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

Questions 4

An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:

Options:

A.

An accounting error discovered by the producer’s accountant

B.

Submitting a premium payment to an insurer in excess of the required amount

C.

Incorrect filing of federal income taxes

D.

Misleading a prospective insured in replacing accident and health insurance

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Questions 5

In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?

Options:

A.

No, because of privacy considerations

B.

Yes, because of the powers defined by state laws

C.

No, because only an officer of the court can inspect these records

D.

Yes, because all company and agency records are public domain

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Questions 6

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

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Questions 7

Which one of the following causes of death typically would be included under an accidental death rider attached to a life insurance policy?

Options:

A.

Intentionally self-inflicted injuries

B.

Illness or disease

C.

War or acts of war

D.

Automobile accidents resulting from the insured's negligence

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Questions 8

Which statement is true of trade association groups eligible for group medical benefits?

Options:

A.

Members of the association are usually in the same industry

B.

Such associations are formed for the purpose of purchasing insurance

C.

The association membership primarily consists of large employers

D.

Employer contributions are usually waived

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Questions 9

Disability income insurance premiums are a deductible expense when the premiums are paid by:

Options:

A.

A partnership for group disability income coverage for the partners

B.

A corporation for group disability income coverage for the employees

C.

An insured for individual disability income coverage

D.

An employee for group disability income coverage

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Questions 10

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

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Questions 11

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

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Questions 12

In HMO coverage, all of the following services must be available 24 hours per day, 7 days per week EXCEPT:

Options:

A.

In-patient hospital services

B.

Emergency medical care

C.

Primary care

D.

Dental care

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Questions 13

When a single major medical contract covers all medical expenses, the plan is considered to be:

Options:

A.

Comprehensive

B.

Limited

C.

First-dollar

D.

Supplemental

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Questions 14

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

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Questions 15

Which one of the following causes of loss typically is EXCLUDED under a disability income insurance policy?

Options:

A.

Auto accidents

B.

Cancer

C.

Tropical disease

D.

Intentionally self-inflicted injuries

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Questions 16

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

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Questions 17

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

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Questions 18

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

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Questions 19

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

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Questions 20

Medical expense insurance typically EXCLUDES coverage for treatment of:

Options:

A.

Chronic back pain

B.

Eating disorders

C.

Intentionally self-inflicted injuries

D.

Undiagnosed diseases

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Questions 21

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

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Questions 22

All of the following are true of insurance EXCEPT:

Options:

A.

It transfers risk

B.

It is a means of sharing losses

C.

It eliminates risk

D.

It protects against uncertainty

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Questions 23

In general practice, which one of the following is true of the powers of the Maryland Insurance Administration with respect to access to a producer’s business records?

Options:

A.

Records can only be accessed by an order of a state court

B.

Authorization must come from the National Association of Insurance Commissioners (NAIC)

C.

Records must be produced upon the request of the Maryland Insurance Administration

D.

The Maryland Insurance Administration has no right to access a producer’s business records because of privacy considerations

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Questions 24

Which expenses are covered by Medicare Part D?

Options:

A.

Medical

B.

Hospital

C.

Prescription drug

D.

Dental

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Questions 25

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

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Questions 26

A health maintenance organization may issue a contract that provides benefits for the following:

Options:

A.

Replacement of income lost by a member due to the member’s disability

B.

Health care services provided to members of the HMO

C.

The accidental death of an HMO member

D.

The dismemberment of an HMO member

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Questions 27

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

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Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
Last Update: Dec 15, 2025
Questions: 90

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