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NJ Accident and Health Final Exam

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NJ Accident and Health Final ExamNJ Accident and Health Final ExamNJ Accident and Health Final ExamNJ Accident and Health Final ExamNJ Accident and Health Final ExamNJ Accident and Health Final ExamNJ Accident and Health Final ExamNJ Accident and Health Final ExamNJ Accident and Health Final Exam

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NJ Accident and Health Final Exam




NJ Accident and Health Final Exam


1. The Commissioner must approve

ANS Continuing education courses

2. Employer sponsored group health insurance provides coverage for

which of the following?



Self-inflicted injuries

cosmetic surgery

custodial care

alcoholism

ANS alcoholism

3. A Medicare supplement policy can be cancelled by the insurer for

ANS Nonpay- ment

4. Which entity is responsible for regulating insurance advertising in NJ?

ANS 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?



,NJ Accident and Health Final Exam




Brokers and consultants

Insurance prospectors

Third-party

adminstrators

Agents

ANS Brokers and consultants

6. Written

notice for a health claim must be given to the insurer days

after the occurrence of the loss.

ANS 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





,NJ Accident and Health Final Exam



ANS 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

ANS The policy must be issued regardless of health status

9. In what form do disability income policies typically pay benefits?

ANS Periodic income

10. What is considered to be the primary reason for buying life insurance?

ANS -

Provide death benefits

11. A newborn is required to

be covered for days from the moment

of birth

ANS 30

12. O

nce an accident and health insurance policy has been in force for

year(s), the policy may NOT be contested by the insurer

ANS 2





, NJ Accident and Health Final Exam




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

ANS Doctor cannot charge more than Medicare's scheduled coverage

14. What is issued to each employee with an employer health plan?

ANS Certificate

15. What is the tax liability for employer contributions in Health Savings

Ac- counts (HSA's)?

ANS No tax payment needed

16. 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

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