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Exam (elaborations)

NJ ACCIDENT AND HEALTH STATE COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS 2025/2026

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NJ ACCIDENT AND HEALTH STATE COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS 2025/2026

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New Jersey
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Institution
New Jersey
Course
New Jersey

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Uploaded on
July 5, 2025
Number of pages
10
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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NJ ACCIDENT AND HEALTH STATE COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS 2025/2026
How many days before the insured can bring legal action against the insurer? - CORRECT
ANSWER -90 days



60 days



No contract is in force until ______ is paid? - CORRECT ANSWER -Initial premium



In Key Employee Disability Policy, if the business pays the premium as a tax-deductible expense,
any benefits paid are ______? - CORRECT ANSWER -Fully taxable



Policies that pay higher benefits, command ______ ? - CORRECT ANSWER -Higher premiums



One of the main responsibilities of an underwriter is to protect the insurer against ______? -
CORRECT ANSWER -Adverse selection



Insurers issue preferred risk policies with reduced premiums with the expectation of ______? -
CORRECT ANSWER -Better than normal mortality or morbidity experience



Monitoring the insured's hospital stay to ensure everything is going according to schedule and
that the insured will be released as planned is called ______? - CORRECT ANSWER -Concurrent
review



HIPAA provides that the 10% excise of tax for early withdrawal from IRAs will not apply to the
extent a withdrawal is used for medical expenses that exceed ______ of the individual's
adjusted gross income. - CORRECT ANSWER -7.5%

, One of the most important considerations in replacing medical insurance is ______? - CORRECT
ANSWER -Exclusions or limitations on a new policy



Upon policy delivery, if no initial payment is collected with the application, the producer must
request ______? - CORRECT ANSWER -The applicant to sign a Statement of Good Health



Managed care is provided with which policies, except ______? - CORRECT ANSWER -Covered:

- PPO

- POS (point-of-service)

- HMO



Point of service plan is considered what kind of plan? - CORRECT ANSWER -Managed care plan



Underwriters acquire information from these sources ______ - CORRECT ANSWER -- MIB

- Consumer report

- Attending physician statement



Main field underwriter task is to ______? - CORRECT ANSWER -Ensure accuracy and
completeness of an individual's medical information



Sources of information that can assist underwriters are ______? - CORRECT ANSWER -- Agents
report

- MIB

- Inspection reports



In a specified disease insurance policy to a new policyowner, the producer can expect to collect
all of these, ______? - CORRECT ANSWER -- Initial premium

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