NJ State Accident and Health License Exam Questions and Answers 100% Pass

NJ State Accident and Health License Exam
Questions and Answers 100% Pass


1. Surplus Lines: any type of insurance for which there is no available market within the state,
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and the coverage must be placed with a non admitted insurer
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2. Conditional Contract: A contract that one or more parties must perform only under cer
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tain conditions.
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3. Inspection Report: General report of the applicant's finances, character, morals, work, hob
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bies, and other habits.
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4. Statement of Good Health: Required if no premium with application, if health changed-
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eagent can't deliver policy
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5. Basic Hospital Expense Insurance: Coverage that provides benefits for room, board and
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miscellaneous hospital expenses for a certain number of days during a hospital stay. No phy
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sician or surgeon expenses.
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6. usual, customary, and reasonable (UCR): setting fees by comparing usual fees, customary
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fees, and reasonable fees in a geographic area.
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7. Blanket Plans: Health plans that insure a group of individuals participating in the same acti
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vity, such as a group of high school seniors going on a class trip, or a soccer team. Provides a
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dditional coverage in excess of primary coverage.
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8. Part B of Medicare: Government-
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subsidized voluntary insurance for physician services and outpatient services.
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9. Mandatory Uniform Provisions: The Mandatory Uniform Provisions were devel-
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eoped by the NAIC and must, by law, be included in every individual accident and health insur
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ance policy. Different wording may be used as long as it is at least as favorable as the original
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ewording. No additional provisions may be included which otherwise restrict or modify a unifo
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rm provision. There are 12 Mandatory Provisions that are designed to protect the insured's int
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erests.
10. Convert group coverage to individual: You have 31 days
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11. disability income insurance personally owned: premiums paid are not tax deductible
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eand benefits are not taxable
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, 12. Medical Expense Insurance personally owned: premiums and unreimbursed medical ex
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penses that exceed 10% of income may be tax deductible; benefits received are not taxable
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13. long-
term care insurance personally owned: premiums paid exceed 10% of income or 7.5% for t
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hose 65+ may be tax deductible benefits are not taxable.
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14. disability income insurance employer paid: tax deductible for employer, pre-
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emiums paid by employee are after tax. benefits received are taxable based on % premiums e
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mployee paid e


15. dependent child in NJ. not ACA specific: may be age 30 or younger and unmarried b
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ut cannot have other coverage.
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16. licensee moves business: must be reported within 30 days of the move
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