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
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
$1,000
26
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
$5000 | $10000
27
To qualify for a producer license, candidates must
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
The application for a license are also required to submit _____ to the Commissioner and written consent for a criminal history record background check
fingerprints
29
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
10 years
30
A _____ _____ is an individual who is domiciled and licensed as a resident producer in a state other than NJ
nonresident producer
31
For the protection of consumers in NJ, nonresident producers must appoint the _______ as their agent to receive service of original legal process in NJ.
Commissioner
32
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 ___
30 days
33
Applicants for surplus lines authority must:
Be NJ resident | Hold a property and casualty license
34
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
20 hours
35
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
waive
36
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
1 years
37
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
90 days
38
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
temporary work authority
39
The temporary work authority expires no more than ____ after it is issued and becomes ineffective
60 days
40
Producer licenses are valid for
2 years
41
Licenses will expire on the last day of the producer's
month of birth
42
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
approved continuing education credits
43
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
10
44
Any licensee not wishing to renew his or her license should notify the Department by writing ________ on the face of the renewal application
"do not renew"
45
Nonresident producers who satisfy CE requirements in their home state are not required to complete
CE requirements in NJ
46
If an applicant's license has lapsed within the past year, the applicant may apply for late renewal of the license within ____ of expiration
1 year
47
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
waiver
48
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
4 years
49
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
30 days
50
All licensed are the property of the _____ and upon suspension, revocation, or expiration must be returned to the Department
State of NJ
51
If a producer's license has been revoked, the producer must wait _____ before applying for reinstatement
5 years
52
Contractual relations between a producer and an insurance company are conducted through a
contract signed by both parties
53
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
15 days
54
If an insurer cancels an agency contract, it must notify the Commissioner
in writing within 15 days
55
______ is defined as any inducement offered to the insured in the sale of insurance products that is not specified in the policy.
Rebating
56
It is illegal to be involved in any activity of _____, _____, or ______ that is intended to restrict fair trade or to create a monopoly
boyctt, coercion, or intimidation
57
______ occurs when an oral or written statement is made that is intended to injure a person engaged in the insurance business
Defamation
58
All policies, certificates or other evidence of insurance that are received by an insurance producer must be delivered or mauled to the insured within
10 calendar days
59
A producer has ______ to reply in writing to any inquiry of the Department related to the business insurance
15 calendar days
60
Claims must be reported to the insurer no later than ______ after the receipt of notice of claim by the producer
5 business days
61
All completed receipt books must be retained for a minimum of _____ from the date of completion
5 years
62
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
New Jersey Life and Health Guaranty Assoc.
63
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
members
64
For the purpose of administration and assessments, the Guaranty Assoc. maintains 2 accounts:
life insurance and annuity account | Health insurance account