NJ Health and Accident Practice Exam Questions with

pg. 1 NJ Health and Accident Practice Exam/ Questions with Correct Verified Answers/ Rated A+

Which of the following percentages represents the average portion of expected costs covered in the Gold plan?

• 70%
• 80%
• 60%
• 90%

Correct Answer - 80%

All of the following statements regarding the essential health benefit of 'coverage of children to age 26' are correct EXCEPT

• grandchildren may be covered if the grandparent is the legal guardian of the child to

be insured

• there is a requirement to cover the child of a dependent child
• grandchildren may be covered if the grandparent is the adoptive parent of the child to

be insured

• children can join or remain on the parent's plan even if they are married

Correct Answer - there is a requirement to cover the child of a dependent child

Which of the following generally is NOT considered a presumptive disability?

• total and permanent blindness
• loss of the dominant hand
• loss of use of any two limbs
• loss of speech and hearing 1 / 4

pg. 2 Correct Answer - loss of the dominant hand

Jodi missed the deadline for the annual open enrollment. Which of the following qualifying events would NOT allow her to have a special enrollment?

• birth or adoption of a child
• marriage
• moving to a new state with same health plans
• loss of health coverage due to divorce

Correct Answer - moving to a new state with same health plans

which of the following percentages represents that average portion of expected costs covered in Platinum plan

• 80%
• 70%
• 100%
• 90%

Correct Answer - 90%

ABC Printing, a small tax nonexempt company, can get tax credits to help offset the cost of the company's health plan premium contribution for its employees. The maximum credit is

• 10% of premiums paid
• 25% of premiums paid
• 50% of premiums paid
• 75% of premiums paid

Correct Answer - 50% of premiums paid

• / 4

pg. 3 How many full-time employees (FTEs) must a company have to be eligible for the Health Care Tax Credit for Small Employers?

• less than 2
• less than 10
• less than 25
• less than 20

Correct Answer - less than 25

Advanced premium tax credits (APTC) may be applied to lower the insured's monthly premiums. The cost-sharing reduction is only available through a health plan from which tier?

• platinum
• gold
• silver
• bronze

Correct Answer - silver

All of the following are mandatory health insurance provisions EXCEPT

• payment of claims
• time limit on certain defenses
• proof of loss
• renewability

Correct Answer - renewability

Marcus pays his insurance premium monthly and has a grace period of

• 7 days
• 10 days
• 30 days 3 / 4

pg. 4

• 31 days

Correct Answer - 10 days

All of the following are optional health insurance provisions EXCEPT

• insurance with other insurer
• narcotics
• unpaid premium
• change of beneficiary

Correct Answer - change of beneficiary

How many days' notice must the insured be given if an insurer cancels a policy?

• 5
• 2
• 10
• 3

Correct Answer - 5

Which provision allows new insureds the right to examine a policy for a specified period of time with the option to return it?

• free look period
• consideration clause
• renewability
• insuring clause

Correct Answer - free look period

The exchange of something of value is known as

• a free-look
• an insuring agreement
• a consideration
• / 4