New Jersey Health
Exam Questions
and Complete
Solutions Graded
A+
Denning [Date] [Course title]
, Which of the following is included in the term "insurance-related conduct"? - Answer: Transmitting
funds between producers and the insurance company
Alexander has a policy with his ex-wife as its beneficiary. What provision allows him to change the
beneficiary to his new wife? - Answer: Change of beneficiary
Which of the following is a duty of the Commissioner of insurance in this state? - Answer: Amend rules
and regulations
Insurance policies are not drawn up through negotiations, and an insured has little to say about its
provisions. What contract characteristic does this describe? - Answer: Consideration
An insured notifies the insurance company that he has become disabled. What provision states that
claims must be paid immediately upon written proof of loss? - Answer: Time of Payment of Claims
Which of the following riders would NOT increase the premium for a policyowner? - Answer:
Impairment rider
Todd has been informed that he has a hernia which requires repair. When Todd researches the cost, he
learns that his insurance plan will cover 200 points worth of surgical expenses. Each point represents
$10, which means that $2000 of his surgery will be covered by his insurance plan. What system is Todd's
insurance company using? - Answer: Conversion factor
Which of the following types of LTC is NOT provided in an institutional setting? - Answer: Home health
care.
Which describes the features of a comprehensive major medical policy? - Answer: Basic medical
expense benefits are provided in a single package
Under the mandatory uniform provision Notice of Claim, the first notice of injury or sickness covered
under an accident and health policy must contain - Answer: A statement that is sufficiently clear to
identify the insured and the nature of the claim.
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