NJ Accident and Health Producer PRACTICE
EXAMS Actual 2025 Questions and Verified Answers
()/ A+ GRADE COMPLETE.
1. AccordingtotheTimePaymentofClaimsprovision,theinsurermustmake the ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
payment immediately after receiving proof of loss EXCEPT
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
- if the insured is able to eventually return to work
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-if the death is suicide or due to a pre existing condition
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-when the policy is in the incontestability period
,/ ,/ ,/ ,/ ,/ ,/ ,/
-forclaims involvingperiodic payments
,/ ,/ ,/ ,/
Ans>>:for claimsinvolving periodic payments ,/ ,/ ,/ ,/ ,/
INSURERSMUSTPAYLUMPSUMCLAIMSIMMEDIATELYAFTERRECEIVING ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
PROOF OF LOSS
,/ ,/ ,/
2. What does coinsurance mean? ,/ ,/ ,/
- a policy covers the insured and the any additional named persons
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-the insurer and the insured share expenses over the deductible
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-the insurer and the insured share ALL expenses
,/ ,/ ,/ ,/ ,/ ,/ ,/
-thepolicyownerholdsmultiplepoliciesthroughthesameinsurer
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
,/ ,/
,Ans>>:Theinsurer and the insured share expenses over the deductible
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
COINSURANCE IS THE SHARING BETWEEN THE INSURER AND THE IN- SURED ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
OFCOVEREDEXPENSESTHATEXCEEDTHEDEDUCTIBLEAMOUNT. THE
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
SHARING ENDS WHEN THE "STOP LOSS LIMIT" IS REACHED
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
3. Thelifeinsurancepolicywillnotbetrulyeffectuntilallofthefollowingoccur
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
EXCEPT:
,/
-the statement of good health is obtained by the insurer
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-the first premium is collected
,/ ,/ ,/ ,/
-the policy is delivered to the applicant
,/ ,/ ,/ ,/ ,/ ,/
-theproducerhasexplainedthepolicytotheclient
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
Ans>>:-theproducerhasexplained the policy to the client,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
EFFECTIVEDATEBASEDON: ,/ ,/ ,/ ,/
-APP DATE ,/
-IF PREMIUM HAS BEEN PAID
,/ ,/ ,/ ,/
-IFASTATEMENTOFGOODHEALTHMUSTBEOBTAINEDIFPREMIUMWAS NOT
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
SUBMITTED WITH APPLICATION
,/ ,/ ,/
4. Which ofthe followingcoverage types pays a monthly cash benefitfollow- ing
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
the elimination period for total disability due to accident or sickness?
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-credit disability ,/
-works comp disability ,/ ,/
-recurrent disability ,/
-disability income ,/
Ans>>:-disability income insurance ,/ ,/ ,/
,/ ,/
, PROVIDESPAYMENTOFREGULARPERIODICINCOMESHOULDTHEIN- SURED ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
BECOME DISABLED FROM ILLNESS OR INJURY
,/ ,/ ,/ ,/ ,/ ,/
5. The period beginning at the time of an insured loss that an insured must wait
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
before benefits are payable is called the:
,/ ,/ ,/ ,/ ,/ ,/ ,/
-probationary period ,/
-benefit period ,/
-elimination period ,/
-grace period ,/
Ans>>:-elimination period ,/ ,/
THETIMEPERIODSTARTINGATTHETIMEOFLOSS,SUCHASADISABILITY, THAT
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
AN INSURED MUSTWAIT BEFORE BENEFITS ARE PAYABLE
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
6. Managed care plans increase efficiency by all of the following EXCEPT: ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-transferring the management of costs to the insureds ,/ ,/ ,/ ,/ ,/ ,/ ,/
-controlling inpatient admissions and length of stay ,/ ,/ ,/ ,/ ,/ ,/
-increasing beneficiary cost sharing ,/ ,/ ,/
-selectivelycontractingwithhealthcare providers ,/ ,/ ,/ ,/ ,/
Ans>>:-transferring themanage- ment of costs to the insureds
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
MANAGED CARE PLANS ARE DESIGNED TO USE COST SAVING SERVICES BY ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
USINGCLOSEDNETWORKSANDMANAGINGHEALTHCAREWITHTHESE
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
NETWORKS
,/
7. Underanindividualpolicy,andinsuredwhoCANNOTperformthedutiesof
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
his/her own occupation for a specific period of time is:
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-totally disabled ,/
-permanently disabled ,/
,/ ,/
EXAMS Actual 2025 Questions and Verified Answers
()/ A+ GRADE COMPLETE.
