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New York Life, Accident & Health Insurance Examination (Series 17-55)

New York Life, Accident & Health Practice Test

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Today's 10 New York Life, Accident & Health questions

Use this New York Life, Accident & Health practice test to review New York Life, Accident and Health Insurance Series 17-55. Questions rotate daily and each answer links back to the source used to write it.

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Question 1 of 10
Objective Official Series 17-55 blueprint: 11.0 Individual Health Insurance Policy General Provisions (4%) — Reinstatement — health (Item 116) 11.0 Individual Health Insurance Policy General Provisions (4%)

An individual health policy lapsed for nonpayment, and the insured later submits a reinstatement application and premium as allowed by the policy. Which provision governs whether and how coverage can be restored?

Concept tested:
Question 2 of 10
Objective Official Series 17-55 blueprint: 14.0 Federal Patient Protection and Affordable Care Act (6%) — Dependent coverage to age 26 (Item 156) 14.0 Federal Patient Protection and Affordable Care Act (6%)

A parent's ACA-compliant health plan offers dependent coverage. The parent's 24-year-old child marries but remains otherwise eligible. What federal rule is most relevant?

Concept tested:
Question 3 of 10
Objective Official Series 17-55 blueprint: 17.0 Government Health Insurance Plans (5%) — Medicare Part A (Item 184) 17.0 Government Health Insurance Plans (5%)

A Medicare beneficiary is admitted as an inpatient to a hospital for covered care. Which part of Original Medicare principally addresses inpatient hospital insurance?

Concept tested:
Question 4 of 10
Objective Official Series 17-55 blueprint: 1.0 Insurance Regulation (7%) — License application after examination (Item 3) 1.0 Insurance Regulation (7%)

Jonah passes New York Series 17-55 and plans to wait several years before applying for his license. What should he be told about the licensing process?

Concept tested:
Question 5 of 10
Objective Official Series 17-55 blueprint: 10.0 Accident and Health Insurance Basics (5%) — Specified disease policy (Item 104) 10.0 Accident and Health Insurance Basics (5%)

A policy pays stated benefits only when the insured is diagnosed with one of several listed serious diseases. What type of limited policy is this?

Concept tested:
Question 6 of 10
Objective Official Series 17-55 blueprint: 9.0 Life Settlement (3%) — Life settlement provider licensing (Item 97) 9.0 Life Settlement (3%)

A company proposes to purchase life insurance policies from New York owners and become the new owner/beneficiary for consideration. Which regulatory framework applies?

Concept tested:
Question 7 of 10
Objective Official Series 17-55 blueprint: 4.0 Life Insurance Policies (8%) — Credit life (Item 52) 4.0 Life Insurance Policies (8%)

A borrower is offered life insurance designed to pay the outstanding balance of a specific loan if the borrower dies. What type of coverage is being described?

Concept tested:
Question 8 of 10
Objective Official Series 17-55 blueprint: 3.0 Life Insurance Basics (8%) — Insurable interest — family (Item 23) 3.0 Life Insurance Basics (8%)

Renee applies for life insurance on her spouse and will be the beneficiary. What basis of insurable interest is most directly recognized by New York law?

Concept tested:
Question 9 of 10
Objective Official Series 17-55 blueprint: 6.0 Annuities (7%) — Fixed indexed annuity (Item 81) 6.0 Annuities (7%)

An annuity credits interest under a formula linked to an equity index but guarantees that the owner is not directly invested in the index itself. Which product type is most accurate?

Concept tested:
Question 10 of 10
Objective Official Series 17-55 blueprint: 14.0 Federal Patient Protection and Affordable Care Act (6%) — Medical loss ratio (Item 152) 14.0 Federal Patient Protection and Affordable Care Act (6%)

A producer explains that the ACA medical loss ratio rules compare certain spending on clinical services and quality improvement with premium revenue. What consumer-protection idea is reflected?

Concept tested:
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Question 1 An individual health policy lapsed for nonpayment, and the insured later submits a reinstatement application and premium as allowed by the policy. Which provision governs whether and how coverage can be restored?

Answer choices

  1. A. The coordination-of-benefits provision.
  2. B. The reinstatement provision.
  3. C. The proof-of-loss provision.
  4. D. The insuring clause alone.

Correct answer

The reinstatement provision.

New York Insurance Law § 3216 includes a required reinstatement provision for individual accident-and-health policies.

Wrong-answer review

  • A. The coordination-of-benefits provision.: Incorrect. COB applies when multiple plans cover the same person.
  • C. The proof-of-loss provision.: Incorrect. Proof of loss supports a claim; it does not restore a lapsed policy.
  • D. The insuring clause alone.: Incorrect. The insuring clause states the coverage promise but does not replace the reinstatement rules.

Extra learning features

Why candidates miss this

The likely wrong answer, “The proof-of-loss provision,” is tempting because it applies a familiar insurance idea to the wrong controlling fact. The decisive clue is that the policy has already lapsed and the insured is seeking restoration. Reinstatement—not proof of loss—governs restoration of lapsed coverage after the required application/premium process. Likely wrong answer: The proof-of-loss provision. Review focus: New York Insurance Law § 3216 — Individual accident and health insurance policy provisions

Why this matters

Reinstatement determines whether a lapsed individual health policy can be restored and when post-reinstatement losses are covered. Getting the rule wrong can cause a client to assume coverage exists when the policy is still lapsed or when a sickness is subject to reinstatement timing rules.

