Health Final Exam - NJ Accident and Health
The Commissioner must approve - (correct Answer) - Continuing education courses
Employer sponsored group health insurance provides coverage for which of the following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - (correct Answer) - alcoholism
A Medicare supplement policy can be cancelled by the insurer for - (correct Answer) - Nonpayment
Which entity is responsible for regulating insurance advertising in NJ? - (correct Answer) - 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 - (correct Answer) - Brokers and consultants
Written notice for a health claim must be given to the insurer ___ days after the occurrence of the loss. -
(correct Answer) - 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 - (correct Answer) - 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 - (correct Answer)
- The policy must be issued regardless of health status
In what form do disability income policies typically pay benefits? - (correct Answer) - Periodic income
What is considered to be the primary reason for buying life insurance? - (correct Answer) - Provide death
benefits
A newborn is required to be covered for ____ days from the moment of birth - (correct Answer) - 30
Once an accident and health insurance policy has been in force for ___ year(s), the policy may NOT be
contested by the insurer - (correct Answer) - 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 - (correct Answer) - Doctor cannot
charge more than Medicare's scheduled coverage
What is issued to each employee with an employer health plan? - (correct Answer) - Certificate
What is the tax liability for employer contributions in Health Savings Accounts (HSA's)? - (correct Answer)
- 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 - (correct Answer) - National Association of Insurance
Underwriters
In NJ, health insurance advertisements are required to contain the - (correct Answer) - insurance
company's name
Replacement regulation is designed to protect the interests of - (correct Answer) - Policyowners
The Commissioner of Insurance is appointed by - (correct Answer) - The governor
Which type of plan would be most appropriate for an individual on Medicare and is concerned that
The Commissioner must approve - (correct Answer) - Continuing education courses
Employer sponsored group health insurance provides coverage for which of the following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - (correct Answer) - alcoholism
A Medicare supplement policy can be cancelled by the insurer for - (correct Answer) - Nonpayment
Which entity is responsible for regulating insurance advertising in NJ? - (correct Answer) - 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 - (correct Answer) - Brokers and consultants
Written notice for a health claim must be given to the insurer ___ days after the occurrence of the loss. -
(correct Answer) - 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 - (correct Answer) - 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 - (correct Answer)
- The policy must be issued regardless of health status
In what form do disability income policies typically pay benefits? - (correct Answer) - Periodic income
What is considered to be the primary reason for buying life insurance? - (correct Answer) - Provide death
benefits
A newborn is required to be covered for ____ days from the moment of birth - (correct Answer) - 30
Once an accident and health insurance policy has been in force for ___ year(s), the policy may NOT be
contested by the insurer - (correct Answer) - 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 - (correct Answer) - Doctor cannot
charge more than Medicare's scheduled coverage
What is issued to each employee with an employer health plan? - (correct Answer) - Certificate
What is the tax liability for employer contributions in Health Savings Accounts (HSA's)? - (correct Answer)
- 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 - (correct Answer) - National Association of Insurance
Underwriters
In NJ, health insurance advertisements are required to contain the - (correct Answer) - insurance
company's name
Replacement regulation is designed to protect the interests of - (correct Answer) - Policyowners
The Commissioner of Insurance is appointed by - (correct Answer) - The governor
Which type of plan would be most appropriate for an individual on Medicare and is concerned that
