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Free and Premium Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Dumps Questions Answers

MarylandAccident and Health or Sickness Producer Series 20-24 Exam Questions and Answers

Question 1

Who has the right to change the beneficiary of an accident and health policy with a revocable beneficiary designation?

Options:

A.

The policyowner

B.

The beneficiary

C.

The insurer

D.

The producer

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Question 2

A policy of life insurance may NOT be delivered unless the policy has a:

Options:

A.

Legible and brief description of the policy on the first page

B.

Notary seal

C.

Premium coupon book

D.

Financial statement of the life insurance company

Question 3

To be deemed a "qualified employer" under the Maryland Health Benefit Exchange Act, anemployer MUST:

Options:

A.

Contribute to employee premiums

B.

Have its principal place of business in the state of Maryland

C.

Have at least 50% of its employees work in the state of Maryland

D.

Have at least 50% of its employees reside in the state of Maryland

Question 4

Coverage for the first three pints of blood for Medicare enrollees is:

Options:

A.

A Medicare Supplement additional benefit

B.

A Medicare Supplement core benefit

C.

A Medicare Part A benefit

D.

A Medicare Part B benefit

Question 5

Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?

Options:

A.

Branch office

B.

Contingent

C.

Captive agent

D.

Direct response

Question 6

The phrase, "this policy pays $1,800 for hospital room and board expenses," should include the:

Options:

A.

Maximum daily benefit and the maximum time limit for hospital room and board expenses

B.

Minimum daily benefit and the maximum time limit for hospital room and board expenses

C.

Minimum daily benefit and the minimum time limit for hospital room and board expenses

D.

Maximum daily benefit and the minimum time limit for hospital room and board expenses

Question 7

A producer may be guilty of misrepresentation if the producer:

Options:

A.

Failed to disclose exclusions of the policy

B.

Denied a claim for failure of the policyholder to prove damages

C.

Required timely written notice of loss for all claims

D.

Issued a full settlement check expressly releasing the insurer

Question 8

An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:

Options:

A.

A drug smuggling operation

B.

A skydiving exhibition

C.

A state-sponsored centennial celebration

D.

A nuclear power plant

Question 9

All of the following are basic underwriting actions in accident and health insurance EXCEPT:

Options:

A.

Rejecting applicants

B.

Deleting uniform policy provisions

C.

Issuing standard policies as applied for

D.

Issuing policies with exclusion riders

Question 10

An elimination period in a disability income insurance policy is the:

Options:

A.

Period between the start of a disability and the beginning of benefits

B.

Time during which benefits are paid under the policy

C.

Same as the probationary period

D.

Time period the policy is in force

Question 11

Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:

Options:

A.

Reasonable and customary charges

B.

Preapproved charges

C.

Utilization charges

D.

Scheduled charges

Question 12

All of the following are examples of unfair claims settlement practices EXCEPT:

Options:

A.

Failing to promptly provide a reason for a claim denial

B.

Refusing arbitrarily and unreasonably to pay claims

C.

Denying unsubstantiated claims on a timely basis

D.

Misrepresenting pertinent facts of coverage

Question 13

When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

Options:

A.

The premium payor

B.

The principal insured individual

C.

The patient or parent of the patient

D.

The insurer

Question 14

Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:

Options:

A.

Report of a physical examination

B.

Applicant’s family’s consent

C.

Copy of the person’s living will

D.

Power of attorney

Question 15

Which type of coverage bases benefit eligibility on the capacity to perform activities of daily living?

Options:

A.

Medicare supplement

B.

Major medical expense

C.

Long-term care insurance

D.

Long-term disability

Question 16

An insured incurs a covered accident and health insurance loss on May 30, which is submitted to the insurer on June 8. If the insured terminated coverage on June 1, the insurer:

Options:

A.

Can refuse to pay the claim because coverage has been terminated

B.

Can refuse to pay the claim under the pre-existing conditions exclusion

C.

Must pay the claim upon receipt of the proof of loss

D.

Must pay the claim within one year of termination of coverage

Question 17

Which statement describes the most likely federal income tax treatment of death benefits paid to the family of an insured under an accident and health insurance policy?

Options:

A.

Benefits will not be taxable

B.

Some benefits will usually be taxable

C.

All benefits will be taxable

D.

Taxation depends on the beneficiary’s tax bracket

Question 18

An insurance producer or advisor in the State of Maryland can be disciplined by the MarylandInsurance Administration for all of the following EXCEPT:

Options:

A.

Making a misleading statement about the financial condition of an insurer

B.

Using inappropriate description of a policy to hide the true nature of the policy

C.

Making false or misleading statements about dividends previously paid on similar policies

D.

Filing a complaint on behalf of the consumer with the Maryland Insurance Administration

Question 19

Misrepresenting pertinent policy provisions relating to coverages after a loss is:

Options:

A.

A concealment in insurance applications

B.

An unfair claim settlement practice

C.

An unfair discrimination between individuals

D.

A violation of the principle of adhesion

Question 20

A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:

Options:

A.

Routine physical examinations

B.

Well-baby or well-child care

C.

Dental and vision care

D.

Emergency services

Question 21

Reasonable and customary charges for health care are based primarily on:

Options:

A.

Actuarial tables

B.

Insurance industry studies

C.

Average charges within a geographic area

D.

National physician surveys

Question 22

All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:

Options:

A.

Non-smoker

B.

Non-hazardous occupation

C.

High income

D.

Physically active

Question 23

Medical expense insurance typically EXCLUDES coverage for:

Options:

A.

Hospital care extending past 30 days

B.

Expenses incurred for primarily cosmetic surgery

C.

Maternity care benefits

D.

Hospital laboratory tests

Question 24

If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?

Options:

A.

Refer the employer to a licensed insurance producer

B.

Help the employer sign-up through the SHOP Exchange

C.

Refer the employer to the carrier where a friend works

D.

Refer the employer to the Maryland Insurance Administration

Question 25

An insurance adviser’s written contract with the client must include all of the following EXCEPT:

Options:

A.

Expiration date of the consultant’s license

B.

Amount of the fee

C.

Duration of the contract

D.

Disclosure as to whether commissions may be received

Question 26

Giving policyholders some part of the agent’s commission as an inducement to purchase insurance is an unfair trade practice known as:

Options:

A.

Twisting

B.

Rebating

C.

Replacement

D.

Retention

Question 27

The Maryland Insurance Administration is an agency of the:

Options:

A.

Federal government

B.

State government

C.

National Association of Insurance Commissioners

D.

Maryland General Assembly