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Accident-and-Health-or-Sickness-Producer Valid Test Experience & Reliable Accident-and-Health-or-Sickness-Producer Test Objectives
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q37-Q42):
NEW QUESTION # 37
In accident and health insurance, a waiting period for pre-existing conditions means that:
- A. Payment for expenses resulting from pre-existing conditions is held in escrow
- B. A period of time must elapse before pre-existing conditions are covered
- C. Coverage for pre-existing conditions is permanently excluded by a new insurer
- D. Coverage for pre-existing conditions starts at the inception of the new policy
Answer: B
Explanation:
A waiting period (Insurance Article, § 15-109) delays coverage for pre-existing conditions (e.g., 6-12 months), not permanently excluding them, starting at inception, or holding payments in escrow.
References:Maryland Insurance Article, § 15-109; MIA pre-existing condition rules.
NEW QUESTION # 38
Group health insurance contracts providing coverage for employees in more than one state are usually controlled by the laws of the state where:
- A. The producer resides
- B. The application is signed
- C. The majority of employees reside
- D. The master contract is issued
Answer: D
Explanation:
Multi-state group plans (Insurance Article, § 15-1202) are governed by the state where the master contract is issued, typically the employer's home state, ensuring consistent legal oversight regardless of employee location or producer residence.
References:Maryland Insurance Article, § 15-1202; MIA multi-state group rules.
NEW QUESTION # 39
The primary purpose of disability income insurance is to:
- A. Pay any physicians' fees resulting from a disabling injury
- B. Provide benefit payments for a period of time when the insured is unable to work
- C. Provide indemnity for loss of life
- D. Pay necessary hospital expenses when the insured is unable to work
Answer: B
Explanation:
Disability income insurance (Insurance Article, § 15-201) replaces income during disability, not life indemnity, hospital costs (health insurance), or physician fees (medical insurance). It supports financial stability when work is impossible.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.
NEW QUESTION # 40
The typical group disability income insurance policy EXCLUDES coverage for disability resulting from:
- A. Commercial airline crashes
- B. Injuries occurring in the home
- C. Military service
- D. Automobile accidents
Answer: C
Explanation:
Group disability policies (Insurance Article, § 15-201) cover accidents like crashes or home injuries, but exclude military service disabilities, often covered by government programs (e.g., VA), reflecting standard exclusions.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.
NEW QUESTION # 41
If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?
- A. Refer the employer to a licensed insurance producer
- B. Refer the employer to the Maryland Insurance Administration
- C. Refer the employer to the carrier where a friend works
- D. Help the employer sign-up through the SHOP Exchange
Answer: A
Explanation:
SHOP Exchange (Insurance Article, § 31-101) serves employers with 1-50 employees; a 200-employee firm exceeds this, so the navigator should refer them to a producer for large group plans, not assist via SHOP, refer personally, or send to the MIA.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange guidelines.
NEW QUESTION # 42
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