NYLAHI New York Life, Accident & Health Insurance exam - Set 3 - Part 3

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

Question 41: Which document must a producer deliver to a health insurance applicant to summarize the policy's benefits, limitations, and exclusions in plain language?

An outline of coverage

A buyer's guide

A certificate of authority

A proof of loss form

Question 42: New York regulates how accident and health insurance may be advertised to the public mainly to prevent which of the following?

Excessive insurer profits

Competition among producers

Use of standardized policy forms

False or misleading statements

Question 43: Which required provision in an individual health policy bars the insurer from contesting the policy for misstatements after it has been in force for the stated period?

The grace period

The reinstatement provision

The time limit on certain defenses

The legal actions provision

Question 44: Under an individual health policy, the insured's first duty after a covered loss is to give the insurer which of the following within the required time?

Notice of the claim

Proof of loss

A completed autopsy

A premium payment

Question 45: After the insurer sends claim forms, the insured must return written documentation supporting the loss within the time the policy allows. This documentation is known as which of the following?

Notice of claim

An outline of coverage

A consideration clause

Proof of loss

Question 46: Which required health policy provision gives the insured a set number of days after the premium due date to pay before the coverage lapses?

The reinstatement provision

The grace period

The time of payment provision

The free look provision

Question 47: A health policy the insurer must renew until the insured reaches a stated age, though it may raise premiums only by class, is best described as which of the following?

An optionally renewable policy

A cancelable policy

A guaranteed renewable policy

A conditionally renewable policy

Question 48: A health policy the insurer can neither cancel nor reprice, with premiums and renewal guaranteed to a stated age, is best described as which of the following?

A noncancelable policy

A guaranteed renewable policy

A conditionally renewable policy

An optionally renewable policy

Question 49: If an insured understated their age when buying an individual health policy, the insurer is generally permitted to do which of the following when a claim arises?

Cancel the policy immediately

Deny every future claim

Refund all premiums paid

Adjust benefits to the correct age

Question 50: Which provision lets a new health policyowner return the policy within a set number of days after delivery and receive a refund of the premium paid?

The grace period

The free look provision

The reinstatement provision

The consideration clause

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