Health Chapter 10 Exam - NJ Laws and Rules

Réussis tes devoirs et examens dès maintenant avec Quizwiz!

Health insurance advertisements that mention statistical information are required by NJ law to

Accurately convey all pertinent facts

Which of the following are retained at the expense of an insurance buyer to give advice on insurance needed by the buyer? Brokers and consultants Insurance prospectors Third-party adminstrators Agents

Brokers and consultants

The commissioner issues a subpoena to a producer. The producer decides not to respond. Which course of action must be taken by the Commissioner?

Commissioner may impose an administrative penalty

Continuing Education credits may be approved for which of the following?

Ethics

The New Jersey Life and Health Insurance Guaranty Association is

Funded by assessments on member companies

An insurance producer is issued a(n) ____ as evidence of authority

License

A buyer's guide and policy summary

Must be delivered with or prior to the policy delivery

Which of the following is MANDATORY coverage for all group health care service contracts? Treatment for alcoholism Short-term disability Custodial care Dental Care

Treatment for alcoholism

A Buyer's Guide MUST

Contain content approved by the Commissioner

In New Jersey, health insurance advertisements are required to contain the

Insurance company's name

An agent is required to keep replacement forms on file for at LEAST ____ years

5

NJ insurance law requires eligible individuals to make an election to continue health insurance benefits with a MAXIMUM of ____ days after coverage termination

60

In NJ, group health insurance may be offered to all these groups EXCEPT private employer city government college seminar participants small employer

college seminar participants

After passing the state Producer licensing exam, application for the license must be made within

12 months

How old must an individual be to obtain a producer's license?

18

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

30

Which of the following is NOT a duty of the Commissioner? Establish insurer rates Conduct investigations Issue Subpoenas Adminster oaths

Establish insurer rates

If an insurer receives a Notice of Claim under an individual health policy and fails to provide proof of loss forms within 15 days, the insured must?

File a written proof of loss, detailing the occurrence, character and extent of the loss

The law that established insurance transactions should be regulated by the states is called the

McCarran-Ferguson Act

Which of the following MUST contain a "Statement of Policy Cost and Benefit Information"?

Policy summary

Replacement regulation is designed to protect the interests of

Policyowners

The New Jersey Temporary Disability Benefits law

Provides non-occupational disability benefits

In the health insurance policy, when should the written notice of claim be given to the insurer?

Within 20 days after the occurrence or commencement of any loss covered by the policy

Which of the following is an example of defamation? Using intimidation in order to restrain or monopolize the business of insurance Using derogatory statements about an insurance company's financial condition Returning a portion of a premium as inducement to purchase insurance Offering a client something of value not stated in the contract in exchange for their business

Using derogatory statements about an insurance company's financial condition

Which of the following situations would be suitable for a temporary work authority? When a producer's license is suspended and an appeal date is set When an applicant completes an approved prelicensing course When an applicant passes a licensing examination and answers all background questions negatively When an applicant fails the licensing examination and is waiting to take another test

When an applicant passes a licensing examination and answers all background questions negatively

An insurance company that is organized or chartered in a country other than the United States is defined as

Alien

Which of these may NOT be used in a health insurance advertisement? A celebrity endorsement A statement that highlights coverage amounts A paid testimonial An insurance company's trademark instead of the company's actual name

An insurance company's trademark instead of the company's actual name

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

Foreign

Nina just passed her NJ insurance licensing examination. She is REQUIRED to apply for a producer's license within ____ months

12

Once an accident and health insurance policy has been in force for ___ year(s), the policy may not be contested by the insurer

2

Knowingly making misleading statements that would cause an insured to lapse, assign, or terminate an insurance policy in order to switch companies is an example of

Twisting

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

30

The replacement of an existing insurance policy requires notice that the owner can return the policy within ___ days for a full refund

30

Under the NJ continuance of benefits law, notice to extend coverage is required within how many days of a qualifying event?

30

Within how many days must a producer notify the department of banking and insurance of a change in address?

30

Pierre the producer receives a premium for an individual health insurance policy. Pierre MUST remit the premium to his insurer within ____ business days of receipt

7

Which of the following is NOT contained in a certification of license status? Licensee's place of birth License authorities granted License expiration date License reference number

Licensee's place of birth

An insurance company may ONLY pay a sales commission to

Individuals licensed by the state

The Commissioner of Insurance is appointed by which of the following? The legislature The senate The secretary of state The governor

The governor


Ensembles d'études connexes

Module 3- Subfields in Psychology Basic and Applied Psychology: 3-1 What is the difference between basic and applied psychology?

View Set

Elementary Oceanography Chapter 7

View Set

Skyriaus kartojimas. Apšvietos epocha

View Set

anatomy and physiology final exam set

View Set

Life Insurance CH.3 (Life Policy provisions, Riders, and Options)

View Set

Kohlburg's Theory of Moral Development

View Set

Management of Human Services- Exam 2

View Set

indicativo vs subjuntivo en español

View Set

Chapter 5 Essentials of Cell Biology

View Set

Evidence Act - 3.6 Tendency Coincidence

View Set