Page 1 of 92
NEW JERSEY ACCIDENT AND HEALTH INSURANCE
FINAL EXAM ALL 450 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
NEW JERSEY ACCIDENT AND HEALTH INSURANCE FINAL EXAM
QUESTION: Employer sponsored group health insurance provides coverage for which of the
following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - ANSWER-alcoholism
QUESTION: A Medicare supplement policy can be cancelled by the insurer for - ANSWER-
Nonpayment
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QUESTION: Which entity is responsible for regulating insurance advertising in NJ? - ANSWER-
New Jersey Department of Banking and Insurance
QUESTION: 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 - ANSWER-Brokers and consultants
QUESTION: Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss. - ANSWER-20
QUESTION: 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
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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 - ANSWER-d)
The insured suffered an injury as an innocent bystander during a bank robbery
QUESTION: When a Medicare supplement policy is purchased during the open enrollment
period - ANSWER-The policy must be issued regardless of health status
QUESTION: In what form do disability income policies typically pay benefits? - ANSWER-Periodic
income
QUESTION: What is considered to be the primary reason for buying life insurance? - ANSWER-
Provide death benefits
Q;The Commissioner must approve - ANSWER-Continuing education courses
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QUESTION: A newborn is required to be covered for ____ days from the moment of birth -
ANSWER-30
QUESTION: Once an accident and health insurance policy has been in force for ___ year(s), the
policy may NOT be contested by the insurer - ANSWER-2
QUESTION: 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 - ANSWER-Doctor cannot
charge more than Medicare's scheduled coverage
QUESTION: What is issued to each employee with an employer health plan? - ANSWER-
Certificate
4
NEW JERSEY ACCIDENT AND HEALTH INSURANCE
FINAL EXAM ALL 450 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
NEW JERSEY ACCIDENT AND HEALTH INSURANCE FINAL EXAM
QUESTION: Employer sponsored group health insurance provides coverage for which of the
following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - ANSWER-alcoholism
QUESTION: A Medicare supplement policy can be cancelled by the insurer for - ANSWER-
Nonpayment
1
, Page 2 of 92
QUESTION: Which entity is responsible for regulating insurance advertising in NJ? - ANSWER-
New Jersey Department of Banking and Insurance
QUESTION: 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 - ANSWER-Brokers and consultants
QUESTION: Written notice for a health claim must be given to the insurer ___ days after the
occurrence of the loss. - ANSWER-20
QUESTION: 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
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, Page 3 of 92
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 - ANSWER-d)
The insured suffered an injury as an innocent bystander during a bank robbery
QUESTION: When a Medicare supplement policy is purchased during the open enrollment
period - ANSWER-The policy must be issued regardless of health status
QUESTION: In what form do disability income policies typically pay benefits? - ANSWER-Periodic
income
QUESTION: What is considered to be the primary reason for buying life insurance? - ANSWER-
Provide death benefits
Q;The Commissioner must approve - ANSWER-Continuing education courses
3
, Page 4 of 92
QUESTION: A newborn is required to be covered for ____ days from the moment of birth -
ANSWER-30
QUESTION: Once an accident and health insurance policy has been in force for ___ year(s), the
policy may NOT be contested by the insurer - ANSWER-2
QUESTION: 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 - ANSWER-Doctor cannot
charge more than Medicare's scheduled coverage
QUESTION: What is issued to each employee with an employer health plan? - ANSWER-
Certificate
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