NJ HEALTH AND ACCIDENT INSURANCE EXAM
ACTUAL EXAM COMPREHENSIVE QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
A master contract and certified coverage can be found in which type of policy? -
ans -Group
Medicaid is a government-funded program designed to provide health care to -
ans -poor people
Which type of long-term care benefit would be most appropriate for a stroke
victim who requires speech therapy administered at her home? - ans -Home
Health Care
What does the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985
allow an employee to do? - ans -In the event of employment termination, group
health insurance can be kept if the employee pays the premiums
Replacement regulation is designed to protect the interests of - ans -Policy
owners
Continued coverage under COBRA would be provided to all of the following
except? - ans -a covered employee is terminated for gross misconduct
A health insurer must be provided with written proof of loss ______ days after
the date of loss - ans -90 days
All of the following are factors would affect a health insurance policies premium
rate Except - ans -Residential address of the insured
Which of the following is NOT a required provision in an accident and health
insurance policy? - ans -Change of occupation (considered optional provision)
Within how many days must a producer notify the Department of Banking and
Insurance of a change in address? - ans -30 days
, When comparing an HMO, to a PPO, the PPO - ans -provides a greater choice of
providers
Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), a
terminated employee's benefits must - ans -be the same and the premium cannot
exceed 102%
An agent is required to keep replacement forms on file for at LEAST ______ years.
- ans -5 years
An insurer has the right to recover a payment made to the insured from the
negligent party. These rights are called - ans -Subrogation
All advertisements for health insurance shall make clear the identity of the - ans -
insurer
Bill requires some nursing care and supervision but NOT full-time care. Which of
these nursing home options would best serve him? - ans -Assisted living
How many employees must an employer have for a terminated employee to be
eligible for COBRA? - ans -20
An agent has committed an insurance crime that violates US CODE 1033
(interstate commerce). Who would be responsible for the prosecution of this
crime? - ans -US Attorney General
The time limit for filing claim disputes is addressed in which provision of an
accident and health policy? - ans -Legal actions
What is the process for a producer voluntarily terminating his/her license? - ans -
Returning his/her license to the Banking and Insurance Department
Under the Health Insurance Portability and Accountability Act (HIPAA), the
employee's new Group Health Plan will verify Creditable Coverage so that the -
ans -employee's waiting period for coverage of a preexisting condition can be
reduced under the new employer's health plan
ACTUAL EXAM COMPREHENSIVE QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
A master contract and certified coverage can be found in which type of policy? -
ans -Group
Medicaid is a government-funded program designed to provide health care to -
ans -poor people
Which type of long-term care benefit would be most appropriate for a stroke
victim who requires speech therapy administered at her home? - ans -Home
Health Care
What does the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985
allow an employee to do? - ans -In the event of employment termination, group
health insurance can be kept if the employee pays the premiums
Replacement regulation is designed to protect the interests of - ans -Policy
owners
Continued coverage under COBRA would be provided to all of the following
except? - ans -a covered employee is terminated for gross misconduct
A health insurer must be provided with written proof of loss ______ days after
the date of loss - ans -90 days
All of the following are factors would affect a health insurance policies premium
rate Except - ans -Residential address of the insured
Which of the following is NOT a required provision in an accident and health
insurance policy? - ans -Change of occupation (considered optional provision)
Within how many days must a producer notify the Department of Banking and
Insurance of a change in address? - ans -30 days
, When comparing an HMO, to a PPO, the PPO - ans -provides a greater choice of
providers
Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), a
terminated employee's benefits must - ans -be the same and the premium cannot
exceed 102%
An agent is required to keep replacement forms on file for at LEAST ______ years.
- ans -5 years
An insurer has the right to recover a payment made to the insured from the
negligent party. These rights are called - ans -Subrogation
All advertisements for health insurance shall make clear the identity of the - ans -
insurer
Bill requires some nursing care and supervision but NOT full-time care. Which of
these nursing home options would best serve him? - ans -Assisted living
How many employees must an employer have for a terminated employee to be
eligible for COBRA? - ans -20
An agent has committed an insurance crime that violates US CODE 1033
(interstate commerce). Who would be responsible for the prosecution of this
crime? - ans -US Attorney General
The time limit for filing claim disputes is addressed in which provision of an
accident and health policy? - ans -Legal actions
What is the process for a producer voluntarily terminating his/her license? - ans -
Returning his/her license to the Banking and Insurance Department
Under the Health Insurance Portability and Accountability Act (HIPAA), the
employee's new Group Health Plan will verify Creditable Coverage so that the -
ans -employee's waiting period for coverage of a preexisting condition can be
reduced under the new employer's health plan
