MARYLAND INSURANCE ADMINISTRATION ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER STUDY GUIDE, ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER TEST COLLECTION PDF

Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Study Guide, Accident-and-Health-or-Sickness-Producer Test Collection Pdf

Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Study Guide, Accident-and-Health-or-Sickness-Producer Test Collection Pdf

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Real And Valid Accident-and-Health-or-Sickness-Producer Exam Questions & Answers

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q59-Q64):

NEW QUESTION # 59
Medical expense insurance typically EXCLUDES coverage for treatment of:

  • A. Chronic back pain
  • B. Intentionally self-inflicted injuries
  • C. Eating disorders
  • D. Undiagnosed diseases

Answer: B

Explanation:
Medical expense insurance covers necessary treatments like chronic pain, eating disorders (under parity laws,
§ 15-802), and undiagnosed conditions if treated, but excludes intentionally self-inflicted injuries (e.g., suicide attempts) as non-accidental losses (Insurance Article, § 15-201).
References:Maryland Insurance Article, § 15-201, § 15-802; MIA health insurance exclusions.


NEW QUESTION # 60
When a producer sells an individual accident and health insurance policy, how is the initial premium usually paid?

  • A. The applicant sends it directly to the insurer with the application
  • B. The insurer utilizes the applicant's automatic bank draft authorization
  • C. The insurer bills the applicant when the application is approved
  • D. The producer collects and forwards it to the insurer

Answer: D

Explanation:
Producers (Insurance Article, § 10-126) typically collect the initial premium with the application and forward it to the insurer, streamlining the process, unlike direct payment, billing, or bank drafts, which are less common initially.
References:Maryland Insurance Article, § 10-126; MIA producer procedures.


NEW QUESTION # 61
When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

  • A. The premium payor
  • B. The patient or parent of the patient
  • C. The principal insured individual
  • D. The insurer

Answer: D

Explanation:
If an insurer mandates a physical exam (Insurance Article, § 12-202), it pays the cost, as it's a condition of coverage or claims processing. The premium payor, insured, or patient isn't responsible for insurer-initiated requirements.
References:Maryland Insurance Article, § 12-202; MIA policy standards.


NEW QUESTION # 62
All of the following are basic underwriting actions in accident and health insurance EXCEPT:

  • A. Deleting uniform policy provisions
  • B. Rejecting applicants
  • C. Issuing policies with exclusion riders
  • D. Issuing standard policies as applied for

Answer: A

Explanation:
Underwriting involves assessing risk by rejecting high-risk applicants, issuing standard policies, or adding exclusion riders for specific conditions. Deleting uniform policy provisions-mandatory clauses like grace periods (Insurance Article, § 15-201)-isn't an underwriting action, as these are legally required and cannot be altered by underwriters.
References:Maryland Insurance Article, § 15-201 et seq.; MIA underwriting guidelines.


NEW QUESTION # 63
If an individual's occupation is considered to be illegal:

  • A. It may result in a denial of a disability income claim
  • B. It results in a substandard rating on an accident and health insurance policy
  • C. It must be stated as such on an accident and health insurance application
  • D. It may require a waiver on a disability income insurance policy

Answer: A

Explanation:
Illegal occupations (Insurance Article, § 12-101) can lead to claim denials if disability arises from illegal acts, per public policy. Disclosure isn't mandated, waivers don't apply, and ratings adjust risk, not legality.
References:Maryland Insurance Article, § 12-101; MIA claims policies.


NEW QUESTION # 64
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