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New York Health Insurance Law; Questions and Answers 100% Solved

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New York Health Insurance Law; Questions and Answers 100% Solved If a policy states that an insured is totally disabled only if he or she cannot perform any job that he or she is suited for by prior education, training, or experience, then he or she has the " ________________" definition of ...

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  • August 8, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • new york health insurance law
  • questions and answers 100 solved

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  • Nyle
  • Nyle

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New York Health Insurance Law; Questions
and Answers 100% Solved
If a policy states that an insured is totally disabled only if he or she cannot perform any job that
he or she is suited for by prior education, training, or experience, then he or she has the "
________________" definition of total disability. CORRECT ANSWER-Any occupation




Which of the following is correct regarding inflation protection in LTC policies sold in New York?
CORRECT ANSWER-Inflation protection is optional, selected by the insured




Which of the following is not considered to be a type of health insurance plan? CORRECT
ANSWER-Workers' compensation




An insurer may cancel a small employer group plan for which of the following reasons?
CORRECT ANSWER-The employer fails to meet the participation requirements of the plan




Health insurance agents who are concerned about their possible liability for making a mistake
when writing a new policy or replacing an existing policy should purchase: CORRECT
ANSWER-Errors and omissions liability




In order to be eligible for small employer group coverage, an employer may have as few as ____
employees and as many as ____ employees. CORRECT ANSWER-2; 50




All of the following are true regarding New York's Partnership for LTC Insurance EXCEPT:
CORRECT ANSWER-It is unique in that income is not an eligibility factor

, New York Health Insurance Law; Questions
and Answers 100% Solved

LTC disclosure statements must be given to insureds no later than the: CORRECT
ANSWER-Time of policy delivery




All of the following are true regarding the New York State Disability Benefits Law EXCEPT:
CORRECT ANSWER-It covers only workers who were employed at the time of their disability




Employees age 65 or more who continue to work: CORRECT ANSWER-May keep their
group coverage and enroll in Medicare




Which of the following has to approve a Medicare Select Plan before it can be sold in this state?
CORRECT ANSWER-The Superintendent of Insurance




Under the COB provision in a group medical expense policy, when an individual is covered as an
employee where he or she works and is also covered as a dependent on the group medical
expense policy of his or her spouse, how will claims be allocated? CORRECT ANSWER-
The plan that covers the individual as an employee is primary and the plan that covers the
individual as a dependent is excess




Medicare Part B is financed by: CORRECT ANSWER-Premiums

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