Objective/domain: 11.0 Individual Health Insurance Policy General Provisions (4%)

Source: New York Insurance Law § 3216 — Individual accident and health insurance policy provisions

Question 2 A parent's ACA-compliant health plan offers dependent coverage. The parent's 24-year-old child marries but remains otherwise eligible. What federal rule is most relevant?

Answer choices

  1. A. Marriage automatically ends eligibility at age 18 under federal law.
  2. B. Only full-time students may remain covered after age 21.
  3. C. The child can remain covered only if financially dependent on the parent.
  4. D. Dependent coverage, when offered, generally must remain available through age 26.

Correct answer

Dependent coverage, when offered, generally must remain available through age 26.

Objective/domain: 14.0 Federal Patient Protection and Affordable Care Act (6%)

Source: New York Insurance Law § 4235 — Group accident and health insurance

Question 3 A Medicare beneficiary is admitted as an inpatient to a hospital for covered care. Which part of Original Medicare principally addresses inpatient hospital insurance?

Answer choices

  1. A. Medicare Part B.
  2. B. Medicare Part C.
  3. C. Medicare Part D.
  4. D. Medicare Part A.

Correct answer

Medicare Part A.

Objective/domain: 17.0 Government Health Insurance Plans (5%)

Source: Medicare.gov — Medicare Basics

Question 4 Jonah passes New York Series 17-55 and plans to wait several years before applying for his license. What should he be told about the licensing process?

Answer choices

  1. A. He should submit the completed license application to DFS within two years after passing the examination.
  2. B. Passing Series 17-55 automatically activates both lines of authority for two years.
  3. C. He may apply at any time because the examination score never expires for licensing purposes.
  4. D. He must obtain an insurer appointment before he may file the license application.

Correct answer

He should submit the completed license application to DFS within two years after passing the examination.

Objective/domain: 1.0 Insurance Regulation (7%)

Source: New York DFS / PSI Insurance Candidate Information Bulletin — Series 17-55

Question 5 A policy pays stated benefits only when the insured is diagnosed with one of several listed serious diseases. What type of limited policy is this?

Answer choices

  1. A. Comprehensive health insurance, because every diagnosed illness is covered.
  2. B. Workers' compensation, because disease benefits are always work-related.
  3. C. Specified-disease (critical or dread disease) insurance.
  4. D. Group disability income, because diagnosis automatically replaces wages.

Correct answer

Specified-disease (critical or dread disease) insurance.

Question 6 A company proposes to purchase life insurance policies from New York owners and become the new owner/beneficiary for consideration. Which regulatory framework applies?

Answer choices

  1. A. The transaction is unregulated because the policy was validly issued before the sale.
  2. B. Only the original life insurer needs a life settlement provider license.
  3. C. Life settlement providers must satisfy New York licensing and contract requirements.
  4. D. The transaction is governed solely by Medicare supplement marketing rules.

Correct answer

Life settlement providers must satisfy New York licensing and contract requirements.

Objective/domain: 9.0 Life Settlement (3%)

Source: New York Insurance Law Article 78 — Life Settlements

Question 7 A borrower is offered life insurance designed to pay the outstanding balance of a specific loan if the borrower dies. What type of coverage is being described?

Answer choices

  1. A. Survivorship life insurance.
  2. B. Credit life insurance.
  3. C. Group disability income insurance.
  4. D. Whole life insurance with a paid-up additions option.

Correct answer

Credit life insurance.

Question 8 Renee applies for life insurance on her spouse and will be the beneficiary. What basis of insurable interest is most directly recognized by New York law?

Answer choices

  1. A. A requirement that Renee prove a dollar-for-dollar financial loss equal to the face amount.
  2. B. A rule that only creditors may insure another person's life.
  3. C. A presumption that insurable interest is unnecessary when the beneficiary is a spouse.
  4. D. A substantial interest arising from love and affection between persons closely related by blood or law.

Correct answer

A substantial interest arising from love and affection between persons closely related by blood or law.

Objective/domain: 3.0 Life Insurance Basics (8%)

Source: New York Insurance Law § 3205 — Insurable interest and consent

Question 9 An annuity credits interest under a formula linked to an equity index but guarantees that the owner is not directly invested in the index itself. Which product type is most accurate?

Answer choices

  1. A. A variable annuity, because the index formula necessarily means separate-account ownership.
  2. B. A fixed indexed annuity.
  3. C. A straight-life annuity payment option.
  4. D. A qualified 401(k) plan.

Correct answer

A fixed indexed annuity.

Question 10 A producer explains that the ACA medical loss ratio rules compare certain spending on clinical services and quality improvement with premium revenue. What consumer-protection idea is reflected?

Answer choices

  1. A. The rule guarantees every insurer a fixed profit margin.
  2. B. The rule determines an individual's coinsurance percentage for each claim.
  3. C. The rule applies only to life insurance cash values.
  4. D. MLR rules require a minimum premium share for care and quality improvement.

Correct answer

MLR rules require a minimum premium share for care and quality improvement.

Objective/domain: 14.0 Federal Patient Protection and Affordable Care Act (6%)

Source: HealthCare.gov — Medical Loss Ratio (MLR)

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