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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

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 5

After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer’s checking account. What crime has been committed?

Options:

A.

Twisting

B.

Rebating

C.

Fraud

D.

Replacement

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Questions 6

It is unlawful for a person to provide an advertisement that:

Options:

A.

Points out coverage advantages of a policy

B.

Refers to the insurer’s financial rating

C.

Uses a policy title to misrepresent a coverage

D.

Makes a comparison of benefits between policies

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Questions 7

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 8

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

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Questions 9

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 10

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 11

Under Maryland law, the agreement between an insurance producer and insurer under which the insurance producer, for compensation, may sell, solicit, or negotiate policies issued by the insurer is defined as:

Options:

A.

An appointment

B.

A binding agreement

C.

A certificate of authority

D.

A license

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Questions 12

When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:

Options:

A.

Disability income

B.

Major medical

C.

Dental

D.

Health maintenance organization

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Questions 13

In Maryland, an insurance producer is a person who solicits, negotiates, or sells insurance plans PRIMARILY in conjunction with:

Options:

A.

Earning commission

B.

Performing clerical duties

C.

Enrolling individuals in group plans

D.

Acting as a regularly salaried officer

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Questions 14

The Maryland State Benchmark Plan applies to which of the following?

Options:

A.

Medicaid plans sold through the Exchange

B.

Individual Health Benefit Plans sold through the Exchange

C.

Medicare supplement plans sold outside the Exchange prior to January 1, 2014

D.

Individual Health Benefit Plans sold outside the Exchange prior to January 1, 2014

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Questions 15

The primary purpose of disability income insurance is to:

Options:

A.

Provide indemnity for loss of life

B.

Pay necessary hospital expenses when the insured is unable to work

C.

Provide benefit payments for a period of time when the insured is unable to work

D.

Pay any physicians’ fees resulting from a disabling injury

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Questions 16

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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Questions 17

In Maryland, continuation of medical plan coverage for a handicapped child beyond the age limit stated in the policy may require proof of the child’s:

Options:

A.

Continued insurability

B.

Incapacity only

C.

Incapacity and dependency upon reaching the age limit

D.

Dependency for the first two years of continued coverage only

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Questions 18

When the insured’s willful failure to disclose a material fact at the time of application is discovered by the insurer shortly after the policy is issued:

Options:

A.

The insurer must continue the insurance policy in full force

B.

The insurer may cancel the policy only at the expiration or renewal date

C.

The policy is automatically void

D.

The policy is voidable at the insurer’s option

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Questions 19

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 20

Medicare Supplement insurance is specifically designed for individuals who:

Options:

A.

Have low incomes and limited assets

B.

Have enrolled in Medicare

C.

Cannot obtain commercial coverage due to health problems

D.

Are ineligible for coverage under an employer group accident and health plan

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Questions 21

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 22

When determining the premiums for large groups, most insurance companies use:

Options:

A.

Occupational rating

B.

Area rating

C.

Pooled rating

D.

Experience rating

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Questions 23

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:

Options:

A.

Declined coverage

B.

Charged the standard premium rate

C.

Required to pay the first year’s premium in a lump sum

D.

Charged an additional premium for the first three years

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Questions 24

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

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Questions 25

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 26

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 27

Which benefit is usually excluded from accident and health plan coverage?

Options:

A.

Hospital expense

B.

Custodial care

C.

Physicians’ visits

D.

Surgical expense

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Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
Last Update: Apr 19, 2025
Questions: 90
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