Health Final Exam - NJ Accident and
Health Latest Update 2025/2026
GRADED A+
The Commissioner must approve - correct answerContinuing education courses
Employer sponsored group health insurance provides coverage for which of the
following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - correct answeralcoholism
A Medicare supplement policy can be cancelled by the insurer for - correct
answerNonpayment
Which entity is responsible for regulating insurance advertising in NJ? - correct
answerNew Jersey Department of Banking and Insurance
Which of the following are retained at the expense of an insurance buyer to give advice
on insurance needed by the buyer?
Brokers and consultants
Insurance prospectors
Third-party adminstrators
Agents - correct answerBrokers and consultants
Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss. - correct answer20
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 answerd) The insured suffered an injury as an innocent bystander during a bank
robbery
, When a Medicare supplement policy is purchased during the open enrollment period -
correct answerThe policy must be issued regardless of health status
In what form do disability income policies typically pay benefits? - correct
answerPeriodic income
What is considered to be the primary reason for buying life insurance? - correct
answerProvide death benefits
A newborn is required to be covered for ____ days from the moment of birth - correct
answer30
Once an accident and health insurance policy has been in force for ___ year(s), the
policy may NOT be contested by the insurer - correct answer2
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
answerDoctor cannot charge more than Medicare's scheduled coverage
What is issued to each employee with an employer health plan? - correct
answerCertificate
What is the tax liability for employer contributions in Health Savings Accounts (HSA's)? -
correct answerNo tax payment needed
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)
Inspection reports
National Association of Insurance Underwriters - correct answerNational Association of
Insurance Underwriters
In NJ, health insurance advertisements are required to contain the - correct
answerinsurance company's name
Replacement regulation is designed to protect the interests of - correct
answerPolicyowners
The Commissioner of Insurance is appointed by - correct answerThe governor
Health Latest Update 2025/2026
GRADED A+
The Commissioner must approve - correct answerContinuing education courses
Employer sponsored group health insurance provides coverage for which of the
following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - correct answeralcoholism
A Medicare supplement policy can be cancelled by the insurer for - correct
answerNonpayment
Which entity is responsible for regulating insurance advertising in NJ? - correct
answerNew Jersey Department of Banking and Insurance
Which of the following are retained at the expense of an insurance buyer to give advice
on insurance needed by the buyer?
Brokers and consultants
Insurance prospectors
Third-party adminstrators
Agents - correct answerBrokers and consultants
Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss. - correct answer20
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 answerd) The insured suffered an injury as an innocent bystander during a bank
robbery
, When a Medicare supplement policy is purchased during the open enrollment period -
correct answerThe policy must be issued regardless of health status
In what form do disability income policies typically pay benefits? - correct
answerPeriodic income
What is considered to be the primary reason for buying life insurance? - correct
answerProvide death benefits
A newborn is required to be covered for ____ days from the moment of birth - correct
answer30
Once an accident and health insurance policy has been in force for ___ year(s), the
policy may NOT be contested by the insurer - correct answer2
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
answerDoctor cannot charge more than Medicare's scheduled coverage
What is issued to each employee with an employer health plan? - correct
answerCertificate
What is the tax liability for employer contributions in Health Savings Accounts (HSA's)? -
correct answerNo tax payment needed
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)
Inspection reports
National Association of Insurance Underwriters - correct answerNational Association of
Insurance Underwriters
In NJ, health insurance advertisements are required to contain the - correct
answerinsurance company's name
Replacement regulation is designed to protect the interests of - correct
answerPolicyowners
The Commissioner of Insurance is appointed by - correct answerThe governor
