NJ Health and Accident Questions and Answers 100% Pass
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
NJ Health and Accident Questions and Answers 100% Pass
, 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
After an insured gives notice of loss, what must he/she do if the insurer does not furnish
forms? - File written proof of loss
Which of the following is an example of the insured's consideration? - A paid premium
A(n) _______ insurance company is one that was formed under the laws of a state
other than NJ - Foreign
Kathy pays a monthly premium on her health insurance policy. How long is her grace
period? - 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? - Controlled business
A master contract and certified coverage can be found in which type of policy? - Group
Medicaid is a government-funded program designed to provide health care to - 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? - Home Health Care
What does the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985
allow an employee to do? - 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 - Policy owners
Continued coverage under COBRA would be provided to all of the following except? - 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 - 90 days
NJ Health and Accident Questions and Answers 100% Pass
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
NJ Health and Accident Questions and Answers 100% Pass
, 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
After an insured gives notice of loss, what must he/she do if the insurer does not furnish
forms? - File written proof of loss
Which of the following is an example of the insured's consideration? - A paid premium
A(n) _______ insurance company is one that was formed under the laws of a state
other than NJ - Foreign
Kathy pays a monthly premium on her health insurance policy. How long is her grace
period? - 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? - Controlled business
A master contract and certified coverage can be found in which type of policy? - Group
Medicaid is a government-funded program designed to provide health care to - 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? - Home Health Care
What does the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985
allow an employee to do? - 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 - Policy owners
Continued coverage under COBRA would be provided to all of the following except? - 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 - 90 days
NJ Health and Accident Questions and Answers 100% Pass
