Exam (elaborations)
2024 NJ ACCIDENT AND HEALTH FINAL EXAM WITH CORRECT ANSWERS
- Course
- Institution
2024 NJ ACCIDENT AND HEALTH FINAL EXAM WITH CORRECT ANSWERS
[Show more]
Content preview
2024 NJ ACCIDENT AND HEALTHFINAL EXAM WITH CORRECT
ANSWERS
The Commissioner must approve - CORRECT-ANSWERSContinuing education
courses
Employer sponsored group health insurance provides coverage for which of
the following?
Self-inflicted injuries
cosmetic surgery
custodial care
alcoholism - CORRECT-ANSWERSalcoholism
According to HIPAA, when an insured individual leaves an employer and
immediately begins working for a new company that offers group health
insurance, the individual - CORRECT-ANSWERSIs eligible for coverage upon
hire
An insurer must furnish to a claimant forms for filing proof of loss within ___
days upon receiving a notice of claim. - CORRECT-ANSWERS15 days
Which of the following is MANDATORY coverage for all group health care
service contracts? - CORRECT-ANSWERSTreatment for alcoholism
A health insurance policy that allows an insurer to change the policy owner's
premiums, but NOT cancel the policy is called a(n) - CORRECT-
ANSWERSGuaranteed renewable policy
The name of the insurance companies represented by the producer -
CORRECT-ANSWERSis available to the public
Which of the following does Coordination of Benefits allow?
-Allows the secondary payor to reduce their benefit payments so no more
than 100% of the claim is paid
-Allows both a group health plan and individual health plan to coordinate
their benefit payments
-Allows the deductible to be spread out between all the health providers
, -Allows each health provider to pay 100% of the claim - CORRECT-
ANSWERSAllows the secondary payor to reduce their benefit payments so no
more than 100% of the claim is paid
All of the following are included as part of a contract in the entire contract
provision EXCEPT the
riders
application
changes made by the producer
policy - CORRECT-ANSWERSchanges made by the producer
Insurable interest does NOT occur in which of the following relationships?
sister/brother
parent/child
business partners
business owner and business client - CORRECT-ANSWERSbusiness owner and
business client
Within how many days must a producer notify the Department of Baking and
Insurance of a change of address? - CORRECT-ANSWERS30
Under the NJ continuance of benefits law, notice to extend coverage is
required within how many days of a qualifying event? - CORRECT-
ANSWERS30
Health insurance advertisements that mention statistical information are
required by NJ law to - CORRECT-ANSWERSaccurately convey all pertinent
facts
What type of injury would NOT be covered under a health insurance policy?
Work related
accidental
Sports related
recreational - CORRECT-ANSWERSWork related
NJ Insurance law requires eligible individuals to make an election to continue
health insurance benefits within a MAXIMUM of ___ days after coverage
termination - CORRECT-ANSWERS60
The NJ temporary disability benefits law - CORRECT-ANSWERSprovides non-
occupational disability benefits
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76800 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now