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NYLAHI New York Life, Accident & Health Insurance exam - Set 5 - Part 1

Test your knowledge of technical writing concepts with these practice questions. Each question includes detailed explanations to help you understand the correct answers.

Question 1: When comparing Medicare, Medicaid, and long-term care insurance, which one is purchased in advance specifically to pay for extended custodial care and avoid spending down assets?

Question 2: Which program pays for lengthy custodial nursing home care, but only after the recipient has spent down their income and assets to a low level?

Question 3: Medicare Part A will help pay for a stay in a skilled nursing facility only under which of the following conditions?

Question 4: A long-term care policy that pays the insured a fixed daily or monthly amount regardless of the actual cost of the care received uses which benefit method?

Question 5: A long-term care policy that pays the actual cost of covered services up to a daily maximum, based on the bills submitted, uses which benefit method?

Question 6: Under New York's minimum standards, a long-term care policy is specifically prohibited from excluding or limiting coverage for which of the following?

Question 7: Federal law generally requires a state to seek repayment from the estate of a deceased person for the long-term care benefits Medicaid paid on their behalf. This is known as which of the following?

Question 8: Many long-term care policies set a total dollar amount available for benefits that the insured may draw down over time. This design is commonly called which of the following?

Question 9: In a group health plan, the insurer issues a single contract to the employer, and each covered employee receives which of the following?

Question 10: New York allows group health coverage only for groups that exist for a reason other than obtaining insurance. This requirement mainly serves to prevent which of the following?

Question 11: A group health plan in which the employer pays the entire premium and every eligible employee is automatically covered is best described as which of the following?

Question 12: A group health plan in which employees pay part of the premium, so that a stated percentage must enroll to discourage adverse selection, is best described as which of the following?

Question 13: When an insurer sets a large group's health premium based on that specific group's own claims history, it is using which rating method?

Question 14: When an insurer charges every group or individual in a market the same premium regardless of health or claims history, it is using which rating method?

Question 15: Coverage written on a constantly changing group whose members are not individually named, such as passengers on a common carrier or a sports team, is best described as which of the following?

Question 16: Which federal law lets employees and dependents who lose group health coverage due to certain qualifying events continue that coverage for a limited time at their own expense?

Question 17: Which federal law sets standards for private employee benefit plans, including fiduciary duties, reporting, and disclosure to plan participants?

Question 18: Under which federal law must a covered employer keep an eligible employee's group health coverage in force during a period of unpaid, job-protected family or medical leave?

Question 19: When an employee leaves a group health plan, which right generally lets them obtain an individual policy from the same insurer without proving insurability?

Question 20: A child is covered as a dependent under both parents' group health plans. The rule that decides which plan pays first is best described as which of the following?


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