Famous Accident-and-Health-or-Sickness-Producer Test Learning Guide: MarylandAccident and Health or Sickness Producer Series 20-24 Exam has high pass rate - Prep4sures
Famous Accident-and-Health-or-Sickness-Producer Test Learning Guide: MarylandAccident and Health or Sickness Producer Series 20-24 Exam has high pass rate - Prep4sures
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q21-Q26):
NEW QUESTION # 21
Which feature in a long-term care insurance policy is designed specifically to provide benefits at times when family members need a break from caring for the insured?
- A. Skilled nursing facility care
- B. Home health care
- C. Custodial facility care
- D. Respite care
Answer: D
Explanation:
Respite care (Insurance Article, § 18-101) offers temporary professional care to relieve family caregivers, a mandated feature in Maryland long-term care policies. Skilled nursing, custodial care, and home health care serve ongoing needs, not specifically caregiver breaks.
References:Maryland Insurance Article, § 18-101 et seq.; MIA LTC guidelines.
NEW QUESTION # 22
In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:
- A. Charged the standard premium rate
- B. Charged an additional premium for the first three years
- C. Required to pay the first year's premium in a lump sum
- D. Declined coverage
Answer: A
Explanation:
Standard risk applicants (Insurance Article, § 15-201) receive the standard premium rate, as their risk aligns with the average pool. Declining coverage or adjusting payment terms applies to higher risks, not standard ones.
References:Maryland Insurance Article, § 15-201; MIA underwriting guidelines.
NEW QUESTION # 23
Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?
- A. Direct response
- B. Captive agent
- C. Contingent
- D. Branch office
Answer: A
Explanation:
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.
NEW QUESTION # 24
In Maryland, a group accident and health certificate of insurance must contain:
- A. A list of all participating physicians
- B. A copy of the group contract
- C. The insurer's financial statement
- D. A summary of policy features and benefits
Answer: D
Explanation:
Certificates (Insurance Article, § 15-1207) summarize policy features and benefits for group members, not the full contract, physician lists, or financial statements, which are separate or irrelevant. This ensures employees understand their coverage.
References:Maryland Insurance Article, § 15-1207; MIA group insurance rules.
NEW QUESTION # 25
All of the following are basic underwriting actions in accident and health insurance EXCEPT:
- A. Issuing policies with exclusion riders
- B. Issuing standard policies as applied for
- C. Rejecting applicants
- D. Deleting uniform policy provisions
Answer: D
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 # 26
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