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

SectionObjectives
Topic 1: Accident and Health Insurance- Policy features and provisions
  • 1. Coordination of benefits
    • 2. Elimination periods and benefit limits
      - Health insurance products
      • 1. Hospital and medical expense coverage
        • 2. Disability income insurance
          Topic 2: State Regulations (New York)- Licensing requirements
          • 1. Application and background checks
            • 2. Pre-licensing education requirements
              - Ethics and compliance
              • 1. Unfair trade practices
                • 2. Producer responsibilities and conduct
                  Topic 3: Insurance Fundamentals- Insurance contract law basics
                  • 1. Policy provisions and clauses
                    • 2. Elements of a valid contract
                      - Principles of insurance and risk management
                      • 1. Risk classification and pooling of risk
                        • 2. Insurable interest and indemnity concepts

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                          Test NY-Life-Accident-and-Health Study Guide | NY-Life-Accident-and-Health Practice Test

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                          Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions (Q114-Q119):

                          NEW QUESTION # 114
                          Intentionally withholding information that should be provided to an insurer is known as

                          Answer: D

                          Explanation:
                          The correct answer is A. concealment . In insurance, concealment means an applicant or insured intentionally fails to disclose a material fact that should be made known to the insurer. A material fact is any information that would affect the insurer's decision to issue the policy, set the premium, or determine the scope of coverage. Because insurers rely on full and truthful disclosure during underwriting, concealment can be treated as a form of misrepresentation and may give the insurer grounds to deny a claim or rescind the policy, depending on the circumstances and applicable law.
                          The other choices do not match this definition. Estoppel is a legal principle that can prevent a party from asserting a right when its own actions have caused another to rely to their detriment. Remission is not the standard insurance term for withholding information in underwriting. Twisting is an unfair trade practice involving inducing a policyowner to replace existing insurance using misleading comparisons. Since the question asks specifically about intentionally withholding information from an insurer, the correct term is concealment .


                          NEW QUESTION # 115
                          Which of the following statements BEST describes a single premium cash value policy?

                          Answer: A

                          Explanation:
                          A single premium cash value life insurance policy is a form of permanent insurance that is fully funded with one lump-sum premium payment at the time of purchase. After that single payment is made, the policy is considered paid-up , meaning no additional premiums are required to keep the coverage in force for the policy' s duration (as long as no loans/withdrawals or other actions cause lapse). Because it is permanent insurance, it is designed to build cash value , and the death benefit remains in effect subject to the contract terms.
                          Option B is incorrect because "only one premium without evidence of insurability" describes a guaranteed insurability-type concept, not single premium funding; single premium policies still require underwriting at issue. Option C describes a waiver of premium benefit (typically waiving premiums during disability), not a single premium policy. Option D describes an annual premium mode (payment frequency), not a one-time premium. Therefore, the best description is that it requires only one payment to make the policy paid up.


                          NEW QUESTION # 116
                          Which of the following is a characteristic of level premium term life insurance?

                          Answer: B

                          Explanation:
                          The correct answer is The cost of insurance is averaged throughout the life of the contract . Level premium term life insurance provides protection for a specified period-such as 10, 20, or 30 years-while keeping the premium amount the same each year during the term period . Even though the insured's probability of death increases as they age, the premium remains level because the insurer averages the cost of insurance over the entire term of the policy .
                          In the early years of the policy, the insured is statistically less likely to die, so the premium collected is somewhat higher than the actual cost of protection at that time. In later years, the risk of death increases, but the premium remains unchanged because the earlier excess premiums help offset the higher cost of coverage later in the term. This structure creates stable and predictable premium payments for the policyowner.
                          The other options are incorrect. Term life insurance does not build cash value , and the benefit amount is not necessarily lower or tied to life expectancy calculations in the manner described. The defining feature is the level premium created by averaging the cost over the policy term .


                          NEW QUESTION # 117
                          Someone who sells, solicits, or negotiates insurance contracts for compensation is called

                          Answer: D

                          Explanation:
                          The correct answer is B. an insurance producer . Under New York insurance law and licensing terminology , an individual who sells, solicits, or negotiates insurance contracts for compensation must be licensed as an insurance producer . The term "insurance producer" is a general designation used by state insurance regulations to refer to individuals authorized to act as agents or brokers in the sale of insurance products such as life insurance and accident and health insurance. A licensed producer must meet state requirements, which typically include completing pre-licensing education, passing the state licensing examination, submitting an application, and maintaining continuing education to keep the license active.
                          The other options are incorrect. An independent insurance adjuster investigates and settles insurance claims but does not sell policies. An insurance adviser is not the official legal licensing title used in New York for individuals authorized to sell or negotiate policies. A life insurer refers to the insurance company itself, not the individual who markets or sells the policies. Therefore, according to New York Life, Accident and Health licensing standards and New York insurance regulations, the person legally permitted to sell, solicit, or negotiate insurance contracts for compensation is called an insurance producer .


                          NEW QUESTION # 118
                          An insured owns a whole life policy that has accumulated cash value. Which of the following statements is true about the policy ' s cash value?

                          Answer: B

                          Explanation:
                          The correct answer is B. The growth of the policy's cash value is not subject to income tax while the policy is in force. Whole life insurance is a form of cash value life insurance . As premiums are paid, part of the premium funds the death benefit and expenses, while part builds cash value inside the policy. Under standard life insurance taxation principles, that internal cash value buildup generally grows on a tax-deferred basis , meaning it is not taxed annually while it remains within the policy. The NAIC explains that whole life policies build cash value over time and that this value grows without being taxed currently, and IRS guidance similarly distinguishes taxable situations from ordinary in-force policy growth.
                          The other choices are incorrect. A is wrong because whole life cash value is not normally taxed each calendar year. C is more characteristic of variable life , where values fluctuate with investment performance. D is incorrect because traditional whole life generally provides guaranteed minimum cash values under the contract, subject to policy terms and continued premium payment; New York DFS whole life product guidance reflects that whole life operates on a guaranteed basis and includes cash surrender value provisions.


                          NEW QUESTION # 119
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