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State RegulationsNY specificDifficulty 1/5

A Rochester agent is deciding whether recommending a particular Medicare supplement policy to an applicant would be appropriate. Which factor is the agent expected to weigh under New York law?

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Answer & full 3-part explanation (select an option above, or peek)

Why A is correct

Under the New York Insurance Law and the Department of Financial Services' Medicare supplement rules, an agent evaluating the appropriateness of a recommended purchase must consider whether the applicant already has creditable coverage, including an existing Medicare supplement policy, because selling overlapping duplicate coverage rarely serves the applicant. Overlapping coverage also signals that a proposed sale is really a replacement, which triggers the separate replacement disclosure and notice requirements.

Why the other options are wrong

  • B) A charity's affiliation with the insurer has no bearing on whether the policy's benefits and premium fit the applicant's needs.
  • C) The location of the insurer's home office is irrelevant to the suitability analysis, which focuses on the applicant's coverage needs and circumstances.
  • D) Advertising exposure says nothing about whether the policy's benefits, exclusions, or premium are appropriate for the applicant.

Memory hook

Check for overlap before recommending: duplicate creditable coverage is the red flag.

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