Last Updated: Aug 21, 2026
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| Section | Objectives |
|---|---|
| Insurance Fundamentals | - Principles of insurance and risk management
|
| Accident and Health Insurance | - Health insurance products
|
| State Regulations (New York) | - Licensing requirements
|
1. When a provider does NOT have an agreement with the insurer for payment, they will be reimbursed
A) a usual, customary, and reasonable fee.
B) a relative fee.
C) an absolute fee.
D) a non-scheduled plan customary fee.
2. Multiple policies that are rated for different communities and have substantially similar benefits as determined by the superintendent will be required to:
A) refile rates
B) change benefits
C) pool experience
D) merge plans
3. What information must be included in the statement accompanying an insurance claim payment made by an insurer?
A) A list of all claimants involved
B) The agent ' s name and address
C) The reinsurance carrier involved
D) The coverage under which the payment is being made
4. How long can an insurer exclude coverage for a preexisting condition on a Medicare Supplement Policy?
A) 12 months.
B) 6 months.
C) 24 months.
D) 18 months.
5. Insurance is defined as what type of risk?
A) Speculative
B) Legal
C) Physical
D) Pure
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: D |
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