NJ HEALTH AND ACCIDENT INSURANCE
ACTUAL 2026 HIGH-YIELD POLICY AND
REGULATORY REVIEW NOTES
◉ 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?
Answer: Taxes must be paid on 75% of the benefits received
◉ After an insured gives notice of loss, what must he/she do if the
insurer does not furnish forms?
Answer: File written proof of loss
◉ Which of the following is an example of the insured's
consideration?.
Answer: A paid premium
◉ A(n) _______ insurance company is one that was formed under the
laws of a state other than NJ.
Answer: Foreign
,◉ Kathy pays a monthly premium on her health insurance policy.
How long is her grace period?.
Answer: 10 days
◉ Insurance licenses are intended to be issued for the purpose of
authorizing the transaction of business with members of the general
public and not primarily allowing someone to benefit from
commissions on business that insurers their personal interest. The
description of which of the following?.
Answer: Controlled business
◉ A master contract and certified coverage can be found in which
type of policy?.
Answer: Group
◉ Medicaid is a government-funded program designed to provide
health care to.
Answer: poor people
◉ Which type of long-term care benefit would be most appropriate
for a stroke victim who requires speech therapy administered at her
home?.
Answer: Home Health Care
, ◉ What does the Consolidated Omnibus Budget Reconciliation Act
(COBRA) of 1985 allow an employee to do?.
Answer: In the event of employment termination, group health
insurance can be kept if the employee pays the premiums
◉ Replacement regulation is designed to protect the interests of.
Answer: Policy owners
◉ Continued coverage under COBRA would be provided to all of the
following except?.
Answer: a covered employee is terminated for gross misconduct
◉ A health insurer must be provided with written proof of loss ______
days after the date of loss.
Answer: 90 days
◉ All of the following are factors would affect a health insurance
policies premium rate Except.
Answer: Residential address of the insured
◉ Which of the following is NOT a required provision in an accident
and health insurance policy?.
Answer: Change of occupation (considered optional provision)
ACTUAL 2026 HIGH-YIELD POLICY AND
REGULATORY REVIEW NOTES
◉ 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?
Answer: Taxes must be paid on 75% of the benefits received
◉ After an insured gives notice of loss, what must he/she do if the
insurer does not furnish forms?
Answer: File written proof of loss
◉ Which of the following is an example of the insured's
consideration?.
Answer: A paid premium
◉ A(n) _______ insurance company is one that was formed under the
laws of a state other than NJ.
Answer: Foreign
,◉ Kathy pays a monthly premium on her health insurance policy.
How long is her grace period?.
Answer: 10 days
◉ Insurance licenses are intended to be issued for the purpose of
authorizing the transaction of business with members of the general
public and not primarily allowing someone to benefit from
commissions on business that insurers their personal interest. The
description of which of the following?.
Answer: Controlled business
◉ A master contract and certified coverage can be found in which
type of policy?.
Answer: Group
◉ Medicaid is a government-funded program designed to provide
health care to.
Answer: poor people
◉ Which type of long-term care benefit would be most appropriate
for a stroke victim who requires speech therapy administered at her
home?.
Answer: Home Health Care
, ◉ What does the Consolidated Omnibus Budget Reconciliation Act
(COBRA) of 1985 allow an employee to do?.
Answer: In the event of employment termination, group health
insurance can be kept if the employee pays the premiums
◉ Replacement regulation is designed to protect the interests of.
Answer: Policy owners
◉ Continued coverage under COBRA would be provided to all of the
following except?.
Answer: a covered employee is terminated for gross misconduct
◉ A health insurer must be provided with written proof of loss ______
days after the date of loss.
Answer: 90 days
◉ All of the following are factors would affect a health insurance
policies premium rate Except.
Answer: Residential address of the insured
◉ Which of the following is NOT a required provision in an accident
and health insurance policy?.
Answer: Change of occupation (considered optional provision)
