NJ Health And Accident 2025 Update Exam
what percentage of a participants income are group long term disability benefit amounts typically limited to? - ANSWER-60%
What type of policy where the insurer can send a notice to the insured that the policy has been cancelled in the middle of the term is...
what percentage of a participants income are group long term disability benefit
amounts typically limited to? - ✔✔✔ANSWER-60%
What type of policy where the insurer can send a notice to the insured that the
policy has been cancelled in the middle of the term is called - ✔✔✔ANSWER-
Cancelable
When a producer, domiciled in New York, with an office location in NJ, elects NJ
as their resident state, he is acting as - ✔✔✔ANSWER-A resident licensee in NJ
,When an insured changes to a more hazardous occupation, which disability
provision allows an insurer to adjust policy benefits and rates? - ✔✔✔ANSWER-
Change of occupation provision
A closed network plan offers a primary physician copay of $25. If a subscriber
chooses a primary care physician outside of the network, the subscriber will likely
pay - ✔✔✔ANSWER-100% of the billed amount
A health insurance policy that allows an insurer to change the policy owner's
premiums, but NOT cancel the policy is called a(n) - ✔✔✔ANSWER-guaranteed
renewable policy
A health insurance policy where the insurer has the right to terminate the policy for
reasons other than the insured's health is called - ✔✔✔ANSWER-conditionally
renewable
A health insurance policy will typically cover - ✔✔✔ANSWER-Preventative
health services
A health insurer must be provided with written proof of loss ______ days after the
date of loss - ✔✔✔ANSWER-90 days
A licensed producer is required to file notice to any changes of address within how
many days - ✔✔✔ANSWER-30 days
A master contract and certified coverage can be found in which type of policy? -
✔✔✔ANSWER-Group
, A medical provider that accepts Medicare Assignment must - ✔✔✔ANSWER-
accept payment based upon a defined Medicare schedule as payment in full
A Medicare Supplement policy can be cancelled by the insurer for -
✔✔✔ANSWER-Nonpayment
A medicare supplement policy must NOT contain benefits which -
✔✔✔ANSWER-duplicate Medicare benefits
A newborn is required to be covered for _____ days from the moment of birth -
✔✔✔ANSWER-30 days
A payment system for health care in which the provider is paid for each service
given is called - ✔✔✔ANSWER-fee-for-service
A person covered with an individual health plan - ✔✔✔ANSWER-is issued a
policy
A person who is a nonsmoker, of average weight, and in excellent health would
most likely be in which risk classification? - ✔✔✔ANSWER-Preferred
A producer must notify the Commissioner within _____ days of a felony
conviction. - ✔✔✔ANSWER-30 days
A producer's secretary who solicits prospects on the telephone - ✔✔✔ANSWER-
must be licensed as a producer
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