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Exam (elaborations)

NJ Accident and Health State Exam UPDATED ACTUAL Questions and CORRECT Answers

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NJ Accident and Health State Exam UPDATED ACTUAL Questions and CORRECT Answers With written proof of loss, how many days to file the claim? How many days before the insured can bring legal action against the insurer? - CORRECT ANSWER- 90 days 60 days No contract is in force until ______ is paid? - CORRECT ANSWER- Initial premium

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NJ Accident and Health
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NJ Accident and Health

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Uploaded on
October 20, 2024
Number of pages
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Written in
2024/2025
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NJ Accident and Health State Exam
UPDATED ACTUAL Questions and
CORRECT Answers
With written proof of loss, how many days to file the claim?


How many days before the insured can bring legal action against the insurer? - CORRECT
ANSWER✔✔- 90 days


60 days


No contract is in force until ______ is paid? - CORRECT ANSWER✔✔- Initial premium


In Key Employee Disability Policy, if the business pays the premium as a tax-deductible
expense, any benefits paid are ______? - CORRECT ANSWER✔✔- Fully taxable



Policies that pay higher benefits, command ______ ? - CORRECT ANSWER✔✔- Higher
premiums


One of the main responsibilities of an underwriter is to protect the insurer against ______? -
CORRECT ANSWER✔✔- Adverse selection


Insurers issue preferred risk policies with reduced premiums with the expectation of ______?
- CORRECT ANSWER✔✔- Better than normal mortality or morbidity experience


Monitoring the insured's hospital stay to ensure everything is going according to schedule and
that the insured will be released as planned is called ______? - CORRECT ANSWER✔✔-
Concurrent review


HIPAA provides that the 10% excise of tax for early withdrawal from IRAs will not apply to
the extent a withdrawal is used for medical expenses that exceed ______ of the individual's
adjusted gross income. - CORRECT ANSWER✔✔- 7.5%

, One of the most important considerations in replacing medical insurance is ______? -
CORRECT ANSWER✔✔- Exclusions or limitations on a new policy


Upon policy delivery, if no initial payment is collected with the application, the producer
must request ______? - CORRECT ANSWER✔✔- The applicant to sign a Statement of
Good Health


Managed care is provided with which policies, except ______? - CORRECT ANSWER✔✔-
Covered:
- PPO
- POS (point-of-service)
- HMO


Point of service plan is considered what kind of plan? - CORRECT ANSWER✔✔- Managed
care plan


Underwriters acquire information from these sources ______ - CORRECT ANSWER✔✔- -
MIB
- Consumer report
- Attending physician statement


Main field underwriter task is to ______? - CORRECT ANSWER✔✔- Ensure accuracy and
completeness of an individual's medical information


Sources of information that can assist underwriters are ______? - CORRECT ANSWER✔✔-
- Agents report
- MIB
- Inspection reports


In a specified disease insurance policy to a new policyowner, the producer can expect to
collect all of these, ______? - CORRECT ANSWER✔✔- - Initial premium
- Signed impairment rider acknowledgment

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