Nj accident and healt - Study guides, Class notes & Summaries

Health Final Exam - NJ Accident and Health EXAM 2025 UPDATE When does a health insurance policy typically become effective? - ANSWER-When the initial premium is collected and policy is issued Which entity is responsible for regulating insurance advertising in NJ? - ANSWER-New Jersey Department of Banking and Insurance Which of the following actions may an insurance company NOT do in a health policy that contains a guaranteed renewable premium benefit? Stop renewing policy when the insured re...

According to the time payment of claims provision, the insurer must make the payment immediately after receiving proof of loss except: - if the insured is able to eventually return to work -if the death is suicide or due to a pre existing condition -when the policy is in the incontestability period -for claims involving periodic payments - answer-for claims involving periodic payments Insurers must pay lump sum claims immediately after receiving proof of loss What does coinsurance me...

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Health Final Exam - NJ Accident and Health With complete solutions latest update

NJ ACCIDENT AND HEALTH FINAL EXAM

A Basic Hospital Policy pays expenses for: - hospital room and board -physician office visits -routine medical treatment -surgical services - CORRECT ANSWER--hospital room and board BASIC HOSPITAL EXPENSE COVERS HOSPITAL ROOM AND BOARD WITH DAILY LIMIT OF COVERAGE. BASIC SURGICAL PROCEDURES AND BASIC MEDICAL COVERS OFFICE VISITS AND ROUTINE MEDICAL TREATMENT a group conversion option may be used in all the following instances EXCEPT: -loss of coverage due to loss of employment -a l...