NJ Accident and Health Final Exam
Questions & Answers
1.The Commissioner must approve
Answer Continuing education courses
2.Employer sponsored group health insurance provides coverage for
which of the following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism
Answer alcoholism
3.A Medicare supplement policy can be cancelled by the insurer for
Answer Nonpay- ment
4.Which entity is responsible for regulating insurance advertising in NJ?
Answer New Jersey Department of Banking and Insurance
5.Which of the following are retained at the expense of an insurance buyer
to give advice on insurance needed by the buyer?
,Brokers and consultants
Insurance prospectors
Third-party
administrators
Agents
Answer Brokers and consultants
6.Written notice for a health claim must be given to the insurer days
after the occurrence of the loss.
Answer 20
7.In which of the following situations would the insurer be liable for a loss?
a) The insured skipped a payment beyond the 31 day grace period
b) The insured was injured while participating in an illegal occupation
c) The insured was given a notice of cancellation from the insurer
d) The insured suffered an injury as an innocent bystander during a bank
robbery
Answer d) The insured suffered an injury as an innocent bystander
during a bank robbery
8.When a Medicare supplement policy is purchased during the open
enroll- ment period
Answer The policy must be issued regardless of health status
9.In what form do disability income policies typically pay benefits?
, Answer Periodic income
10.What is considered to be the primary reason for buying life insurance?
Answer -
Provide death benefits
11.A newborn is required to be covered for days from the moment
of birth
Answer 30
12.Once an accident and health insurance policy has been in force for
year(s), the policy may NOT be contested by the insurer
Answer 2
13.A doctor who accepts Medicare assignment agrees to which of the
follow- ing
- Doctor may charge up to a maximum of 15% more than Medicare pays
for the service
- Doctor is not bound by Medicare's limitations on charges
- Doctor cannot charge more than Medicare's scheduled coverage
- Doctor bills the Medicare beneficiary directly for services performed
Answer Doctor cannot charge more than Medicare's scheduled coverage
14.What is issued to each employee with an employer health plan?
Questions & Answers
1.The Commissioner must approve
Answer Continuing education courses
2.Employer sponsored group health insurance provides coverage for
which of the following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism
Answer alcoholism
3.A Medicare supplement policy can be cancelled by the insurer for
Answer Nonpay- ment
4.Which entity is responsible for regulating insurance advertising in NJ?
Answer New Jersey Department of Banking and Insurance
5.Which of the following are retained at the expense of an insurance buyer
to give advice on insurance needed by the buyer?
,Brokers and consultants
Insurance prospectors
Third-party
administrators
Agents
Answer Brokers and consultants
6.Written notice for a health claim must be given to the insurer days
after the occurrence of the loss.
Answer 20
7.In which of the following situations would the insurer be liable for a loss?
a) The insured skipped a payment beyond the 31 day grace period
b) The insured was injured while participating in an illegal occupation
c) The insured was given a notice of cancellation from the insurer
d) The insured suffered an injury as an innocent bystander during a bank
robbery
Answer d) The insured suffered an injury as an innocent bystander
during a bank robbery
8.When a Medicare supplement policy is purchased during the open
enroll- ment period
Answer The policy must be issued regardless of health status
9.In what form do disability income policies typically pay benefits?
, Answer Periodic income
10.What is considered to be the primary reason for buying life insurance?
Answer -
Provide death benefits
11.A newborn is required to be covered for days from the moment
of birth
Answer 30
12.Once an accident and health insurance policy has been in force for
year(s), the policy may NOT be contested by the insurer
Answer 2
13.A doctor who accepts Medicare assignment agrees to which of the
follow- ing
- Doctor may charge up to a maximum of 15% more than Medicare pays
for the service
- Doctor is not bound by Medicare's limitations on charges
- Doctor cannot charge more than Medicare's scheduled coverage
- Doctor bills the Medicare beneficiary directly for services performed
Answer Doctor cannot charge more than Medicare's scheduled coverage
14.What is issued to each employee with an employer health plan?
