NJ Health and Accident Exam 2025( Questions and
Answers ))100% Pass
NJ LAW:
What are the duties/responsibilities of the Commissioner? - (answer)- enforcing and administering all
laws pertaining to insurance
- make rules and regulations to help administer insurance code
- conduct examinations, administer oaths, question licensees, and issue subpoenas
If the Commissioner finds that the producer has committed the alleged acts or practice, they can order
the producer..... - (answer)- cease and desist from committing the act or engaging in the practice
- be fined up to $1000
- be fined up to $5000 if the person knew they were violating the law
What is the maximum fine imposed by the Commissioner on a suspended Producer for their first
offense? - (answer)up to $5000
mutual insurers - (answer)- owned by policyholders
- mutual company does not have permanent capital stock
- governing body elected by policyholders
Who may receive temporary work authority? - (answer)- those who submitted a licensing application
and fee
- expires after 60 days
twisting - (answer)misrepresentation or incomplete comparison to induce a person to lapse, forfeit, or
surrender insurance
, NJ Health and Accident Exam 2025( Questions and
Answers ))100% Pass
Within how many days must an insurer respond to an inquiry from the Department? - (answer)15 days
New Jersey Life and Health Insurance Guaranty Association - (answer)- protects the policyowner,
insureds, and beneficiaries if an insurer becomes impaired or insolvent and unable to perform its
contractual obligations
An insured cannot bring suit after how many years have passed since filing proof of loss? - (answer)3
years
How long does the insured have to submit proof of loss? - (answer)90 days
How soon must a policyowner give written notice of claim to the insurer? - (answer)20 days or as soon
as reasonably possible
How long does the pre-existing condition exclusion last? - (answer)up to 24 months
what benefits must be included for treatment of alcoholism? - (answer)- inpatient or outpatient care in
a licensed hospital
- treatment at a detoxification facility
- confinement as an inpatient or outpatient at a residential treatment facility
a group health insurance plan may exclude pre-existing conditions for up to how long after the effective
date of coverage? - (answer)12 months, or 18 months for late enrollees
How long is the extension of benefits under group plans? - (answer)extension of at least 12 months for
major medical/comprehensive medical/HMO plans
Answers ))100% Pass
NJ LAW:
What are the duties/responsibilities of the Commissioner? - (answer)- enforcing and administering all
laws pertaining to insurance
- make rules and regulations to help administer insurance code
- conduct examinations, administer oaths, question licensees, and issue subpoenas
If the Commissioner finds that the producer has committed the alleged acts or practice, they can order
the producer..... - (answer)- cease and desist from committing the act or engaging in the practice
- be fined up to $1000
- be fined up to $5000 if the person knew they were violating the law
What is the maximum fine imposed by the Commissioner on a suspended Producer for their first
offense? - (answer)up to $5000
mutual insurers - (answer)- owned by policyholders
- mutual company does not have permanent capital stock
- governing body elected by policyholders
Who may receive temporary work authority? - (answer)- those who submitted a licensing application
and fee
- expires after 60 days
twisting - (answer)misrepresentation or incomplete comparison to induce a person to lapse, forfeit, or
surrender insurance
, NJ Health and Accident Exam 2025( Questions and
Answers ))100% Pass
Within how many days must an insurer respond to an inquiry from the Department? - (answer)15 days
New Jersey Life and Health Insurance Guaranty Association - (answer)- protects the policyowner,
insureds, and beneficiaries if an insurer becomes impaired or insolvent and unable to perform its
contractual obligations
An insured cannot bring suit after how many years have passed since filing proof of loss? - (answer)3
years
How long does the insured have to submit proof of loss? - (answer)90 days
How soon must a policyowner give written notice of claim to the insurer? - (answer)20 days or as soon
as reasonably possible
How long does the pre-existing condition exclusion last? - (answer)up to 24 months
what benefits must be included for treatment of alcoholism? - (answer)- inpatient or outpatient care in
a licensed hospital
- treatment at a detoxification facility
- confinement as an inpatient or outpatient at a residential treatment facility
a group health insurance plan may exclude pre-existing conditions for up to how long after the effective
date of coverage? - (answer)12 months, or 18 months for late enrollees
How long is the extension of benefits under group plans? - (answer)extension of at least 12 months for
major medical/comprehensive medical/HMO plans
