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NJ Health and Accident Practice Exam/ Questions with Correct Verified Answers/ Rated A+
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NJ Health and Accident Practice Exam/ Questions with Correct Verified Answers/ Rated A+
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NJ Health and Accident Practice Exam/ Questions withCorrect Verified Answers/ Rated A+
Which of the following percentages represents the average portion of expected costs
covered in the Gold plan?
a. 70%
b. 80%
c. 60%
d. 90%
Correct Answer - 80%
All of the following statements regarding the essential health benefit of 'coverage of
children to age 26' are correct EXCEPT
a. grandchildren may be covered if the grandparent is the legal guardian of the child to
be insured
b. there is a requirement to cover the child of a dependent child
c. grandchildren may be covered if the grandparent is the adoptive parent of the child to
be insured
d. children can join or remain on the parent's plan even if they are married
Correct Answer - there is a requirement to cover the child of a dependent child
Which of the following generally is NOT considered a presumptive disability?
a. total and permanent blindness
b. loss of the dominant hand
c. loss of use of any two limbs
d. loss of speech and hearing
pg. 1
,Correct Answer - loss of the dominant hand
Jodi missed the deadline for the annual open enrollment. Which of the following
qualifying events would NOT allow her to have a special enrollment?
a. birth or adoption of a child
b. marriage
c. moving to a new state with same health plans
d. loss of health coverage due to divorce
Correct Answer - moving to a new state with same health plans
which of the following percentages represents that average portion of expected costs
covered in Platinum plan
a. 80%
b. 70%
c. 100%
d. 90%
Correct Answer - 90%
ABC Printing, a small tax nonexempt company, can get tax credits to help offset the cost
of the company's health plan premium contribution for its employees. The maximum
credit is
a. 10% of premiums paid
b. 25% of premiums paid
c. 50% of premiums paid
d. 75% of premiums paid
Correct Answer - 50% of premiums paid
pg. 2
,How many full-time employees (FTEs) must a company have to be eligible for the
Health Care Tax Credit for Small Employers?
a. less than 2
b. less than 10
c. less than 25
d. less than 20
Correct Answer - less than 25
Advanced premium tax credits (APTC) may be applied to lower the insured's monthly
premiums. The cost-sharing reduction is only available through a health plan from which
tier?
a. platinum
b. gold
c. silver
d. bronze
Correct Answer - silver
All of the following are mandatory health insurance provisions EXCEPT
a. payment of claims
b. time limit on certain defenses
c. proof of loss
d. renewability
Correct Answer - renewability
Marcus pays his insurance premium monthly and has a grace period of
a. 7 days
b. 10 days
c. 30 days
pg. 3
, d. 31 days
Correct Answer - 10 days
All of the following are optional health insurance provisions EXCEPT
a. insurance with other insurer
b. narcotics
c. unpaid premium
d. change of beneficiary
Correct Answer - change of beneficiary
How many days' notice must the insured be given if an insurer cancels a policy?
a. 5
b. 2
c. 10
d. 3
Correct Answer - 5
Which provision allows new insureds the right to examine a policy for a specified period
of time with the option to return it?
a. free look period
b. consideration clause
c. renewability
d. insuring clause
Correct Answer - free look period
The exchange of something of value is known as
a. a free-look
b. an insuring agreement
c. a consideration
pg. 4
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