NJ Health and Accident Questions and Answers 100% Pass
Question : 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
CORRECT ANSWER: for claims involving periodic payments
INSURERS MUST PAY LUMP SUM CLAIMS
IMMEDIATELY AFTER RECEIVING PROOF OF LOSS
Question : What does coinsurance mean?
a policy covers the insured and the any additional named
persons
-the insurer and the insured share expenses over the deductible
-the insurer and the insured share ALL expenses
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