NJ Accident and Health Producer PRACTICE EXAMS
Questions With Complete Solutions Already Passed
According to the Time Payment of Claims provision, the insurer must make the
payment immediately after receiving proof of loss EXCEPT:
- if the insured is able to eventually return to work
-if the death is suicide or due to a pre existing condition
-when the policy is in the incontestability period
-for claims involving periodic payments
for claims involving periodic payments
INSURERS MUST PAY LUMP SUM CLAIMS IMMEDIATELY AFTER RECEIVING
PROOF OF LOSS
What does coinsurance mean?
- a policy covers the insured and the any additional named persons
-the insurer and the insured share expenses over the deductible
-the insurer and the insured share ALL expenses
-the policy owner holds multiple policies through the same insurer
The insurer and the insured share expenses over the deductible
COINSURANCE IS THE SHARING BETWEEN THE INSURER AND THE INSURED
OF COVERED EXPENSES THAT EXCEED THE DEDUCTIBLE AMOUNT. THE
SHARING ENDS WHEN THE "STOP LOSS LIMIT" IS REACHED
The life insurance policy will not be truly effect until all of the following occur
EXCEPT:
-the statement of good health is obtained by the insurer
-the first premium is collected
, -the policy is delivered to the applicant
-the producer has explained the policy to the client
-the producer has explained the policy to the client
EFFECTIVE DATE BASED ON :
-APP DATE
-IF PREMIUM HAS BEEN PAID
-IF A STATEMENT OF GOOD HEALTH MUST BE OBTAINED IF PREMIUM WAS NOT
SUBMITTED WITH APPLICATION
Which of the following coverage types pays a monthly cash benefit following the
elimination period for total disability due to accident or sickness?
-credit disability
-works comp disability
-recurrent disability
-disability income
-disability income insurance
PROVIDES PAYMENT OF REGULAR PERIODIC INCOME SHOULD THE INSURED
BECOME DISABLED FROM ILLNESS OR INJURY
The period beginning at the time of an insured loss that an insured must wait
before benefits are payable is called the:
-probationary period
-benefit period
-elimination period
-grace period
-elimination period
THE TIME PERIOD STARTING AT THE TIME OF LOSS, SUCH AS A DISABILITY,
THAT AN INSURED MUST WAIT BEFORE BENEFITS ARE PAYABLE
Managed care plans increase efficiency by all of the following EXCEPT:
-transferring the management of costs to the insureds
Questions With Complete Solutions Already Passed
According to the Time Payment of Claims provision, the insurer must make the
payment immediately after receiving proof of loss EXCEPT:
- if the insured is able to eventually return to work
-if the death is suicide or due to a pre existing condition
-when the policy is in the incontestability period
-for claims involving periodic payments
for claims involving periodic payments
INSURERS MUST PAY LUMP SUM CLAIMS IMMEDIATELY AFTER RECEIVING
PROOF OF LOSS
What does coinsurance mean?
- a policy covers the insured and the any additional named persons
-the insurer and the insured share expenses over the deductible
-the insurer and the insured share ALL expenses
-the policy owner holds multiple policies through the same insurer
The insurer and the insured share expenses over the deductible
COINSURANCE IS THE SHARING BETWEEN THE INSURER AND THE INSURED
OF COVERED EXPENSES THAT EXCEED THE DEDUCTIBLE AMOUNT. THE
SHARING ENDS WHEN THE "STOP LOSS LIMIT" IS REACHED
The life insurance policy will not be truly effect until all of the following occur
EXCEPT:
-the statement of good health is obtained by the insurer
-the first premium is collected
, -the policy is delivered to the applicant
-the producer has explained the policy to the client
-the producer has explained the policy to the client
EFFECTIVE DATE BASED ON :
-APP DATE
-IF PREMIUM HAS BEEN PAID
-IF A STATEMENT OF GOOD HEALTH MUST BE OBTAINED IF PREMIUM WAS NOT
SUBMITTED WITH APPLICATION
Which of the following coverage types pays a monthly cash benefit following the
elimination period for total disability due to accident or sickness?
-credit disability
-works comp disability
-recurrent disability
-disability income
-disability income insurance
PROVIDES PAYMENT OF REGULAR PERIODIC INCOME SHOULD THE INSURED
BECOME DISABLED FROM ILLNESS OR INJURY
The period beginning at the time of an insured loss that an insured must wait
before benefits are payable is called the:
-probationary period
-benefit period
-elimination period
-grace period
-elimination period
THE TIME PERIOD STARTING AT THE TIME OF LOSS, SUCH AS A DISABILITY,
THAT AN INSURED MUST WAIT BEFORE BENEFITS ARE PAYABLE
Managed care plans increase efficiency by all of the following EXCEPT:
-transferring the management of costs to the insureds
