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Exam (elaborations)

Health and Accident Insurance Laws and Rules Questions and Complete Solutions Graded A+

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Health and Accident Insurance Laws and Rules Questions and Complete Solutions Graded A+

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Institution
NJ Health and Accident
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NJ Health and Accident

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Uploaded on
January 14, 2025
Number of pages
11
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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Health and Accident Insurance Laws and
Rules Questions and Complete
Solutions Graded A+
When can an insurer cancel a Medicare supplement plan?

1. At any time



2. At the enrollment period



3. On a date specified in the policy



4. After nonpayment - Answer: 4. After nonpayment



EXCEPT for fraud, the time after issuance of a policy during which an insurance company may contest a
health insurance claim due to the statements on an application is

1. 10 days

2. 90 days

3. 2 years

4. 5 years - Answer: 3. 2 years



EXCEPT for fraud, the time after issuance of a policy during which an insurance company may contest a
health insurance claim due to the statements on an application is 2 years.



A temporary producer's license may be issued for up to

1. 30 days



2. 60 days



3. 180 days

, 4. 12 months - Answer: 3. 180 days




A temporary producer's license may be issued for up to 180 days.



The marketing of Medicare Supplements is regulated to prevent all of the following EXCEPT



1. Sale of excessive insurance



2. Replacement of any existing coverage



3. Inaccurate policy provisions



4. Failure to display notice of limitations to buyer - Answer: 2. Replacement of any existing coverage



The marketing of Medicare Supplements is regulated to prevent all of these EXCEPT replacement of any
existing coverage.



All group health-care service contracts MUST provide coverage for



1. alcoholism treatment

2. routine vision care

3. routine hearing examinations

4. unlimited psychiatric care - Answer: 1. alcoholism treatment



In New Jersey a small group health plan requires a continuance of prior credible coverage provided that
there has been no gap in coverage for a period not to exceed what period of time?

1. 15 days

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