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NJ HEALTH AND ACCIDENTAL PRACTICE FINAL EXAM EXCEL SOLUTIONS QUESTIONS WITH COMPLETE ANSWERS.
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NJ HEALTH AND ACCIDENTAL PRACTICE FINAL EXAM EXCEL SOLUTIONS QUESTIONS WITH COMPLETE ANSWERS.
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NJ HEALTH AND ACCIDENTALPRACTICE FINAL EXAM EXCEL
SOLUTIONS QUESTIONS WITH
COMPLETE ANSWERS
A nnlong-term nncare nnpolicy nntypically nnprovides nnall nnof nnthe nnfollowing nnlevels nnof
nncare nnEXCEPT
Skilled nncare
Intermediate nncare
Acute nncare
Custodial nncare nn- nnANS-acute nncare
All nnof nnthe nnfollowing nnare nnincluded nnas nnpart nnof nna nncontract nnin nnthe nnentire
nncontract nnprovision nnEXCEPT nnthe:
Riders
application nn
Changes nnmade nnby nnthe nnproducer nn- nnANS-changes nnmade nnby nnthe nnproducer
An nninsurance nncompany nnmay nnONLY nnpay nna nnsales nncommission nnto:
Individuals nnwho nnare nnresidents nnof nnthis nnstate nnfor nnat nnleast nn5 nnyears
Individuals nnwho nnare nnregistered nnwith nnthe nnNAIC
Individuals nnlicensed nnby nnthe nnstate
Individuals nnwho nnare nngainfully nnemployment nnby nnthat nninsurance nncompany nn-
nnANS-Individuals nnlicensed nnby nnthe nnstate
The nnlaw nnestablished nninsurance nntransactions nnshould nnbe nnregulated nnby nnthe
nnstates nnis nncalled nnthe
McCarran-Ferguson nnAct
Mccain-Feingold nnact
Fair nncredit nnReporting nnAct nn
Paul nnvs nnVirginia nn- nnANS-McCarren-Ferguson nnAct
In nna nngroup nnmedical nnexpense nnhealth nninsurance nnplan, nncoverage nnfor
nnalcoholism nnis nntreated nnas: nn- nnANS-Any nnother nnillness, nnsickness nnor nndisease
,A nnproducer nnmust nnnotify nnthe nnCommissioner nnwithin nn___ nndays nnof nna nnfelony
nnconviction.
15
30
45
60 nn- nnANS-30
The nnpurpose nnof nnMedicare nnSupplement nnInsurance nnis nnto nnaddress nngaps nnin
nnMedicare nncoverage, nnwhich nncan nninclude?
Medicare nnin nnhospital nndeductible nn
replacing nnHMO nncoverage nn
Covering nnchiropractic nntreatment nn
Treatment nnprovided nnin nna nngovernment nnhospital nn- nnANS-Medicare nnin-hospital
nndeductible
in nnin nnNew nnJersey, nnhealth nninsurance nnadvertisements nnare nnrequired nnto
nncontain nnthe
Insurance nncompany's nntrademark nn
Insurance nncompany's nnname nn
Insurance nncompany's nnAM nnBest nnrating nn
Insurance nncompany's nncurrent nnstanding nnwith nnthe nnbetter nnbusiness nnBureau nn-
nnANS-Insurance nncompany's nnname
States nnthat nnhave nn"no nnloss nnno nngain" nnlaws nnrequire nna nnreplacing nnpolicy nnto....
Keep nnthe nnsame nntype nnif nncoverage nnas nnthe nnpolicy nnit nnreplaces nn
Not nnchange nna nndifferent nnpremium nnfrom nnthe nnpolicy nnif nnreplaces nn
pay nnfor nnhalf nnof nnany nnongoing nnclaims nnunder nnthe nnpolicy nnit nnreplaces nn
Pay nnfor nnongoing nnclaims nnunder nnthe nnpolicy nnit nnreplaces nn- nnANS-Pay nnfor
nnongoing nnclaims nnunder nnthe nnpolicy nnit nnreplaces
Which nnof nnthe nnfollowing nnis nnNOT nna nnrequired nnprovision nnin nnan nnaccident nnand
nnhealth nninsurance nnpolicy?
Legal nnactions nn
grace nnperiod nn
Change nnof nnoccupation nn
reinstatement nn- nnANS-change nnof nnoccupation
In nngroup nnhealth nncare, nnwhat nnis nnthe nnpurpose nnof nnthe nncoordination nnof
nnbenefits nnprovision?
Determines nnwhere nnas nninsured nngoes nnto nnreceive nntreatment nn
, Determines nnwhat nnis nnpaid nnby nnthe nnprimary nnand nnsecondary nninsurers nnin nnthe
nnevent nnof nna nnclaim nn
Ensures nnthat nna nnhealth nnprovider nnreceives nnthe nnproper nnbenefit nnamount nnowed
nn
Determines nnwhich nnparent nnplan nncovers nna nndepartment nnchild nn- nnANS-
Determines nnwhat nnis nnpaid nnby nnthe nnprimary nnand nnsecondary nninsurers nnin nnthe
nnevent nnof nna nnclaim
An nnaccident nnand nnhealth nninsurer nnhas nnjust nnreceived nnwritten nnproof nnof nnloss
nnfrom nnone nnof nnits nninsureds. nnThe nninsured nnmust nnnow nnwait nn60 nndays nnbefore
Submitting nnanother nnclaim nn
bringing nnlegal nnactions nnagainst nnthe nninsurer
the nninsurer nnwill nnpay nnthe nnclaim nn
purchasing nnmore nninsurance nnfrom nnthis nninsurer nn- nnANS-bringing nnlegal nnaction
nnagainst nnthe nninsurer
A nntemporary nnproducers nnlicense nnmay nnbe nnissued nnfor nnup nnto nn_________
nndays.
30 nndays nn
60 nndays nn
180 nndays nn
12 nnmonths nn- nnANS-180
Which nnof nnthe nnfollowing nnis nntypically nnNot nneligible nnfor nncoverage nnin nngroup
nnhealth nnpolicy?
Full nntime nnemployee
Temporary nnemployee nn
Business nnowner nn
partner nnin nna nnpartnership nn- nnANS-Temporary nnemployee nn29
Someone nnneeding nncustodial nncare nnat nnhome nnwould nnrequire nnwhich nntype nnof
nncoverage?
Major nnmedical nn
Disability nn
Long nnterm nncare nn
Medicaid nn- nnANS-long nnterm nncare nn30
a nnbuyers nnguide nnand nnpolicy nnsummary nn
Must nnbe nndelivered nnwith nnor nnprior nnto nnpolicy nndelivery
• nnmust nnbe nndelivered nnwith nnor nnprior nnto nnpolicy nndelivery
• nnis nnnot nnrequired nnin nnthe nnstate nnof nnNew nnJersey
• nnmust nnbe nndelivered nnwithin nn30 nndays nnof nnpolicy nndelivery
• nnis nnonly nnrequired nnwhen nna nnbinding nnreceipt nnis nnissued nn- nnANS-must nnbe
nndelivered nnwith nnor nnprior nnto nnpolicy nndelivery
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