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Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions (Q26-Q31):

NEW QUESTION # 26
Which of the following statements BEST describes a disability elimination period?

A. A time deductible rather than a dollar deductible.
B. A benefit or utilization period.
C. A qualifying period.
D. A dollar deductible rather than a time deductible.

Answer: A

Explanation:
The correct answer is A. A time deductible rather than a dollar deductible. In disability income insurance, the elimination period is the span of time that must pass after a covered disability begins before benefits become payable. Instead of requiring the insured to first pay a certain amount of money out of pocket, as with a traditional health insurance deductible, disability coverage usually requires the insured to satisfy a waiting period measured in days . For this reason, the elimination period is commonly described as a time deductible .
This period helps the insurer avoid paying for very short-term disabilities and affects the policy's premium structure. In general, the longer the elimination period, the lower the premium , because the insured waits longer before receiving benefits. Common elimination periods may be 30, 60, 90, or 180 days depending on the policy. The other choices are not as accurate. It is not a benefit period , because the benefit period describes how long payments continue after they start. It is not a dollar deductible , and although "qualifying period" may sound similar, the standard licensing term used in disability insurance is elimination period , meaning a time deductible .

NEW QUESTION # 27
Long-term care policies MUST cover which of the following conditions?

A. Self-inflicted injuries.
B. Alcoholism or drug addiction.
C. Alzheimer's disease.
D. Acts of war while serving in the military.

Answer: C

Explanation:
Long-term care (LTC) insurance is intended to cover services needed when an insured cannot perform activities of daily living (ADLs) or suffers a cognitive impairment that requires substantial supervision for health and safety. A core regulatory and policy design principle is that LTC benefits must be available for qualifying impairments regardless of whether the cause is physical or cognitive . Alzheimer's disease is a leading cause of cognitive impairment and is specifically recognized in LTC training materials as a condition LTC policies must cover when it results in the required level of functional or cognitive limitation. In practice, Alzheimer's often triggers eligibility through the cognitive impairment standard, even when the insured can still perform some ADLs, because supervision is needed to protect the individual from threats to health and safety.
The other options are commonly associated with policy exclusions rather than required coverage. LTC policies frequently exclude losses related to war or acts of war , and they may exclude intentionally self- inflicted injuries . Alcoholism or drug addiction is not treated as a mandatory covered condition in the same way; coverage depends on policy terms and is often limited or excluded. Therefore, the condition LTC policies must cover is Alzheimer's disease .

NEW QUESTION # 28
Which of the following CORRECTLY identifies the favorable income tax treatment afforded to annuities?

A. Annual earnings are partially income tax deductible.
B. The entire distribution is taxed at the owner ' s rate of taxation.
C. Gains are taxed only on distribution.
D. Annual earnings are partially income tax exempt.

Answer: C

Explanation:
The correct answer is C. Gains are taxed only on distribution. One of the major advantages of annuities is their tax-deferred growth . During the accumulation phase , the interest, dividends, or investment gains generated inside the annuity contract are not taxed annually . Instead, taxation is deferred until the policyholder begins taking withdrawals or receiving annuity payments. At that time, the portion of the payment representing earnings or gains becomes taxable as ordinary income. This tax deferral allows the funds inside the annuity to grow more efficiently because earnings can continue to compound without being reduced by yearly taxation.
The other options are incorrect. A is incorrect because annuity earnings are not tax deductible each year. B is also incorrect because earnings are not partially tax-exempt; rather, they are tax-deferred until distribution. D is incorrect because not all distributions are fully taxable. When annuity payments begin, part of each payment represents a return of the owner ' s principal (cost basis) and is not taxed, while only the earnings portion is subject to income tax. Therefore, the favorable tax treatment of annuities is that taxation on gains occurs only when distributions are taken

NEW QUESTION # 29
Which of the following statements is TRUE concerning classification of risks?

A. A preferred individual is issued a rated policy.
B. Substandard applicants are never issued policies.
C. Preferred risks pay a lower premium than standard risks.
D. Rated policies merit lower premiums.

Answer: C

Explanation:
The true statement is D. Preferred risks pay a lower premium than standard risks. In life insurance underwriting, applicants are commonly grouped into classifications such as preferred, standard, and substandard (or rated) . A preferred risk is an insured who presents a lower-than-average likelihood of loss compared with a standard applicant, so that class generally receives more favorable premium rates. The NAIC glossary defines a preferred risk as an applicant whose likelihood of loss is lower than that of the standard applicant, which directly supports the lower-premium result.
The other choices are false. Substandard applicants are not "never" issued policies ; many are issued coverage, but usually at a higher premium through a rating . A rated policy means the insurer has charged extra because of higher risk, so it does not merit a lower premium. Likewise, a preferred individual is not issued a rated policy; preferred status reflects better-than-standard risk, while rated or substandard status reflects higher-than-standard risk. New York DFS's Life, Accident and Health exam outline includes classification of risks as a tested underwriting topic, consistent with this principle.

NEW QUESTION # 30
What information must be included in the statement accompanying an insurance claim payment made by an insurer?

A. The agent ' s name and address
B. The coverage under which the payment is being made
C. The reinsurance carrier involved
D. A list of all claimants involved

Answer: B

Explanation:
When an insurer issues a claim payment, New York claims-handling standards require that the payment be accompanied by an explanation that clearly identifies what the payment represents . A key required item is the coverage under which the payment is being made , so the claimant (or insured) can understand the basis for the payment and how it relates to the policy's benefits. This helps avoid confusion when a policy includes multiple coverages, benefit limits, deductibles, copayments/coinsurance, or when only part of a claim is payable. Stating the applicable coverage (for example, hospital confinement, major medical, disability income, accidental death, etc.) supports transparency and aligns with fair claims settlement practices by showing that the insurer is paying according to the policy provisions.
The other options are not required elements of the payment statement. Insurers are not required to list all claimants, disclose reinsurance arrangements (which are typically not visible to policyholders), or include the agent's name and address as part of the claim payment explanation. The essential requirement tested here is identifying the coverage supporting the payment.

NEW QUESTION # 31
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