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

1. 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) precertification authorization.
B) concurrent review.
C) claims adjudication.
D) benefit checking.

2. Which approach considers the future needs of the survivors in determining amounts of life insurance?

A) Human Life Value Approach.
B) Living Benefits Approach.
C) Needs Approach.
D) Cost Comparison Approach.

3. The difference between the face value of a life insurance policy and its cash value is the

A) net amount.
B) market value.
C) assumed amount.
D) term value.

4. In a health insurance policy, an insured has an out-of-pocket limit of $10,000, a deductible of $500, and an
80%/20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much will the insurer have to pay?

A) $39,600
B) $49,500
C) $40,000
D) $35,500

5. In broad terms, the types of support and services generally associated with Long-Term Care policies are provided at which three levels of care?

A) Functional, rehabilitational, and medical care.
B) Professional, social, and economic care.
C) Home-based, assisted living, and medical care.
D) Skilled nursing, Intermediate, and custodial care.

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