NJ Laws and Rules Flashcards

1
Q

The ______ (or principal) is the company or organization that issues a policy of insurance

A

insurer

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2
Q

_______ are owned by stockholders who provide the capital necessary to establish and operate the insurance company and who share in any profits or losses.

A

Stock companies

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3
Q

Stock companies issue ______ policies, in which policyowners do not share in profits or losses

A

nonparticipating

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4
Q

A nonparticipating (stock) policy does not pay _____ to policyowners; however, taxable dividends are paid to stockholders.

A

dividends

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5
Q

_______ are owned by the policyowner and issue participating policies.

A

Mutual companies

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6
Q

With participating policies, policyowners are entitled to dividends, which in the case of mutual companies are a return of excess premiums and are therefore

A

nontaxable

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7
Q

Insurance companies are classified according to the

A

location of incorporation (domicile)

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8
Q

Regardless of where an insurance company is incorporated, it must obtain a

A

Certificate of Authority

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9
Q

Insurers who meet the state’s financial requirements and are approved to transact business in the state are considered ______ _______ into the state as a legal insurer

A

authorized or admitted

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10
Q

An _____ is an insurance producer acting as an agent authorized in writing by any insurance company to solicit, negotiate or sell insurance contracts, or collect premiums on its behalf. Deemed to represent the insurer

A

insurance agent

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11
Q

When an insurance producer negotiates for an insurance contract on behalf of a client, the producer is acting as a

A

broker

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12
Q

An insurance broker acts a representative of an insured or prospective insured, and helps with insurance transactions on the insured’s behalf for a

A

commissions, brokerage fee, or other consideration

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13
Q

An _______ is a person who, for a fee, commission, other consideration, offers any advice, counsel, opinion, or service regarding the benefits, advantages, or disadvantages of any insurance policy issued in this state

A

insurance consultant

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14
Q

The term insurance transaction includes any of the following:

A

1) Solicitation
2) Negotiations
3) Sale
4 Advising an individual concerning coverage

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15
Q

_____ is a contract under which one insurance company (the reinsurer) indemnifies another insurance company for part or all of its liabilities

A

Reinsurance

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16
Q

The purpose of reinsurance is to protect _____ against catastrophic losses

A

insurers

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17
Q

The originating company that procures insurance on itself from another insurer is called the

A

ceding insurer

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18
Q

When a reinsurer or assuming insurer has taken on too many risks and must spread some of its liabilities to other reinsurers is called

A

extended reinsurance or retrocession

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19
Q

Insurance is an industry that is

A

vested in the public interest

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20
Q

Paul vs Virginia, in rendering its decision, the Supreme Court states that insurance was

A

NOT interstate commerce

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21
Q

U.S. vs South-Eastern Underwriters Assoc. Supreme court states

A

that insurance IS interstate commerce and therefore subject to regulation by the federal government. This decision stands today

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22
Q

McCarran-Ferguson Act March 9,1945. Congress insisted that it was the right of the federal government to regulate the insurance industry but states in the Act that federal government would nor regulate insurance

A

as long as the states did an adequate job of regulating the industry

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23
Q

If the commissioner believes that a licensed person has violated an insurance regulation or is engaged in any unfair trade practice, the Commissioner has the right to call a disciplinary hearing, and will provide the person charged with a _____ written notice of the date and time and place of hearing

A

10 days

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24
Q

After the hearing, Commissioner will determine if a violation has occurred and if so will issue a ____ ____ order, which requires person to stop unlawful action

A

cease and desist

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25
Q

Commissioner may also levy a fine up to ______ for each charge of violation of fair methods of competition laws or engaging in an unfair trade practice

A

$1,000

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26
Q

Any person who violates an insurance law or regulation is liable to a penalty of up to _______ for a first offense, and up to _______ for each subsequent offense

A

$5000

$10000

27
Q

To qualify for a producer license, candidates must

A

1) Be 18
2) Submit the NAIC and pay required fees
3) Complete education course within 2 years before submitting the license app
4) Pass license examination within 1 year before submitting a license application

28
Q

The application for a license are also required to submit _____ to the Commissioner and written consent for a criminal history record background check

A

fingerprints

29
Q

A producer license will not be issued to a business entity operated by a person who has had his or her license revoked within the past

A

10 years

30
Q

A _____ _____ is an individual who is domiciled and licensed as a resident producer in a state other than NJ

A

nonresident producer

31
Q

For the protection of consumers in NJ, nonresident producers must appoint the _______ as their agent to receive service of original legal process in NJ.

