 1. Coordination of Benefits
                          • 2. Eligibility and Enrollment
                            - Health Insurance Basics
                            • 1. Group vs Individual Coverage
                              • 2. Medical Expense and Disability Income
                                - Government Health Programs
                                • 1. Medicare and Medicaid
                                  • 2. New York State Specific Programs

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                                    Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions (Q35-Q40):

                                    NEW QUESTION # 35
                                    An annuitant dies during the accumulation period. What happens to the cash value in the annuity?

                                    Answer: A


                                    NEW QUESTION # 36
                                    At the time of an insured ' s death, a per capita distribution of policy proceeds are paid to

                                    Answer: C

                                    Explanation:
                                    The correct answer is the named living primary beneficiaries . In life insurance beneficiary designations, per capita means "by the head," or equally among the living members of the named class or group . When policy proceeds are distributed per capita, each living beneficiary at the same beneficiary level receives an equal share of the death benefit. If one of the named primary beneficiaries dies before the insured, that deceased beneficiary's share is not passed to that beneficiary's estate or descendants unless the policy specifically provides otherwise. Instead, the proceeds are divided equally among the remaining living primary beneficiaries .
                                    This is what distinguishes per capita from per stirpes . Under per stirpes, the share of a deceased beneficiary would pass down to that beneficiary's descendants. But under per capita, only the surviving named beneficiaries in the class receive the proceeds.
                                    The other options are incorrect because a deceased beneficiary's estate does not automatically receive the share, the children of a deceased primary beneficiary are not paid under per capita unless specifically named, and contingent beneficiaries are paid only if no primary beneficiaries survive. Therefore, D is correct.


                                    NEW QUESTION # 37
                                    A company may insure an employee with specialized skills under a key employee disability insurance policy.
                                    Which of the following statements is TRUE?

                                    Answer: D

                                    Explanation:
                                    The correct answer is A. The business is the applicant. In key employee disability insurance (also called key person disability income), the purpose of coverage is to protect the business against financial loss if an employee with unique skills, knowledge, or production value becomes disabled. New York's Life, Accident and Health Agent/Broker examination content outline specifically includes "Business disability insurance" and "Key person disability income" as tested topics, confirming that this is a recognized business-use disability coverage concept in the New York licensing curriculum.
                                    Under this arrangement, the business applies for and owns the policy , pays the premiums, and is generally the beneficiary of any benefits payable because the loss being insured is the company's loss, not the employee's family loss. Industry explanations of key person disability insurance are consistent on this point: the key employee is the insured , while the company buys the coverage and makes the premium payments .
                                    That makes the other options incorrect. The employee's spouse is not the beneficiary, the employee usually does not pay the premium, and the employee is not the applicant.


                                    NEW QUESTION # 38
                                    When marketing to groups for health insurance, who should be issued a certificate as proof of coverage?

                                    Answer: C

                                    Explanation:
                                    The correct answer is B. Employee. In group health insurance, the master policy is issued to the policyholder or sponsor , which is typically the employer or organization sponsoring the plan. Individual members of the group-usually employees-are not issued the master policy itself. Instead, they receive a certificate of coverage that summarizes the benefits, limitations, and procedures for obtaining benefits under the group plan. This certificate serves as the individual's proof of insurance coverage .
                                    Under group insurance arrangements, each insured participant receives a certificate explaining the coverage provided under the master contract and outlining the essential features of the insurance. ( app.achievable.me ) The other options are incorrect because the sponsor or employer receives the master policy , not the certificate of coverage. The HMO or insurer is the entity providing the coverage and issuing the documents, not the party receiving the certificate as proof of coverage. Therefore, when health insurance is marketed to groups, the employee (or covered member) is issued a certificate as evidence of insurance coverage .


                                    NEW QUESTION # 39
                                    If a policyowner surrenders a policy for its cash value, when is a tax liability incurred?

                                    Answer: C

                                    Explanation:
                                    A tax liability is incurred upon surrender of a life insurance policy when the cash surrender value received exceeds the total premiums paid into the policy , excluding any amounts previously withdrawn tax-free. In life insurance taxation, the policyowner's cost basis is generally the sum of premiums paid. If the amount received at surrender is greater than that basis, the excess is treated as taxable ordinary income . For that reason, A is correct.
                                    Choice B is incorrect because if the cash value is less than the premiums paid, there is generally no taxable gain. Choice C is incorrect because an exchange of one life insurance policy for another policy of equal value may qualify as a 1035 exchange , which allows the transaction to occur without immediate taxation, provided it meets the tax code requirements. Choice D is not the best answer to this question because the issue asked is specifically about surrender for cash value, and the taxable event in that context depends on whether the policyowner receives more than the policy's basis. On licensing exams, "cash value exceeds premiums paid" is the key rule.


                                    NEW QUESTION # 40
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