New Hampshire Accident & Health practice exam

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1. Insurance Regulation

   1.A health insurer pays part of a member's claim and sends a statement describing the benefits included in the payment. Under New Hampshire's claim settlement rule for insurers other than property and casualty insurers, what standard must that statement meet?

   • AIt may be delivered orally by a claims representative, as long as the payment amount is later confirmed by mail.
   • BIt must be written and detailed enough for the member to reasonably understand the benefits in the payment.
   • CIt must list every exclusion in the policy, whether or not any exclusion affected the amount that was paid.
   • DIt is required only if the member asks for one in writing within 30 days after receiving the payment.

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New Hampshire Accident & Health questions