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NJ HEALTH AND ACCIDENT INSURANCE EXAM 2025 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERSNJ HEALTH AND ACCIDENT INSURANCE EXAM 2025 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE ACCURATE EXAM Q

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NJ HEALTH AND ACCIDENT INSURANCE EXAM 2025 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS

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53 Multiple choice questions

Term 1 of 53
How long does the pre-existing condition exclusion last?

up to 12 months

up to 6 months

up to 24 months

up to 36 months

Term 2 of 53
What is the maximum fine imposed by the Commissioner on a suspended Producer for their first
offense?

up to $7500

up to $5000

up to $20000

up to $1000

Term 3 of 53
proof of loss provision

insurer will waive the premium if the insured is disabled
- insurance remains in force


insured must give insurer written proof of loss within 90 days

lets an insurer cancel the policy at any time with 45 days' notice


requires the insurer to give claim forms to the insured within 15 days

,Term 4 of 53
cancellation provision

the insurer can cancel the policy at any time by giving written notice
- insurer must refund any advanced premiums paid
- allow for premium increases


requires the insurer to give claim forms to the insured within 15 days


period after a loss before benefits begin

**usually appears in disability insurance and long-term care insurance


lets an insurer cancel the policy at any time with 45 days' notice

Definition 5 of 53
gives the insurer the right to have the insured take a physical exam when a claim has been filed
- common with disability income claims

guaranteed issue policy terms


physical examination and autopsy provision

coverage for pre-existing conditions

waiver of medical history requirements

, Term 6 of 53
insuring clause

the insurer's promise to pay a benefit if a certain event occurs
- describes the type and scope of coverage
- defines terms used in the policy
- states the conditions under which the policy will pay a benefit


one that isn't certified to do business in a state

**ONLY THROUGH SURPLUS LINES INSURANCE CAN A NON-ADMITTED insurer transact
business

- enforcing and administering all laws pertaining to insurance
- make rules and regulations to help administer insurance code
- conduct examinations, administer oaths, question licensees, and issue subpoenas

assures the policyowner that the insurer will not cancel the policy but may increase
premiums BUT they must increase for all policies in that class issued in state

**usually guaranteed renewable until the insured reaches age 65
** standard in medical expense insurance policies and long-term care policies

Term 7 of 53
conditionally renewable

guarantees that the policy can renew coverage BUT the policyowner must meet certain
conditions
- insurer CAN increase premiums

the insurer cannot cancel the policy or increase the premium
- present the greatest risk to the insurer
- more expensive than others

funds a buy-sell agreement if an owner or partner is totally disabled
- premiums are not tax-deductible and benefits are not taxable income


lets an insurer cancel the policy at any time with 45 days' notice

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