Health Final Exam - NJ Accident and Health

Health Final Exam - NJ Accident and Health Latest Update -125 Questions and 100% Verified Correct Answers Guaranteed A+ At First Attempt Verified By Professor

A 10% excise tax is normally applied to an early withdrawal from an IRA. According to HIPAA, this tax will not be applied if the withdrawal is used for medical expenses that

exceed ____ of the individual's adjusted gross income. - CORRECT ANSWER: 7.5%

A beneficiary change can occur - CORRECT ANSWER: normally at any time during the policy term

A branch office registration form is required to be filed at least ___ days before selling

insurance out of that branch - CORRECT ANSWER: 30

A clause that allows that allows an insurer the right to terminate coverage at any

anniversary date is called a(n) - CORRECT ANSWER: Optional renewability clause

A common exclusion with Vision plans is - CORRECT ANSWER: lasik surgery

A disability income policy can prevent an insured from earning a higher income if he/she

were working by utilizing - CORRECT ANSWER: Benefit limits

A doctor who accepts Medicare assignment agrees to which of the following

• Doctor may charge up to a maximum of 15% more than Medicare pays for the service
• Doctor is not bound by Medicare's limitations on charges
• Doctor cannot charge more than Medicare's scheduled coverage 1 / 3

• Doctor bills the Medicare beneficiary directly for services performed - CORRECT

ANSWER: Doctor cannot charge more than Medicare's scheduled coverage

A dread disease policy is considered to be a type of - CORRECT ANSWER: Limited

health insurance policy

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 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 - CORRECT ANSWER: Conditionally renewable

A health insurer must be provided with written proof of loss ___ days after the date of

loss - CORRECT ANSWER: e

A medicare supplement basic benefit is - CORRECT ANSWER: the first 3 pints of blood per year

A Medicare supplement policy can be cancelled by the insurer for - CORRECT

ANSWER: Nonpayment

A newborn is required to be covered for ____ days from the moment of birth -

CORRECT ANSWER: 30

A person who is a nonsmoker, of average weight, and in excellent health would most

likely be in which risk classification? - CORRECT ANSWER: Preferred

A policyholder has a major medical plan with a 80%/20% coinsurance and a deductible of $75. If the insured has previously met her deductible and receives a bill for $175, how much will the insurer pay? - CORRECT ANSWER: $140 Because the insured has 2 / 3

previously met her deductible, the eligible expenses for a claim is the entire $175. The insurance company pays 80% of $175, or $140.

A policyowner suffers an injury that renders him incapable of performing one or more important job duties. Any decrease in income resulting from this injury would make him eligible for benefits under which provision? - CORRECT ANSWER: Partial disability

A producer has recently died and leaves behind a spouse. In order for the producer's insurance business to continue, the Department of Banking and Insurance may issue to

the producer's spouse a(n) - CORRECT ANSWER: temporary insurance license

A producer must notify the commissioner within ___ days of a felony conviction -

CORRECT ANSWER: 30

A proposed insured for a health insurance policy was treated for heart disease within the past year. When applying for health insurance, the heart disease treatment -

CORRECT ANSWER: Indicates a preexisting condition

A(n) ____ insurance company is one that was formed under the laws of a state other

than NJ - CORRECT ANSWER: Foreign

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 ANSWER: Is eligible for coverage upon hire

After an insured gives notice of loss, what must he/she do if the insurer does not furnish

forms? - CORRECT ANSWER: File a written proof of loss

All advertisements for health insurance shall make clear the identity of the - CORRECT

ANSWER: Insurer

All of the following are functions of an insuring clause EXCEPT

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