New Jersey Laws, Rules,
and Regulations Pertinent
to Accident and Health
Questions and Complete
Solutions Graded A+
[Document subtitle]
Denning [Date] [Course title]
, In health insurance sales, it is illegal to engage in any unfair, deceptive, or misleading practices, such as: -
Answer: - Inducing a person to duplicate coverage, meaning coverage, when combined with an existing
policy, is likely in total claim payments in amounts greater than the amount lost
- Selling Medicare supplement insurance to any person who is not eligible for Medicare
If an insurance sale involves replacement, they must give the applicant a
______________________________. - Answer: Notice Regarding Replacement of Health Insurance.
A producer or insurer who violates the solicitation regulations can be ordered to pay a fine of up to
____________ for each violation. - Answer: $2,000
An advertisement is considered misleading if it focuses only on the ________________ features of a
contract. - Answer: Positive
- It must also describe exceptions and limitations. -
Insurers must maintain files containing all their advertisements for ___________________________
from their last use. - Answer: 5 years
All advertisements, regardless of their creators, are the responsibility of the ____________________. -
Answer: Insurer
Generic Characteristic : - Answer: 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.
A written notice of a claim must be given to the insurer within ________________ after the occurrence
of any loss covered by the policy or as soon thereafter as it reasonably possible. - Answer: 20 days
Written proof of a loss must be furnished to the insurer within ________________ after the date of such
loss. - Answer: 90 days
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