Exam (elaborations)
NJ Health Insurance Exam Questions and Answers 2024( A+ GRADED 100% VERIFIED).
- Course
- Institution
NJ Health Insurance Exam Questions and Answers 2024( A+ GRADED 100% VERIFIED).
[Show more]
Content preview
NJ Health InsuranceThe Legal actions provisions of an accident and sickness policy require - ANS
An insured wait at least 60 days after the submission of proof of loss before
starting a lawsuit
Pre-existing conditions are deferred to during this provision - ANS Time limit on
certain defenses
Usual reasonable and customary fee - ANS Fee charged when medical expense
policies do not state specific benefit amounts, but instead base payments upon
charges for like services in the same geographical area
Insured's disability income policy defines total disability as "the insured's
inability to perform duties of any occupation. This definition is known as - ANS
"any occupation" and is more restrictive than other definitions
Conversion provision - ANS The right of an employee to exchange his group
insurance for an individual policy within 31 days from the termination of
employment
The master policy owner - ANS Person who has the responsibility to apply for
coverage, provide information about the group, and maintain the policy and pay
the premiums
Waiver of Premium - ANS Endorsement attached to health insurance policy
indicating the insurer will allow the policy to continue in force without further
premiums if the insured is totally and permanently disabled.
Non-contributory group plan - ANS 100% of eligible employees must be covered
For employees to obtain group coverage without evidence of insurability, they
must - ANS Enroll within a specific eligibility period
People eligible for medicare - ANS People age 65 or older who are eligible for
social security
, People age 65 or older not eligible for social security, but willing to pay a monthly
premium
People at any age who have been entitled to disability benefits for 24 months
Primary support for Medicare funded by - ANS Social Security payroll taxes
Medicare Part B - Medical Insurance - ANS Part of medicare that requires
premium payment by most eligible participants
All Medicare Supplement policies (Medigap) must - ANS have the same core
benefits
Benefits provided under Part A of Medicare - ANS Inpatient hospitality care
Skilled nursing facility care
Hospice care
Medicare supplement policies - ANS Designed to pay at least some of the health
care costs that medicare will not pay
Medicaid - ANS Provides medical benefits for certain low-income people, the
disabled, and for families with dependent children
Requirements for payment of Social Security disability benefits - ANS Total and
permanent disability for at least 5 months
Fully insured and disability insured
Expected disability of 12 months or longer or ended in death
NJ Temporary Disability Law - ANS Provides for employers and employees to
contribute to a fund through payroll taxes
The social Security disability benefit payable - ANS The amount the recipient
would receive at retirement
Dependent of quarters of coverage
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 LECTFELICITY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now