1. AccordingtotheTimePaymentofClaimsprovision,theinsurermustmake the ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
payment immediately after receiving proof of loss EXCEPT
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
- if the insured is able to eventually return to work
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-if the death is suicide or due to a pre existing condition
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-when the policy is in the incontestability period
,/ ,/ ,/ ,/ ,/ ,/ ,/
-forclaims involvingperiodic payments
,/ ,/ ,/ ,/
Ans>>:for claimsinvolving periodic payments ,/ ,/ ,/ ,/ ,/
INSURERSMUSTPAYLUMPSUMCLAIMSIMMEDIATELYAFTERRECEIVING ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
PROOF OF LOSS
,/ ,/ ,/
2. What does coinsurance mean? ,/ ,/ ,/
- a policy covers the insured and the any additional named persons
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-the insurer and the insured share expenses over the deductible
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-the insurer and the insured share ALL expenses
,/ ,/ ,/ ,/ ,/ ,/ ,/
-thepolicyownerholdsmultiplepoliciesthroughthesameinsurer
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
,/ ,/
,Ans>>:Theinsurer and the insured share expenses over the deductible
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
COINSURANCE IS THE SHARING BETWEEN THE INSURER AND THE IN- SURED ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
OFCOVEREDEXPENSESTHATEXCEEDTHEDEDUCTIBLEAMOUNT. THE
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
SHARING ENDS WHEN THE "STOP LOSS LIMIT" IS REACHED
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
3. Thelifeinsurancepolicywillnotbetrulyeffectuntilallofthefollowingoccur
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
EXCEPT:
,/
-the statement of good health is obtained by the insurer
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-the first premium is collected
,/ ,/ ,/ ,/
-the policy is delivered to the applicant
,/ ,/ ,/ ,/ ,/ ,/
-theproducerhasexplainedthepolicytotheclient
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
Ans>>:-theproducerhasexplained the policy to the client,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
EFFECTIVEDATEBASEDON: ,/ ,/ ,/ ,/
-APP DATE ,/
-IF PREMIUM HAS BEEN PAID
,/ ,/ ,/ ,/
-IFASTATEMENTOFGOODHEALTHMUSTBEOBTAINEDIFPREMIUMWAS NOT
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
SUBMITTED WITH APPLICATION
,/ ,/ ,/
4. Which ofthe followingcoverage types pays a monthly cash benefitfollow- ing
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
the elimination period for total disability due to accident or sickness?
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-credit disability ,/
-works comp disability ,/ ,/
-recurrent disability ,/
-disability income ,/
Ans>>:-disability income insurance ,/ ,/ ,/
,/ ,/
, PROVIDESPAYMENTOFREGULARPERIODICINCOMESHOULDTHEIN- SURED ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
BECOME DISABLED FROM ILLNESS OR INJURY
,/ ,/ ,/ ,/ ,/ ,/
5. The period beginning at the time of an insured loss that an insured must wait
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
before benefits are payable is called the:
,/ ,/ ,/ ,/ ,/ ,/ ,/
-probationary period ,/
-benefit period ,/
-elimination period ,/
-grace period ,/
Ans>>:-elimination period ,/ ,/
THETIMEPERIODSTARTINGATTHETIMEOFLOSS,SUCHASADISABILITY, THAT
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
AN INSURED MUSTWAIT BEFORE BENEFITS ARE PAYABLE
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
6. Managed care plans increase efficiency by all of the following EXCEPT: ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-transferring the management of costs to the insureds ,/ ,/ ,/ ,/ ,/ ,/ ,/
-controlling inpatient admissions and length of stay ,/ ,/ ,/ ,/ ,/ ,/
-increasing beneficiary cost sharing ,/ ,/ ,/
-selectivelycontractingwithhealthcare providers ,/ ,/ ,/ ,/ ,/
Ans>>:-transferring themanage- ment of costs to the insureds
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
MANAGED CARE PLANS ARE DESIGNED TO USE COST SAVING SERVICES BY ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
USINGCLOSEDNETWORKSANDMANAGINGHEALTHCAREWITHTHESE
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
NETWORKS
,/
7. Underanindividualpolicy,andinsuredwhoCANNOTperformthedutiesof
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
his/her own occupation for a specific period of time is:
,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
-totally disabled ,/
-permanently disabled ,/
,/ ,/
