NJ Accident And Health Final Exam Questions With Correct Answers 2024

NJ Accident And Health Final Exam
Questions With Correct Answers 2024



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




All .of .these .are .considered .sources .of .information .that .can .assist .an .underwriter .in
.determining .whether .or .not .to .accept .a .risk .EXCEPT




Agent's .report
Medical .Information .Bureau .(MIB)
Inspection .reports
National .Association .of .Insurance .Underwriters .- .correct .answer.National .Association .of
.Insurance .Underwriters




In .NJ, .health .insurance .advertisements .are .required .to .contain .the .- .correct
.answer.insurance .company's .name




Replacement .regulation .is .designed .to .protect .the .interests .of .- .correct
.answer.Policyowners




The .Commissioner .of .Insurance .is .appointed .by .- .correct .answer.The .governor