NJ HEALTH AND ACCIDENT TEST
QUESTIONS | COMPLETE STUDY GUIDE
2026/2027 | VERIFIED ANSWERS | 100%
CORRECT | GRADED A+ | PASS
QUARANTEED | BRAND NEW
According to the principle of Utmost Good Faith, the insured will answer
questions on the application to the best of their knowledge and pay the required
premium, while the insurer will deal fairly with the insured and it's -
ANSWER promise made
An insurer must furnish to a claimant forms for filling proof of loss within ____
days upon receiving a notice of claim - ANSWER 15 days
A person who is a nonsmoker, of average weight, and in excellent health would
most likely be in which risk classification? - ANSWER Preferred
An agent is an individual who represents whom? - ANSWER Licensed
producer who has written contract to represent an insurer
Disability Income plans which require that the insurer can NEVER change or alter
premium rates are usually considered - ANSWER Noncancellable
,In NJ, group health insurance may be offered to all of these groups EXCEPT -
ANSWER College seminar participants
Jerry voluntarily terminated his producer's license. If he changes his mind, his
license may be reinstated during the same license period IF - ANSWER he
completes a new license application
An insured MUST submit proof of loss on a health insurance claim within how
many days after the date of loss? - ANSWER 90 days
In contrast to a guaranteed renewable policy, a noncancellable policy -
ANSWER may never raise premiums
A medical provider that accepts Medicare Assignment must - ANSWER accept
payment based upon a defined Medicare schedule as payment in full
Fraternal Benefit Society has each of the following characteristics EXCEPT -
ANSWER Exist For Profit
The New Jersey Life and Health Guaranty Association is - ANSWER funded by
assessments on member companies
Who would make the final determination on whether or not an insurance
advertisement is misleading? - ANSWER Banking and Insurance Commissioner
,Which of these may NOT be used in a health insurance advertisement -
ANSWER An insurance company's trademark instead of the company's actual
name
Which of the following is NOT a common exclusion for a medical expense
policy? - ANSWER Physical Therapy
Which of the following is NOT a duty of the Commissioner? -
ANSWER Establish insurer rates
NJ insurance law requires eligible individuals to make an election to continue
health insurance benefits within a MAXIMUM of _____ days after coverage
termination - ANSWER 60 days
The Commissioner issues a subpoena to a producer. The producer decides not to
respond. Which course of action must be taken by the Commissioner? -
ANSWER Commissioner may impose an administrative penalty
All _____ policies must be guaranteed renewable. - ANSWER long term care
Which of the following situations would be suitable for a temporary work
authority - ANSWER When an applicant passes a licensing examination and
answers all background questions negatively
A newborn is required to be covered for _____ days from the moment of birth -
ANSWER 30 days
, An underwriter's primary responsibility to an insurer is to protect against -
ANSWER adverse selection
Which type of coverage pays an amount per day for hospitalization directly to the
insured, regardless of the insured's other health insurance? - ANSWER Hospital
indemnity
Producers selling insurance in NJ, while having a residence and business address
outside of the state, are? - ANSWER Non-resident producers
A producer must notify the Commissioner within _____ days of a felony
conviction. - ANSWER 30 days
In NJ, health insurance advertisements are required to contain the -
ANSWER Insurance company's name
Which of the following is NOT considered advertising? - ANSWER A rating
from a rating service company, such as A.M. Best
What is considered advertising - ANSWER An illustration
A sales presentation
Direct mailing from an agency
What is issued to each employee of an employer health plan? -
ANSWER Certificate
QUESTIONS | COMPLETE STUDY GUIDE
2026/2027 | VERIFIED ANSWERS | 100%
CORRECT | GRADED A+ | PASS
QUARANTEED | BRAND NEW
According to the principle of Utmost Good Faith, the insured will answer
questions on the application to the best of their knowledge and pay the required
premium, while the insurer will deal fairly with the insured and it's -
ANSWER promise made
An insurer must furnish to a claimant forms for filling proof of loss within ____
days upon receiving a notice of claim - ANSWER 15 days
A person who is a nonsmoker, of average weight, and in excellent health would
most likely be in which risk classification? - ANSWER Preferred
An agent is an individual who represents whom? - ANSWER Licensed
producer who has written contract to represent an insurer
Disability Income plans which require that the insurer can NEVER change or alter
premium rates are usually considered - ANSWER Noncancellable
,In NJ, group health insurance may be offered to all of these groups EXCEPT -
ANSWER College seminar participants
Jerry voluntarily terminated his producer's license. If he changes his mind, his
license may be reinstated during the same license period IF - ANSWER he
completes a new license application
An insured MUST submit proof of loss on a health insurance claim within how
many days after the date of loss? - ANSWER 90 days
In contrast to a guaranteed renewable policy, a noncancellable policy -
ANSWER may never raise premiums
A medical provider that accepts Medicare Assignment must - ANSWER accept
payment based upon a defined Medicare schedule as payment in full
Fraternal Benefit Society has each of the following characteristics EXCEPT -
ANSWER Exist For Profit
The New Jersey Life and Health Guaranty Association is - ANSWER funded by
assessments on member companies
Who would make the final determination on whether or not an insurance
advertisement is misleading? - ANSWER Banking and Insurance Commissioner
,Which of these may NOT be used in a health insurance advertisement -
ANSWER An insurance company's trademark instead of the company's actual
name
Which of the following is NOT a common exclusion for a medical expense
policy? - ANSWER Physical Therapy
Which of the following is NOT a duty of the Commissioner? -
ANSWER Establish insurer rates
NJ insurance law requires eligible individuals to make an election to continue
health insurance benefits within a MAXIMUM of _____ days after coverage
termination - ANSWER 60 days
The Commissioner issues a subpoena to a producer. The producer decides not to
respond. Which course of action must be taken by the Commissioner? -
ANSWER Commissioner may impose an administrative penalty
All _____ policies must be guaranteed renewable. - ANSWER long term care
Which of the following situations would be suitable for a temporary work
authority - ANSWER When an applicant passes a licensing examination and
answers all background questions negatively
A newborn is required to be covered for _____ days from the moment of birth -
ANSWER 30 days
, An underwriter's primary responsibility to an insurer is to protect against -
ANSWER adverse selection
Which type of coverage pays an amount per day for hospitalization directly to the
insured, regardless of the insured's other health insurance? - ANSWER Hospital
indemnity
Producers selling insurance in NJ, while having a residence and business address
outside of the state, are? - ANSWER Non-resident producers
A producer must notify the Commissioner within _____ days of a felony
conviction. - ANSWER 30 days
In NJ, health insurance advertisements are required to contain the -
ANSWER Insurance company's name
Which of the following is NOT considered advertising? - ANSWER A rating
from a rating service company, such as A.M. Best
What is considered advertising - ANSWER An illustration
A sales presentation
Direct mailing from an agency
What is issued to each employee of an employer health plan? -
ANSWER Certificate
