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NY Series 17-52 Questions and Answers 100% Pass
Question 1: How many eligible employees must be included in a
contributory health insurance plan?
CORRECT ANSWER : 50%
Question 2: A man works for Company A and his wife works
for Company B. The spouses are covered by health plans through their respective companies that also cover the other spouse. If the husband files a claim,
CORRECT ANSWER : The insurance through his company is
primary.
Question 3: What is the period of coverage for events such as
death or divorce under COBRA?
CORRECT ANSWER : 36 months
Question 4: Twenty-five days after a health insurance policy is
delivered, the policyowner decides that she would like to return the policy and receive a refund of premium. Which of the following is true?
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CORRECT ANSWER : The policyowner will not receive a
refund because the free-look period is over.
Question 5: An insured is involved in a car accident. In addition
to general, less serious injuries, he permanently loses the use of his leg and is rendered completely blind. The blindness improves a month later. To what extent will he receive Presumptive Disability benefits?
CORRECT ANSWER : No benefits
Question 6: For the purpose of insurance, risk is defined as
CORRECT ANSWER : The uncertainty or chance of loss.
Question 7: Which of the following is an example of a
producer's fiduciary duty?
CORRECT ANSWER: The trust that a client places in the
producer in regard to handling premiums.
Question 8: Which of the following is NOT true of basic
medical expense plans?
CORRECT ANSWER : Coverage for catastrophic medical
expenses
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Question 9: Which of the following is NOT a feature of a
noncancellable policy?
CORRECT ANSWER : The insurer may terminate the contract
only at renewal for certain conditions.
Question 10: What is the best way to change an application?
CORRECT ANSWER : Start over with a fresh application
Question 11: On a major medical insurance policy, the amount
that an insured must pay on a claim before the insurer will pay is known as
CORRECT ANSWER : Deductible.
Question 12: Which of the following is correct about a group
health insurance policy issued in New York?
CORRECT ANSWER : It cannot exclude newborn children from
coverage.
Question 13: Which of the following is NOT a characteristic of
a group long-term disability plan?
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CORRECT ANSWER : The benefit can be up to 50% of one's
yearly income.
Question 14: In which Medicare supplemental policies are the
core benefits found?
CORRECT ANSWER : All plans
Question 15: When benefits are paid directly to the insured
under a health insurance policy, the policy provides benefits on what type of basis?
CORRECT ANSWER : Reimbursement
Question 16: If an employee terminates her employment, which
of the following provisions would allow her to continue health coverage under an individual policy, if requested within 60 days?
CORRECT ANSWER : Conversion
Question 17: To be eligible under HIPAA regulations, for how
long should an individual converting to an individual health plan have been covered under the previous group plan?
