New Jersey Accident and Health State Exam Simulator Questions and Answers

New Jersey Accident and Health State Exam Simulator
Questions and Answers



1. How is Medicare Part B funded?
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Employer taxes P m m


ayroll taxes User m m m


premiums
General tax revenue and user premiums: General tax revenue and user premi- ums
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2. How are premiums paid by the insured for personally owned disability income
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minsurance treated for tax purposes?m m m m




Partially tax deductible N m m m


ot tax deductible Fully ta
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x deductible
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Tax Deferred: Not tax deductible
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(Premiums paid for personal disability income insurance are not tax deductible by the ind
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idual insured, but the disability benefits are tax-free to the recipient)
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3. What is Medicare Part B also known as?
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Medicare supplement Supplementary me
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dical insurance Comprehensive insuranc
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e
Medicaid: Supplementary medical insurance
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4. An accident and health policy that provides reimbursement benefits makes them pa
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yable to the? m m




Provider

Facility providing service
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1m/m
9

, Insured

Insured's spouse: Insured m m




(An accident and health policy that provides reimbursement benefits makes them payable
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o the insured. However, the right of assignment is built into most commercial insurance polic
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es that allows policyowners to assign benefit payments from the insurer directly to the he
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th care provider)
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5. Which of the following is NOT an example of utilization review?
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Monitoring length of hospital stay m m m m




Ongoing inspection of accident prone individuals Monitoring the ap
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propriateness of care m m


Setting a hospital release date for a patient: Ongoing inspection of accident prone individu
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s
6. What is the elimination period of an individual disability policy?
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Time period an insured must wait before coverage begins
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Time period a disabled person must wait before benefits are paid
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Time period after the policy issue date in which the provision are still con- testable
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The point in time when benefits are no longer payable: Time period a disabled person m
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st wait before benefits are paid
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7. An insurer must furnish to a claimant forms for filing proof of loss within
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days upon receiving a notice of claim?
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10

15

20
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9