NYPCL New york Property and Causality license exam - Set 5 - 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: In a disability income policy, the number of days at the start of a disability during which no benefit is payable functions like a deductible measured in time. What is this period called?

The elimination period

The benefit period

The grace period

The probationary class

Question 42: An individual accident and health policy gives the insured extra days after the premium due date during which the policy stays in force even though the premium is late. This provision is called what?

Reinstatement

Notice of claim

The grace period

The free look

Question 43: After an insured gives notice of a health claim, the insurer is slow and never sends the required claim forms within the time the policy allows. What may the claimant then do?

Nothing until forms arrive

Forfeit the entire claim

Wait until the policy renews

Submit written proof in own words

Question 44: A renewability provision under which the insurer can neither cancel the policy nor change the guaranteed premium up to a stated age is the most protective for the insured. What is it called?

Noncancellable

Guaranteed renewable

Conditionally renewable

Optionally renewable

Question 45: New York offers a distinctive option letting certain unmarried young adults stay on a parent's group health plan past the usual dependent age. Which statement correctly describes this young-adult option?

It covers married dependents only

It applies to any age without conditions

It extends parental group coverage to twenty-nine

It requires the young adult's own coverage

Question 46: A New York individual policy providing family coverage must cover a newly born child of the insured beginning at what point?

After a thirty-day waiting period

After the first premium clears

At the next policy renewal

From the moment of birth

Question 47: In group health insurance, the insurer issues one contract to the employer or group sponsor, while each covered member receives a document that is only evidence of coverage. What is that member's document called?

A certificate of coverage

The master policy

A binder

A declarations page

Question 48: New York requires individual and small-group health premiums to be the same for everyone in the pool, without regard to age, sex, health status, tobacco use, or occupation. This method is called what?

Experience rating

Community rating

Retrospective rating

Schedule rating

Question 49: A managed-care plan requires each member to select a primary care physician who coordinates care and refers to specialists, and it generally covers no out-of-network care except emergencies. Which plan is this?

A preferred provider organization

An indemnity plan

A point-of-service plan

A health maintenance organization

Question 50: An eighty-year-old needs help with bathing, dressing, and eating but requires no medical treatment. Medicare generally will not pay for this assistance. Which coverage is designed for it?

A Medicare supplement

Disability income insurance

Long-term care insurance

Major medical insurance

Congratulations!

You have completed all 5 question sets. Good job!

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