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State RegulationsNJ specificDifficulty 2/5

When soliciting a Medicare supplement policy in New Jersey, what disclosure document must be delivered to the applicant so the coverage can be compared and understood?

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Answer & full 3-part explanation (select an option above, or peek)

Why D is correct

New Jersey's Medicare supplement statute, N.J.S.A. 17B:26A-1 through -17, and the individual health minimum standards of N.J.A.C. 11:4-16 require delivery of an outline of coverage when a Medigap policy is solicited. The outline describes the plan's benefits, exclusions, and limitations in a comparable format so buyers can weigh their options. The New Jersey Department of Banking and Insurance enforces the disclosure requirement.

Why the other options are wrong

  • A) An underwriting manual is an internal company document and is not the consumer disclosure the law requires.
  • B) A denial history is not the required solicitation document; the outline of coverage is.
  • C) A producer's personal commission schedule has nothing to do with helping the applicant compare coverage.

Memory hook

No Medigap pitch without the outline of coverage — compare before you buy.

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