Health Final Exam - NJ Accident and Health
Questions and Answers
The Commissioner must approve
Continuing education courses
Employer sponsored group health insurance provides coverage for which of the
following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism
alcoholism
A Medicare supplement policy can be cancelled by the insurer for
Nonpayment
Which entity is responsible for regulating insurance advertising in NJ?
New 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
Brokers and consultants
Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss.
,20
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
d) 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
The policy must be issued regardless of health status
In what form do disability income policies typically pay benefits?
Periodic income
What is considered to be the primary reason for buying life insurance?
Provide death benefits
A newborn is required to be covered for ____ days from the moment of birth
30
Once an accident and health insurance policy has been in force for ___ year(s),
the policy may NOT be contested by the insurer
2
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
Doctor cannot charge more than Medicare's scheduled coverage
What is issued to each employee with an employer health plan?
Certificate
, What is the tax liability for employer contributions in Health Savings Accounts
(HSA's)?
No 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
National Association of Insurance Underwriters
In NJ, health insurance advertisements are required to contain the
insurance company's name
Replacement regulation is designed to protect the interests of
Policyowners
The Commissioner of Insurance is appointed by
The governor
Which type of plan would be most appropriate for an individual on Medicare and
is concerned that Medicare will NOT pay for charges exceeding the approved
amount?
Medicare supplement plan F
Which of the following is NOT a common exclusion for a medical expense policy?
Physical therapy
Act of war
on the job injury
self inflicted injury
Physical therapy
Twisting is best defined as
using misrepresentation to induce an insured person to terminate an existing policy and
purchase a new policy
Questions and Answers
The Commissioner must approve
Continuing education courses
Employer sponsored group health insurance provides coverage for which of the
following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism
alcoholism
A Medicare supplement policy can be cancelled by the insurer for
Nonpayment
Which entity is responsible for regulating insurance advertising in NJ?
New 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
Brokers and consultants
Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss.
,20
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
d) 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
The policy must be issued regardless of health status
In what form do disability income policies typically pay benefits?
Periodic income
What is considered to be the primary reason for buying life insurance?
Provide death benefits
A newborn is required to be covered for ____ days from the moment of birth
30
Once an accident and health insurance policy has been in force for ___ year(s),
the policy may NOT be contested by the insurer
2
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
Doctor cannot charge more than Medicare's scheduled coverage
What is issued to each employee with an employer health plan?
Certificate
, What is the tax liability for employer contributions in Health Savings Accounts
(HSA's)?
No 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
National Association of Insurance Underwriters
In NJ, health insurance advertisements are required to contain the
insurance company's name
Replacement regulation is designed to protect the interests of
Policyowners
The Commissioner of Insurance is appointed by
The governor
Which type of plan would be most appropriate for an individual on Medicare and
is concerned that Medicare will NOT pay for charges exceeding the approved
amount?
Medicare supplement plan F
Which of the following is NOT a common exclusion for a medical expense policy?
Physical therapy
Act of war
on the job injury
self inflicted injury
Physical therapy
Twisting is best defined as
using misrepresentation to induce an insured person to terminate an existing policy and
purchase a new policy
