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Insurance Licensing New York Life, Accident and Health Insurance Agent/Broker Examination Series 17-55 Sample Questions (Q88-Q93):
NEW QUESTION # 88
Which of the following is a characteristic of level premium term life insurance?
- A. It can be used for cash value.
- B. It provides for lower benefits.
- C. The cost of insurance is averaged throughout the life of the contract.
- D. It matches the level amount of protection on the insured ' s life expectancy.
Answer: C
Explanation:
The correct answer is The cost of insurance is averaged throughout the life of the contract . Level premium term life insurance provides protection for a specified period-such as 10, 20, or 30 years-while keeping the premium amount the same each year during the term period . Even though the insured's probability of death increases as they age, the premium remains level because the insurer averages the cost of insurance over the entire term of the policy .
In the early years of the policy, the insured is statistically less likely to die, so the premium collected is somewhat higher than the actual cost of protection at that time. In later years, the risk of death increases, but the premium remains unchanged because the earlier excess premiums help offset the higher cost of coverage later in the term. This structure creates stable and predictable premium payments for the policyowner.
The other options are incorrect. Term life insurance does not build cash value , and the benefit amount is not necessarily lower or tied to life expectancy calculations in the manner described. The defining feature is the level premium created by averaging the cost over the policy term .
NEW QUESTION # 89
In a health insurance policy, an insured has an out-of-pocket limit of $10,000, a deductible of $500, and an
80%/20% coinsurance. The insured incurs $50,000 of covered losses in an accident. How much will the insurer have to pay?
- A. $40,000
- B. $49,500
- C. $39,600
- D. $35,500
Answer: C
Explanation:
The correct answer is $39,600 . To determine the insurer's payment, the deductible and coinsurance provisions must be applied to the total covered medical expenses. First, the insured must pay the $500 deductible . Subtracting this amount from the total covered losses of $50,000 leaves $49,500 of eligible expenses subject to coinsurance.
Under an 80/20 coinsurance arrangement , the insurer pays 80% of the covered expenses and the insured pays
20% . Applying the insurer's portion to the remaining amount:
80% × $49,500 = $39,600 .
Therefore, the insurer's payment equals $39,600 , while the insured would pay the deductible plus their coinsurance share. Although the policy mentions a $10,000 out-of-pocket limit , the insured's cost in this situation (the $500 deductible plus 20% of the remaining expenses) does not exceed that limit , so the limit does not affect the calculation.
Thus, after applying the deductible and coinsurance provisions, the insurer pays $39,600 , making Option B the correct answer.
NEW QUESTION # 90
Under the Affordable Care Act, insurers MUST offer plans within health insurance exchanges that meet distinct levels of coverage. What metal tier is REQUIRED to have an actuarial value of 70% with covered individuals paying 30% through deductibles, co-pays, and other cost sharing features?
- A. Platinum Plan.
- B. Gold Plan.
- C. Bronze Plan.
- D. Silver Plan.
Answer: D
Explanation:
Under the Affordable Care Act (ACA), qualified health plans offered on the individual and small-group exchanges are categorized into metal tiers based on actuarial value (AV) -the percentage of expected average medical costs the plan is designed to pay for a standard population. The ACA's standard tiers are Bronze (60% AV) , Silver (70% AV) , Gold (80% AV) , and Platinum (90% AV) . A plan with a 70% actuarial value is therefore a Silver Plan , meaning that, on average, the insurer pays about 70% of covered healthcare expenses and covered individuals pay about 30% through deductibles, copayments, coinsurance, and other cost-sharing (not including premiums).
This question's wording matches the defining feature of the Silver tier: 70/30 cost-sharing on average . Gold and Platinum tiers have higher actuarial values (so lower expected cost sharing), while Bronze has a lower actuarial value (higher expected cost sharing). Therefore, the required tier at 70% AV is the Silver Plan .
NEW QUESTION # 91
If an annuitant dies during the accumulation period, his or her beneficiary will receive
- A. both the accumulated cash value and the total premiums paid.
- B. the greater of the accumulated cash value or the total premiums paid.
- C. the lesser of the accumulated cash value or the total premiums paid.
- D. no monetary funds.
Answer: B
Explanation:
The correct answer is A. the greater of the accumulated cash value or the total premiums paid. During the accumulation period of an annuity, funds are being paid into the contract and grow on a tax-deferred basis. If the annuitant dies before the annuity has been annuitized, the contract does not simply disappear. Instead, the beneficiary is generally entitled to a death benefit . In standard annuity contract treatment used in licensing materials, that death benefit is usually the greater of the contract's accumulated value or the total premiums paid , less any withdrawals or outstanding charges if applicable under the contract terms.
This rule protects the beneficiary from receiving less than the value built into the contract and also helps ensure that the owner's contributions are not lost if death occurs before the payout phase begins. The other choices are incorrect. B is wrong because the beneficiary is not limited to the lesser amount. C is incorrect because annuities do provide value upon death during accumulation. D is also incorrect because the beneficiary does not receive both amounts added together; rather, the benefit is based on whichever is greater
. Therefore, the proper answer is A .
NEW QUESTION # 92
A Section 457 Deferred Compensation plan is provided specifically for employees of
- A. states, counties, or municipalities.
- B. non-profit organizations.
- C. religious organizations.
- D. sole proprietorships.
Answer: A
Explanation:
A Section 457 Deferred Compensation Plan is a type of retirement savings program established under Section
457 of the Internal Revenue Code. It is primarily designed for employees of state and local governments , including workers employed by states, counties, cities, and municipalities , as well as certain governmental agencies. These plans allow employees to defer a portion of their salary into a retirement account on a pre-tax basis , meaning the contributions are not included in taxable income until the funds are withdrawn, usually during retirement.
Section 457 plans are similar in concept to other tax-deferred retirement plans such as 401(k) or 403(b) plans, but they are specifically intended for public sector employees . One of the distinctive features of a governmental 457 plan is that withdrawals can often be taken without the early withdrawal penalty typically applied before age 59½ , provided the participant separates from service.
Options such as sole proprietorships or religious organizations typically use other retirement arrangements (like SEP, SIMPLE IRA, or 403(b) plans ). Therefore, the correct answer is that Section 457 plans are intended for employees of states, counties, or municipalities .
NEW QUESTION # 93
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