A

Commissioner

32
Q

If moving the residence or primary of business to NJ, a nonresident producer must notify the Department of the change of address and contact information within ___

A

30 days

33
Q

Applicants for surplus lines authority must:

A

Be NJ resident

Hold a property and casualty license

34
Q

Prior to being admitted to the state licensing examination, an applicant must complete _____ of prelicensing education for each line of authority that he intends to transact

A

20 hours

35
Q

Commissioner may ___ the prelicensing education if the applicant holds a professional approved by the Commissioner in the kind of insurance for which the applicant seeks authority

A

waive

36
Q

Applicants who previously held a NJ insurance license which was terminated as a condition of public employment are exempt from re-examination, provided that the public employment was in an insurance- related field and the license application is made within ___ of termination of that employment

A

1 years

37
Q

Any individual previously licensed and in good standing with another state who applies for an insurance producer license in NJ will not be required to complete any prelicensing education or examination. The application must be received by the department within _____ of the cancellation of the previous license

A

90 days

38
Q

After completing the procedural steps required for obtaining a producer license, an applicant may have to wait some time before the license is actually issued. An applicant may have to wait some time before the license is actually issued. An applicant may begin working as a producer immediately after completing all the required procedures by obtaining a

A

temporary work authority

39
Q

The temporary work authority expires no more than ____ after it is issued and becomes ineffective

A

60 days

40
Q

Producer licenses are valid for

A

2 years

41
Q

Licenses will expire on the last day of the producer’s

A

month of birth

42
Q

Individual producers renewing their license must also submit proof of completing 24 hours of ______ _____ _____ ____during the previous 2 years, with 3 of those hours in courses related to professional ethics

A

approved continuing education credits

43
Q

To renew a producer license, the producer must at least ____ days before the expiration date submit a completed renewal application with the renewal fee and a certification signed by the producer, stating that he continues to qualify for a license in accordance with NJ

A

10

44
Q

Any licensee not wishing to renew his or her license should notify the Department by writing ________ on the face of the renewal application

A

“do not renew”

45
Q

Nonresident producers who satisfy CE requirements in their home state are not required to complete

A

CE requirements in NJ

46
Q

If an applicant’s license has lapsed within the past year, the applicant may apply for late renewal of the license within ____ of expiration

A

1 year

47
Q

A licensed producer may request a _____ of license renewal requirements if he or she is unable to comply with renewal procedures due to military service or other extenuating circumstances, such as long-term medical disability

A

waiver

48
Q

When requested by any person, the department will issue a certification of license status of any currently licensed producer or producer licensed within the past

A

4 years

49
Q

Commissioner may revoke, suspend, refuse to issue, or renew a license if he fails to notify commissioner within ____ of a conviction of a crime, indictment, or filing of a formal charge

A

30 days

50
Q

All licensed are the property of the _____ and upon suspension, revocation, or expiration must be returned to the Department

A

State of NJ

51
Q

If a producer’s license has been revoked, the producer must wait _____ before applying for reinstatement

A

5 years

52
Q

Contractual relations between a producer and an insurance company are conducted through a

A

contract signed by both parties

53
Q

The appointment insurance company must submit notice of an agent appointment to the Department within _____ after execution of the contract or within _____ after the first insurance application is submitted by the producer

A

15 days

54
Q

If an insurer cancels an agency contract, it must notify the Commissioner

A

in writing within 15 days

55
Q

______ is defined as any inducement offered to the insured in the sale of insurance products that is not specified in the policy.

A

Rebating

56
Q

It is illegal to be involved in any activity of _____, _____, or ______ that is intended to restrict fair trade or to create a monopoly

A

boyctt, coercion, or intimidation

57
Q

______ occurs when an oral or written statement is made that is intended to injure a person engaged in the insurance business

A

Defamation

58
Q

All policies, certificates or other evidence of insurance that are received by an insurance producer must be delivered or mauled to the insured within

A

10 calendar days

59
Q

A producer has ______ to reply in writing to any inquiry of the Department related to the business insurance

A

15 calendar days

60
Q

Claims must be reported to the insurer no later than ______ after the receipt of notice of claim by the producer

A

5 business days

61
Q

All completed receipt books must be retained for a minimum of _____ from the date of completion

A

5 years

62
Q

The ___________ was created to protect policyowners, insureds, and beneficiaries under life insurance policies, health insurance policies, annuity contracts, and supplemental contracts when insurers fail to perform contractual obligations due to financial impairment

A

New Jersey Life and Health Guaranty Assoc.

63
Q

New Jersey Life and Health Guaranty Assoc. is funded by its ______, or all authorized insurers that are required to be members of the Assoc. and contribute to a fund to provide for the payment of claims for insolvent insurers

A

members

64
Q

For the purpose of administration and assessments, the Guaranty Assoc. maintains 2 accounts:

A

life insurance and annuity account

Health insurance account