NJ Accident and Health Insurance Exam Questions and 100% Verified Solutions

NJ Accident and Health Insurance Exam
Questions and 100% Verified Solutions


1. H has suffered a covered disability away from her job and will shortly begin collecting b
c c c c c c c c c c c c c c c


enefits. The insurer sends a letter to H stating that she will not receive any benefit amoun
c c c c c c c c c c c c c c c c


ts greater than her income. This clause is known as:
c c c c c c c c c


A: Over-
c


insurance clause B: free look c c c c


C: relation of earning to insurance
c c c c c


D: relation of economic value: C: relation of earning to insurance
c c c c c c c c c c


2. The insured should be aware of the issue date upon delivery a policy and the date sho
c c c c c c c c c c c c c c c c


uld be listed on:
c c c


A: the policy summary
c c c


B: the first page of the contract C: th
c c c c c c c c


e delivery receipt
c c


D: upon conditional receipt: B: the first page of the contract
c c c c c c c c c c


3. The policy has all of the following rights EXCEPT:
c c c c c c c c


A: Right to solely renew a guaranteed renewable policy. B: Right t
c c c c c c c c c c c


o terminate a policy
c c c


C: Unilateral right to renew an Optionally renewable policy
c c c c c c c c


D: Right to assign a contract: C: Unilateral right to renew an Optionally renewable policy
c c c c c c c c c c c c c c


4. The part of a contract that specifies which expenses may or may not be covered is k
c c c c c c c c c c c c c c c c


nown as the: c c


A: Exclusion
c


B: Eligible Expense provision C: Insu
c c c c c


ring Agreement
c


D: Consideration Clause: B: Eligible Expense provision
c c c c c c


5. Which of the following is considered to be a mandatory provision in a health policy?
c c c c c c c c c c c c c c


A: Time Limit on Certain Defenses B: Chan
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,ge of Occupation
c c


C: Illegal Occupation
c c


D: Intoxicant/Narcotic Usage: A: Time Limit on Certain Defenses
c c c c c c c c


6. Which of the following may be considered an eligible expense found in a health polic
c c c c c c c c c c c c c c


y?
A: Cosmetic Surgery B: P
c c c c


remium payment C: colc c c


d cream
c


D: Bus fare to receive treatment for a covered loss: D: Bus fare to receive treatment f
c c c c c c c c c c c c c c c c


or a covered loss
c c c




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,7. K has a policy that covers doctors visits but limits the number of visits per calendar ye
c c c c c c c c c c c c c c c c


ar and pays a limited indemnification limit per visit. K has:
c c c c c c c c c c


A: Basic Medical Expense
c c c


B: Physician Nonsurgical Coverage C: Bas
c c c c c


ic Surgical Policy
c c


D: Basic Hospital Coverage: B: Physician Nonsurgical Coverage
c c c c c c c


8. All of the following are CORRECT about Medicare EXCEPT:
c c c c c c c c


A: An insured who is age 30 but collecting Social Security disability for the last two years i
c c c c c c c c c c c c c c c c c


s eligible for Medicare.
c c c


B: An insured who is age 60 and is at the end stage of renal failure is eligible for Medicare.
c c c c c c c c c c c c c c c c c c c


C: An insured who turns age 65 and is still employed is eligible for Medicare. D: An insured
c c c c c c c c c c c c c c c c c


who has Medicare Part A is eligible to enroll for Medigap policies within six months of enroll
c c c c c c c c c c c c c c c c


ing in Part A.: D: An insured who has Medicare Part A is eligible to enroll for Medigap policies
c c c c c c c c c c c c c c c c c c c


within six months of enrolling in Part A.
c c c c c c c


9. Under the Claim Forms provision in an Accident and Health policy, an insur-
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cance company must supply an insured with claim forms within a MAXIMUM of how many d
c c c c c c c c c c c c c c c


ays after receiving notice of the loss?
c c c c c c


A: 10 c


B: 15 c


C: 20 c


D: 30: B: 15
c c c


10. The purpose of the Fair Credit Reporting Act is to:
c c c c c c c c c


A: protect the consumer from having an adverse action against them based of obsolete cr
c c c c c c c c c c c c c c


edit informationc


B: to ensure that credit information used in underwriting is accurate and updated
c c c c c c c c c c c c


C: make sure that any financial institution handles an individual's credit in a correct, prop
c c c c c c c c c c c c c c


cmanner
D: All of the Above: D: All of the Above
c c c c c c c c c


11. Most Accident and Health policies require that claims must be paid
c c c c c c c c c c


upon written proof of loss. A: 3 c c c c c c


0 days
c


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, B: Immediately C:
c c c


60 days c


D: 90 days: B: Immediately
c c c c


12. A LTC policy that will only pay for ADL given occasionally by a licensed professional
c c c c c c c c c c c c c c c


is:
A: Skilled Care
c c




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