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Exam (elaborations)

NJ Health and Accident Insurance – State Exam Q&A Study Guide

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This document provides a structured collection of exam questions and correct answers for the New Jersey Health and Accident Insurance certification. It covers key areas such as disability income, policy provisions, Medicare, COBRA, underwriting, and state insurance regulations. The content is tailored for exam preparation and includes commonly tested concepts aligned with licensing requirements. It serves as a practical revision tool for candidates preparing for the official state exam

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NJ Health And Accident Exam With
Questions And Correct Answers


In what form do disability income policies typically pay benefits

Periodic income




The Mandatory health policy provision states that the policy, including endorsements
and attached papers, constitutes

The entire insurance contract between the parties




The entire contract includes the actual policy and the

application




employer sponsored group health insurance provides coverage for which of the
following

Alcoholism




The term which describes the fact that both parties of a contract may not receive the
same value is referred to as

Aleatory

,Tom has a home health care benefit and is confined to his home. Which of these is
NOT typically covered

Full-time nursing care




A Medicare Supplement policy can be cancelled by the insurer for

Nonpayment




Credit Accident and Health plans are designed to

help pay off existing loans during periods of disability




A payment system for health care in which the provider is paid for each service given
is called

fee-for-service




An insurance company ONLY pay a sales commission to

individuals licensed by the state

, Ken is a producer who has obtained Consumer Information Reports under false
pretenses. Under the Fair Credit Reporting Act, what is the maximum penalty that
may be imposed on Ken?

$5000 and 1 year imprisonment




A closed network plan offers a primary physician copay of $25. If a subscriber chooses
a primary care physician outside of the network, the subscriber will likely pay

100% of the billed amount




What is the maximum fine for a producer violating an NJ insurance law for the first
time?

$5000




A licensed producer is required to file notice to any changes of address within how
many days

30 days




Jonas has disability insurance through his employer. The employer pays 75% of the
premium, and Jonas pays the other 25%. What is Jonas's tax liability for any benefits
paid from the disability plan?

Taxes must be paid on 75% of the benefits received

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