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NJ Health & Accident Insurance Practice Final Exam Prep & Guide

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Ace your New Jersey state licensing test with this Health & Accident Insurance Practice Final Exam. This PDF covers key topics like policy provisions, NJ state regulations, underwriting, and claims to help you pass the official exam.

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Page 1 of 57




NJ HEALTH AND ACCIDENTAL PRACTICE FINAL EXAM

EXCEL SOLUTIONS NEWEST ACTUAL EXAM 2

VERSIONS COMPLETE 280 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+

A long-term care policy typically provides all of the following

levels of care EXCEPT

Skilled care

Intermediate care

Acute care

Custodial care ......ANSWER........acute care

All of the following are included as part of a contract in the

entire contract provision EXCEPT the:

Riders

application

,Page 2 of 57




Changes made by the producer ......ANSWER........changes made

by the producer

An insurance company may ONLY pay a sales commission to:

Individuals who are residents of this state for at least 5 years

Individuals who are registered with the NAIC

Individuals licensed by the state

Individuals who are gainfully employment by that insurance

company ......ANSWER........Individuals licensed by the state

The law established insurance transactions should be regulated

by the states is called the

McCarran-Ferguson Act

Mccain-Feingold act

Fair credit Reporting Act

Paul vs Virginia ......ANSWER........McCarren-Ferguson Act

,Page 3 of 57




In a group medical expense health insurance plan, coverage for

alcoholism is treated as: ......ANSWER........Any other illness,

sickness or disease

A producer must notify the Commissioner within ___ days of a

felony conviction.

15

30

45

60 ......ANSWER........30

The purpose of Medicare Supplement Insurance is to address

gaps in Medicare coverage, which can include?

Medicare in hospital deductible

replacing HMO coverage

Covering chiropractic treatment

Treatment provided in a government hospital

......ANSWER........Medicare in-hospital deductible

, Page 4 of 57




in in New Jersey, health insurance advertisements are required

to contain the

Insurance company's trademark

Insurance company's name

Insurance company's AM Best rating

Insurance company's current standing with the better business

Bureau ......ANSWER........Insurance company's name

States that have "no loss no gain" laws require a replacing

policy to....

Keep the same type if coverage as the policy it replaces

Not change a different premium from the policy if replaces

pay for half of any ongoing claims under the policy it replaces

Pay for ongoing claims under the policy it replaces

......ANSWER........Pay for ongoing claims under the policy it

replaces

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