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

SectionWeightObjectives
Topic 1: General Insurance Principles15-20%- Fair claims settlement practices
- Insurance contract fundamentals
- Underwriting principles
- Ethical sales practices
- Agent/broker duties and ethics
Topic 2: New York State Regulations20-25%- Consumer protection regulations
- Licensing requirements and procedures
- Fiduciary responsibilities
- Replacement and churn rules
- Advertising regulations
- NYS Insurance Law requirements
Topic 3: Life Insurance Fundamentals25-30%- Beneficiary designations
- Dividends and nonforfeiture options
- Policy reinstatement
- Policy types and provisions
- Policy riders and endorsements
Topic 4: Accident and Health Insurance25-30%- Health insurance policy types (individual, group, HMOs)
- Major medical coverage
- Disability income insurance
- Long-term care insurance basics
- Medical expense coverage
- Dental and vision insurance basics

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Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions (Q97-Q102):

NEW QUESTION # 97
Term life insurance differs from permanent life insurance in that MOST often, term life insurance

Answer: C

Explanation:
Term life insurance is temporary protection designed to provide a death benefit only if death occurs during a stated "term" (such as 10, 20, or 30 years). This is the core distinction from permanent life insurance, which is intended to last for the insured's lifetime (to age 100/121 depending on the policy) as long as required premiums are paid. Term insurance typically offers the largest face amount for the lowest initial premium because it is focused on pure death benefit protection and generally does not build cash value . By contrast, permanent policies (whole life, universal life) combine insurance protection with cash value accumulation and are structured for long-duration coverage. Option A is incorrect because term life usually accumulates no cash value (not "a smaller cash value"). Option B is incorrect because term often has a shorter premium-paying horizon aligned to the term period. Option D is not "most often" true: some term policies are renewable, but renewability depends on contract provisions and is not automatic in all cases.


NEW QUESTION # 98
A Medicare Supplement policy must NOT contain benefits which

Answer: C

Explanation:
A Medicare Supplement policy (Medigap) is designed specifically to fill the gaps in coverage left by Medicare Parts A and B . These policies are standardized and regulated to ensure that they supplement, rather than replace or duplicate, Medicare benefits. The purpose of Medigap coverage is to help pay for certain out- of-pocket expenses , such as deductibles, copayments, coinsurance, and other costs that original Medicare does not fully cover. Because of this purpose, Medicare Supplement policies are not allowed to duplicate benefits that Medicare already provides . If a benefit were duplicated, it would violate the fundamental principle that Medigap policies are intended only to supplement existing Medicare coverage , not provide overlapping payments for the same services.
Option A is incorrect because insurers may charge premiums for the coverage provided under the policy.
Option C is incorrect because Medigap plans may include benefits that help pay expenses beyond Medicare's basic coverage limits (such as additional hospital days). Option D is incorrect because Workers' Compensation operates separately and is not the defining restriction placed on Medigap benefits. Therefore, Medicare Supplement policies must not duplicate Medicare benefits .


NEW QUESTION # 99
A Section 457 Deferred Compensation plan is provided specifically for employees of

Answer: D

Explanation:
A Section 457 Deferred Compensation Plan is a type of retirement savings program established under Section
457 of the Internal Revenue Code. It is primarily designed for employees of state and local governments , including workers employed by states, counties, cities, and municipalities , as well as certain governmental agencies. These plans allow employees to defer a portion of their salary into a retirement account on a pre-tax basis , meaning the contributions are not included in taxable income until the funds are withdrawn, usually during retirement.
Section 457 plans are similar in concept to other tax-deferred retirement plans such as 401(k) or 403(b) plans, but they are specifically intended for public sector employees . One of the distinctive features of a governmental 457 plan is that withdrawals can often be taken without the early withdrawal penalty typically applied before age 59½ , provided the participant separates from service.
Options such as sole proprietorships or religious organizations typically use other retirement arrangements (like SEP, SIMPLE IRA, or 403(b) plans ). Therefore, the correct answer is that Section 457 plans are intended for employees of states, counties, or municipalities .


NEW QUESTION # 100
A single contract for group medical insurance issued to an employer is known as

Answer: D

Explanation:
In group medical insurance, the insurer issues one main contract to the sponsoring entity-commonly an employer-covering the eligible group of employees. This single contract is called the master policy . The employer (or group sponsor) is the policyholder of the master contract, and it contains the controlling provisions: eligibility rules, benefits, limitations, exclusions, premium requirements, renewal provisions, and administrative terms.
Employees covered under the plan do not usually receive their own individual policies. Instead, each insured employee receives a certificate of insurance (sometimes called a certificate), which summarizes the essential coverage provisions and the benefits available to that employee under the master policy. The certificate is evidence of coverage, but it is not the controlling contract; the master policy governs.
Option A ("group policy") is a generic phrase and can refer broadly to group insurance, but the specific term for the single contract issued to the employer is master policy . Option C is not a standard insurance term, and option D is incorrect because a "certificate" is issued to employees, not as the primary contract.


NEW QUESTION # 101
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 # 102
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