Accident-and-Health-or-Sickness-Producer Exam Dumps : MarylandAccident and Health or Sickness Producer Series 20-24 Exam

Reasonable and customary charges (Insurance Article, § 15-1005) reflect average fees for procedures in a specific geographic area (e.g., 80th percentile), ensuring fair reimbursement. Actuarial tables, studies, and national surveys aren’t the primary basis.

References:Maryland Insurance Article, § 15-1005; MIA health insurance guidelines.

Policy statements (Insurance Article, § 15-201) must clarify benefits with the maximum daily benefit (e.g., $200/day) and maximum time limit (e.g., 9 days) to define the $1,800 total. Minimums are irrelevant, and a mix of maximum and minimum limits lacks clarity.

References:Maryland Insurance Article, § 15-201; MIA policy disclosure rules.

Direct response (Insurance Article, § 10-101) uses mass media and mail to sell directly, bypassing producers, unlike branch offices, captive agents, or contingent systems, which involve intermediaries.

References:Maryland Insurance Article, § 10-101; MIA marketing guidelines.