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