Exam (elaborations)
Health Chapter 7 New Jersey Laws, Rules, And Regulations Pertinent To Accident And Health.
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Health Chapter 7 New Jersey Laws, Rules, And Regulations Pertinent To Accident And Health.
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Health Chapter 7 New Jersey Laws,Rules, And Regulations Pertinent To
Accident And Health
Notice Regarding Replacement of Health Insurance - Answer: If the sale will involve replacement, this
must be given to the applicant.
Genetic characteristic - Answer: means any inherited gene or chromosome, or its alteration, that may
predispose an individual to a disease, disorder, or syndrome, or is associated with a statistically
increased risk of development of a disease, disorder, or syndrome.
Home health care - Answer: Refers to nursing and other health care services rendered to a person in his
or her residence on a part-time or intermittent basis (except that full- time 24-hour service is permitted
when needed on a short-term basis) when continuing hospitalization would otherwise have been
required if home health care were not provided.
Treatment of alcoholism - Answer: Any health insurance contract issued in this state that provides
hospital or medical expense benefits must provide benefits for expenses incurred for the treatment of
alcoholism when prescribed by a doctor.
Terms of renewability.....(Minimum Standards for Medicare supplements) - Answer: Medicare
supplement policies must be guaranteed renewable.
Initial and subsequent conditions of eligibility.....(Minimum Standards for Medicare supplements) -
Answer: Applicants must be age 65 or over and eligible for Medicare coverage.
Nonduplication of coverage.....(Minimum Standards for Medicare supplements) - Answer: Medicare
supplement policies cannot duplicate coverage provided by Medicare.
Probationary periods.....(Minimum Standards for Medicare supplements) - Answer: Medicare
supplement policy cannot deny or limit coverage for a claim for losses incurred more than 6 months
from the effective date of coverage.
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