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Exam (elaborations)

Health Final Exam - NJ Accident and Health || with questions and correct answers graded A+

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Health Final Exam - NJ Accident and Health || with questions and correct answers graded A+

Institution
NJ Accident And Health
Course
NJ Accident and Health










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Institution
NJ Accident and Health
Course
NJ Accident and Health

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Uploaded on
September 14, 2024
Number of pages
24
Written in
2024/2025
Type
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Health Final Exam - NJ Accident and Health || with
questions and correct answers graded A+



The Commissioner must approve - CORRECT ANSWER : Continuing
education courses


Employer sponsored group health insurance provides coverage for
which of the following?


Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - CORRECT ANSWER : alcoholism


A Medicare supplement policy can be cancelled by the insurer for -
CORRECT ANSWER : Nonpayment


Which entity is responsible for regulating insurance advertising in NJ? -
CORRECT ANSWER : New Jersey Department of Banking and
Insurance


Which of the following are retained at the expense of an insurance buyer
to give advice on insurance needed by the buyer?

,Brokers and consultants
Insurance prospectors
Third-party adminstrators
Agents - CORRECT ANSWER : Brokers and consultants


Written notice for a health claim must be given to the insurer ___ days
after the occurrence of the loss. - CORRECT ANSWER : 20


In which of the following situations would the insurer be liable for a
loss?


a) The insured skipped a payment beyond the 31 day grace period
b) The insured was injured while participating in an illegal occupation
c) The insured was given a notice of cancellation from the insurer
d) The insured suffered an injury as an innocent bystander during a bank
robbery - CORRECT ANSWER : d) The insured suffered an injury as
an innocent bystander during a bank robbery


When a Medicare supplement policy is purchased during the open
enrollment period - CORRECT ANSWER : The policy must be issued
regardless of health status


In what form do disability income policies typically pay benefits? -
CORRECT ANSWER : Periodic income

, What is considered to be the primary reason for buying life insurance? -
CORRECT ANSWER : Provide death benefits


A newborn is required to be covered for ____ days from the moment of
birth - CORRECT ANSWER : 30


Once an accident and health insurance policy has been in force for ___
year(s), the policy may NOT be contested by the insurer - CORRECT
ANSWER : 2


A doctor who accepts Medicare assignment agrees to which of the
following


- Doctor may charge up to a maximum of 15% more than Medicare pays
for the service
- Doctor is not bound by Medicare's limitations on charges
- Doctor cannot charge more than Medicare's scheduled coverage
- Doctor bills the Medicare beneficiary directly for services performed -
CORRECT ANSWER : Doctor cannot charge more than Medicare's
scheduled coverage


What is issued to each employee with an employer health plan? -
CORRECT ANSWER : Certificate


What is the tax liability for employer contributions in Health Savings
Accounts (HSA's)? - CORRECT ANSWER : No tax payment needed

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