age 1 of 58
NJ HEALTH AND ACCIDENT INSURANCE FINAL EXAM
STUDY GUIDE 2025/2026 COMPLETE QUESTIONS WITH
VERIFIED CORRECT SOLUTIONS || 100%
GUARANTEED PASS <RECENT VERSION>
Your license will be considered to be inactive when you:
.....Answer.......No longer have any appointments
On a "participating" health insurance policy issued by a mutual
insurance company, dividends paid to policy holders are:
.....Answer.......Not taxable since the IRS treats them as a refund
of a portion of the premium paid
All of the following are true regarding a non-contributory
employer group medical expense insurance policy EXCEPT:
.....Answer.......Premiums must be paid entirely by the employees
,age 2 of 58
Which two of the following are considered to be activities of
daily living in most long-term care policies: .....Answer.......Eating
and dressing
The Employee Retirement Income Security Act (ERISA) requires
that employee benefit plans be managed for the benefit of:
.....Answer.......Participants and beneficiaries
Which of the following must be printed on every licensee's
business cards, written price quotations and printed
advertisements: .....Answer.......Their insurance license number
At age 65, an individual would be eligible for which of the
following at no charge .....Answer.......Part A of Medicare
Under the California Insurance Code (CIC), neither party to a
contract of insurance is bound to communicate any of the
,age 3 of 58
following EXCEPT: .....Answer.......Information known to be
material
The enrollee pays what percentage of the premium for
Medicare Part B? .....Answer.......100%
When an insurer voids an insurance contract due to an
intentionally fraudulent omission by the insured of a material
fact, it is known as: .....Answer.......Rescission
When can a representation be altered or withdrawn?
.....Answer.......Before the insurance is effected, but not
afterwards
Under the Patient Protection and Affordable Care Act (PPACA),
health plans cannot limit or deny benefits or deny coverage for
a child younger than age ____ because the child has a pre-
, age 4 of 58
existing condition that developed before the child applied to
join the plan: .....Answer.......19
Which of the following is not covered in a long-term care policy?
.....Answer.......Acute care in the hospital
The uncertainty about loss that exists whenever more than one
outcome is possible is called: .....Answer.......Risk
The hospice benefit under a long-term care policy will cover all
of the following EXCEPT: .....Answer.......Rehabilitation expenses
On disability income insurance, another name for the "waiting"
period is the _______ period: .....Answer.......Elimination
Which of the following parts of Medicare is known as the
"managed care" option .....Answer.......Part C - Medicare
Advantage
NJ HEALTH AND ACCIDENT INSURANCE FINAL EXAM
STUDY GUIDE 2025/2026 COMPLETE QUESTIONS WITH
VERIFIED CORRECT SOLUTIONS || 100%
GUARANTEED PASS <RECENT VERSION>
Your license will be considered to be inactive when you:
.....Answer.......No longer have any appointments
On a "participating" health insurance policy issued by a mutual
insurance company, dividends paid to policy holders are:
.....Answer.......Not taxable since the IRS treats them as a refund
of a portion of the premium paid
All of the following are true regarding a non-contributory
employer group medical expense insurance policy EXCEPT:
.....Answer.......Premiums must be paid entirely by the employees
,age 2 of 58
Which two of the following are considered to be activities of
daily living in most long-term care policies: .....Answer.......Eating
and dressing
The Employee Retirement Income Security Act (ERISA) requires
that employee benefit plans be managed for the benefit of:
.....Answer.......Participants and beneficiaries
Which of the following must be printed on every licensee's
business cards, written price quotations and printed
advertisements: .....Answer.......Their insurance license number
At age 65, an individual would be eligible for which of the
following at no charge .....Answer.......Part A of Medicare
Under the California Insurance Code (CIC), neither party to a
contract of insurance is bound to communicate any of the
,age 3 of 58
following EXCEPT: .....Answer.......Information known to be
material
The enrollee pays what percentage of the premium for
Medicare Part B? .....Answer.......100%
When an insurer voids an insurance contract due to an
intentionally fraudulent omission by the insured of a material
fact, it is known as: .....Answer.......Rescission
When can a representation be altered or withdrawn?
.....Answer.......Before the insurance is effected, but not
afterwards
Under the Patient Protection and Affordable Care Act (PPACA),
health plans cannot limit or deny benefits or deny coverage for
a child younger than age ____ because the child has a pre-
, age 4 of 58
existing condition that developed before the child applied to
join the plan: .....Answer.......19
Which of the following is not covered in a long-term care policy?
.....Answer.......Acute care in the hospital
The uncertainty about loss that exists whenever more than one
outcome is possible is called: .....Answer.......Risk
The hospice benefit under a long-term care policy will cover all
of the following EXCEPT: .....Answer.......Rehabilitation expenses
On disability income insurance, another name for the "waiting"
period is the _______ period: .....Answer.......Elimination
Which of the following parts of Medicare is known as the
"managed care" option .....Answer.......Part C - Medicare
Advantage
