HEALTH FINAL EXAM - b b b
NJ ACCIDENT AND HEALTH EXAM|| ALL QUESTIO
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NS AND CORRECT ANSWERS ALREADY GRADED A
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+|| LATEST AND COMPLETE VERSION 2024-
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2025 WITH VERIFIED SOLUTIONS|| ASSURED PASS!!
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The Commissioner must approve - ANSWER: Continuing education courses
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Employer sponsored group health insurance provides coverage for which of the follo
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wing?
Self-inflicted injuries b
cosmetic surgery b
custodial care b
alcoholism - ANSWER: alcoholism b b b
A Medicare supplement policy can be cancelled by the insurer for -
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ANSWER: Nonpayment
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Which entity is responsible for regulating insurance advertising in NJ? -
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ANSWER: New Jersey Department of Banking and Insurance
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Which of the following are retained at the expense of an insurance buyer to give advi
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ce on insurance needed by the buyer?
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Brokers and consultants b b
Insurance prospectors b
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Third-party adminstrators b
Agents - ANSWER: Brokers and consultants
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Written notice for a health claim must be given to the insurer ___ days after the occur
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rence of the loss. - ANSWER: 20
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In which of the following situations would the insurer be liable for a loss?
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a) The insured skipped a payment beyond the 31 day grace period
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b) The insured was injured while participating in an illegal occupation
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c) The insured was given a notice of cancellation from the insurer
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d) The insured suffered an injury as an innocent bystander during a bank robbery -
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ANSWER: d) The insured suffered an injury as an innocent bystander during a bank
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robbery
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When a Medicare supplement policy is purchased during the open enrollment period
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- ANSWER: The policy must be issued regardless of health status
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In what form do disability income policies typically pay benefits? -
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bANSWER: Periodic income b b
What is considered to be the primary reason for buying life insurance? -
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ANSWER: Provide death benefits
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A newborn is required to be covered for ____ days from the moment of birth -
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ANSWER: 30
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Once an accident and health insurance policy has been in force for ___ year(s), the po
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licy may NOT be contested by the insurer - ANSWER: 2
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A doctor who accepts Medicare assignment agrees to which of the following
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-
bDoctor may charge up to a maximum of 15% more than Medicare pays for the servic
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e
- Doctor is not bound by Medicare's limitations on charges
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- Doctor cannot charge more than Medicare's scheduled coverage
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- Doctor bills the Medicare beneficiary directly for services performed -
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bANSWER: Doctor cannot charge more than Medicare's scheduled coverage
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What is issued to each employee with an employer health plan? -
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ANSWER: Certificate
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What is the tax liability for employer contributions in Health Savings Accounts (HS
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A's)? - ANSWER: No tax payment needed
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All of these are considered sources of information that can assist an underwriter in de
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termining whether or not to accept a risk EXCEPT
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Agent's report b
Medical Information Bureau (MIB)
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Inspection reports b
National Association of Insurance Underwriters -
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ANSWER: National Association of Insurance Underwriters
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