NJ Health and accidental Practice
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final exam excel solutions |\ |\ |\
A long-term care policy typically provides all of the following levels
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of care EXCEPT
|\ |\
Skilled care |\
Intermediate care |\
Acute care |\
Custodial care - CORRECT ANSWERS ✔✔acute care
|\ |\ |\ |\ |\ |\
All of the following are included as part of a contract in the entire
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contract provision EXCEPT the: |\ |\ |\
Riders
application |\
Changes made by the producer - CORRECT ANSWERS ✔✔changes
|\ |\ |\ |\ |\ |\ |\ |\
made by the producer
|\ |\ |\ |\
An insurance company may ONLY pay a sales commission to:
|\ |\ |\ |\ |\ |\ |\ |\ |\
Individuals who are residents of this state for at least 5 years
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Individuals who are registered with the NAIC |\ |\ |\ |\ |\ |\
Individuals licensed by the state |\ |\ |\ |\
,Individuals who are gainfully employment by that insurance
|\ |\ |\ |\ |\ |\ |\ |\
company - CORRECT ANSWERS ✔✔Individuals licensed by the
|\ |\ |\ |\ |\ |\ |\ |\
state
The law established insurance transactions should be regulated by
|\ |\ |\ |\ |\ |\ |\ |\ |\
the states is called the
|\ |\ |\ |\
McCarran-Ferguson Act |\
Mccain-Feingold act |\
Fair credit Reporting Act
|\ |\ |\ |\
Paul vs Virginia - CORRECT ANSWERS ✔✔McCarren-Ferguson
|\ |\ |\ |\ |\ |\ |\
Act
In a group medical expense health insurance plan, coverage for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
alcoholism is treated as: - CORRECT ANSWERS ✔✔Any other
|\ |\ |\ |\ |\ |\ |\ |\ |\
illness, sickness or disease |\ |\ |\
A producer must notify the Commissioner within ___ days of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
felony conviction. |\
15
30
45
60 - CORRECT ANSWERS ✔✔30
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,The purpose of Medicare Supplement Insurance is to address gaps
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in Medicare coverage, which can include?
|\ |\ |\ |\ |\
Medicare in hospital deductible |\ |\ |\ |\
replacing HMO coverage |\ |\ |\
Covering chiropractic treatment
|\ |\ |\
Treatment provided in a government hospital - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Medicare in-hospital deductible |\ |\ |\
in in New Jersey, health insurance advertisements are required to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contain the |\
Insurance company's trademark |\ |\ |\
Insurance company's name |\ |\ |\
Insurance company's AM Best rating |\ |\ |\ |\ |\
Insurance company's current standing with the better business
|\ |\ |\ |\ |\ |\ |\ |\
Bureau - CORRECT ANSWERS ✔✔Insurance company's name
|\ |\ |\ |\ |\ |\
States that have "no loss no gain" laws require a replacing policy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to....
Keep the same type if coverage as the policy it replaces
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, Not change a different premium from the policy if replaces
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pay for half of any ongoing claims under the policy it replaces
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Pay for ongoing claims under the policy it replaces - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Pay for ongoing claims under the policy it replaces
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following is NOT a required provision in an accident
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and health insurance policy?
|\ |\ |\
Legal actions |\ |\
grace period |\ |\
Change of occupation |\ |\ |\
reinstatement - CORRECT ANSWERS ✔✔change of occupation |\ |\ |\ |\ |\ |\
In group health care, what is the purpose of the coordination of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
benefits provision? |\
Determines where as insured goes to receive treatment |\ |\ |\ |\ |\ |\ |\ |\
Determines what is paid by the primary and secondary insurers in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the event of a claim
|\ |\ |\ |\ |\
Ensures that a health provider receives the proper benefit amount
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
owed |\
|\ |\ |\ |\ |\
final exam excel solutions |\ |\ |\
A long-term care policy typically provides all of the following levels
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of care EXCEPT
|\ |\
Skilled care |\
Intermediate care |\
Acute care |\
Custodial care - CORRECT ANSWERS ✔✔acute care
|\ |\ |\ |\ |\ |\
All of the following are included as part of a contract in the entire
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contract provision EXCEPT the: |\ |\ |\
Riders
application |\
Changes made by the producer - CORRECT ANSWERS ✔✔changes
|\ |\ |\ |\ |\ |\ |\ |\
made by the producer
|\ |\ |\ |\
An insurance company may ONLY pay a sales commission to:
|\ |\ |\ |\ |\ |\ |\ |\ |\
Individuals who are residents of this state for at least 5 years
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Individuals who are registered with the NAIC |\ |\ |\ |\ |\ |\
Individuals licensed by the state |\ |\ |\ |\
,Individuals who are gainfully employment by that insurance
|\ |\ |\ |\ |\ |\ |\ |\
company - CORRECT ANSWERS ✔✔Individuals licensed by the
|\ |\ |\ |\ |\ |\ |\ |\
state
The law established insurance transactions should be regulated by
|\ |\ |\ |\ |\ |\ |\ |\ |\
the states is called the
|\ |\ |\ |\
McCarran-Ferguson Act |\
Mccain-Feingold act |\
Fair credit Reporting Act
|\ |\ |\ |\
Paul vs Virginia - CORRECT ANSWERS ✔✔McCarren-Ferguson
|\ |\ |\ |\ |\ |\ |\
Act
In a group medical expense health insurance plan, coverage for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
alcoholism is treated as: - CORRECT ANSWERS ✔✔Any other
|\ |\ |\ |\ |\ |\ |\ |\ |\
illness, sickness or disease |\ |\ |\
A producer must notify the Commissioner within ___ days of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
felony conviction. |\
15
30
45
60 - CORRECT ANSWERS ✔✔30
|\ |\ |\ |\
,The purpose of Medicare Supplement Insurance is to address gaps
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in Medicare coverage, which can include?
|\ |\ |\ |\ |\
Medicare in hospital deductible |\ |\ |\ |\
replacing HMO coverage |\ |\ |\
Covering chiropractic treatment
|\ |\ |\
Treatment provided in a government hospital - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Medicare in-hospital deductible |\ |\ |\
in in New Jersey, health insurance advertisements are required to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contain the |\
Insurance company's trademark |\ |\ |\
Insurance company's name |\ |\ |\
Insurance company's AM Best rating |\ |\ |\ |\ |\
Insurance company's current standing with the better business
|\ |\ |\ |\ |\ |\ |\ |\
Bureau - CORRECT ANSWERS ✔✔Insurance company's name
|\ |\ |\ |\ |\ |\
States that have "no loss no gain" laws require a replacing policy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to....
Keep the same type if coverage as the policy it replaces
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, Not change a different premium from the policy if replaces
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pay for half of any ongoing claims under the policy it replaces
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Pay for ongoing claims under the policy it replaces - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Pay for ongoing claims under the policy it replaces
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following is NOT a required provision in an accident
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and health insurance policy?
|\ |\ |\
Legal actions |\ |\
grace period |\ |\
Change of occupation |\ |\ |\
reinstatement - CORRECT ANSWERS ✔✔change of occupation |\ |\ |\ |\ |\ |\
In group health care, what is the purpose of the coordination of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
benefits provision? |\
Determines where as insured goes to receive treatment |\ |\ |\ |\ |\ |\ |\ |\
Determines what is paid by the primary and secondary insurers in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the event of a claim
|\ |\ |\ |\ |\
Ensures that a health provider receives the proper benefit amount
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
owed |\
