1|Page
Health Final Exam - NJ Accident and Health (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
The Commissioner must approve - CORRECT ANSWER Continuing education
courses
QUESTION : Employer sponsored group health insurance provides coverage for which of
the following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - CORRECT ANSWER alcoholism
QUESTION : A Medicare supplement policy can be cancelled by the insurer for -
CORRECT ANSWER Nonpayment
QUESTION : Which entity is responsible for regulating insurance advertising in NJ? -
CORRECT ANSWER New Jersey Department of Banking and Insurance
QUESTION : Which of the following are retained at the expense of an insurance buyer to
give advice on insurance needed by the buyer?
2026 2027 GRADED A+
,2|Page
Brokers and consultants
Insurance prospectors
Third-party adminstrators
Agents - CORRECT ANSWER Brokers and consultants
QUESTION : Written notice for a health claim must be given to the insurer ___ days after
the occurrence of the loss. - CORRECT ANSWER 20
QUESTION : 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 -
CORRECT ANSWER d) The insured suffered an injury as an innocent bystander
during a bank robbery
QUESTION : When a Medicare supplement policy is purchased during the open
enrollment period - CORRECT ANSWER The policy must be issued regardless of
health status
QUESTION : In what form do disability income policies typically pay benefits? -
CORRECT ANSWER Periodic income
QUESTION : What is considered to be the primary reason for buying life insurance? -
CORRECT ANSWER Provide death benefits
2026 2027 GRADED A+
,3|Page
QUESTION : A newborn is required to be covered for ____ days from the moment of birth
- CORRECT ANSWER 30
QUESTION : Once an accident and health insurance policy has been in force for ___
year(s), the policy may NOT be contested by the insurer - CORRECT ANSWER 2
QUESTION : A doctor who accepts Medicare assignment agrees to which of the following
- 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 - CORRECT
ANSWER Doctor cannot charge more than Medicare's scheduled coverage
QUESTION : What is issued to each employee with an employer health plan? -
CORRECT ANSWER Certificate
QUESTION : What is the tax liability for employer contributions in Health Savings
Accounts (HSA's)? - CORRECT ANSWER No tax payment needed
QUESTION : All of these are considered sources of information that can assist an
underwriter in determining whether or not to accept a risk EXCEPT
Agent's report
Medical Information Bureau (MIB)
2026 2027 GRADED A+
, 4|Page
Inspection reports
National Association of Insurance Underwriters - CORRECT ANSWER National
Association of Insurance Underwriters
QUESTION : In NJ, health insurance advertisements are required to contain the -
CORRECT ANSWER insurance company's name
QUESTION : Replacement regulation is designed to protect the interests of - CORRECT
ANSWER Policyowners
QUESTION : The Commissioner of Insurance is appointed by - CORRECT ANSWER
The governor
QUESTION : Which type of plan would be most appropriate for an individual on
Medicare and is concerned that Medicare will NOT pay for charges exceeding the
approved amount? - CORRECT ANSWER Medicare supplement plan F
QUESTION : Which of the following is NOT a common exclusion for a medical expense
policy?
Physical therapy
Act of war
on the job injury
self inflicted injury - CORRECT ANSWER Physical therapy
2026 2027 GRADED A+
Health Final Exam - NJ Accident and Health (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
The Commissioner must approve - CORRECT ANSWER Continuing education
courses
QUESTION : Employer sponsored group health insurance provides coverage for which of
the following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - CORRECT ANSWER alcoholism
QUESTION : A Medicare supplement policy can be cancelled by the insurer for -
CORRECT ANSWER Nonpayment
QUESTION : Which entity is responsible for regulating insurance advertising in NJ? -
CORRECT ANSWER New Jersey Department of Banking and Insurance
QUESTION : Which of the following are retained at the expense of an insurance buyer to
give advice on insurance needed by the buyer?
2026 2027 GRADED A+
,2|Page
Brokers and consultants
Insurance prospectors
Third-party adminstrators
Agents - CORRECT ANSWER Brokers and consultants
QUESTION : Written notice for a health claim must be given to the insurer ___ days after
the occurrence of the loss. - CORRECT ANSWER 20
QUESTION : 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 -
CORRECT ANSWER d) The insured suffered an injury as an innocent bystander
during a bank robbery
QUESTION : When a Medicare supplement policy is purchased during the open
enrollment period - CORRECT ANSWER The policy must be issued regardless of
health status
QUESTION : In what form do disability income policies typically pay benefits? -
CORRECT ANSWER Periodic income
QUESTION : What is considered to be the primary reason for buying life insurance? -
CORRECT ANSWER Provide death benefits
2026 2027 GRADED A+
,3|Page
QUESTION : A newborn is required to be covered for ____ days from the moment of birth
- CORRECT ANSWER 30
QUESTION : Once an accident and health insurance policy has been in force for ___
year(s), the policy may NOT be contested by the insurer - CORRECT ANSWER 2
QUESTION : A doctor who accepts Medicare assignment agrees to which of the following
- 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 - CORRECT
ANSWER Doctor cannot charge more than Medicare's scheduled coverage
QUESTION : What is issued to each employee with an employer health plan? -
CORRECT ANSWER Certificate
QUESTION : What is the tax liability for employer contributions in Health Savings
Accounts (HSA's)? - CORRECT ANSWER No tax payment needed
QUESTION : All of these are considered sources of information that can assist an
underwriter in determining whether or not to accept a risk EXCEPT
Agent's report
Medical Information Bureau (MIB)
2026 2027 GRADED A+
, 4|Page
Inspection reports
National Association of Insurance Underwriters - CORRECT ANSWER National
Association of Insurance Underwriters
QUESTION : In NJ, health insurance advertisements are required to contain the -
CORRECT ANSWER insurance company's name
QUESTION : Replacement regulation is designed to protect the interests of - CORRECT
ANSWER Policyowners
QUESTION : The Commissioner of Insurance is appointed by - CORRECT ANSWER
The governor
QUESTION : Which type of plan would be most appropriate for an individual on
Medicare and is concerned that Medicare will NOT pay for charges exceeding the
approved amount? - CORRECT ANSWER Medicare supplement plan F
QUESTION : Which of the following is NOT a common exclusion for a medical expense
policy?
Physical therapy
Act of war
on the job injury
self inflicted injury - CORRECT ANSWER Physical therapy
2026 2027 GRADED A+
