ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER UPDATED TEST CRAM & ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER TEST CRAM REVIEW

Accident-and-Health-or-Sickness-Producer Updated Test Cram & Accident-and-Health-or-Sickness-Producer Test Cram Review

Accident-and-Health-or-Sickness-Producer Updated Test Cram & Accident-and-Health-or-Sickness-Producer Test Cram Review

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q34-Q39):

NEW QUESTION # 34
An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:

  • A. A nuclear power plant
  • B. A drug smuggling operation
  • C. A state-sponsored centennial celebration
  • D. A skydiving exhibition

Answer: B

Explanation:
Insurance (Insurance Article, § 12-101) covers legal risks like skydiving, events, or plants, but not illegal acts like drug smuggling, barred by public policy.
References:Maryland Insurance Article, § 12-101; MIA insurability guidelines.


NEW QUESTION # 35
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:

  • A. Can refuse to pay the claim because coverage has been terminated
  • B. Must pay the claim within one year of termination of coverage
  • C. Can refuse to pay the claim under the pre-existing conditions exclusion
  • D. Must pay the claim upon receipt of the proof of loss

Answer: D

Explanation:
A loss on May 30, while covered (Insurance Article, § 15-201), obligates the insurer to pay upon proof, despite termination on June 1. Termination or pre-existing exclusions don't negate prior coverage, and no one- year rule applies.
References:Maryland Insurance Article, § 15-201; MIA claims rules.


NEW QUESTION # 36
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. Custodial facility care
  • B. Skilled nursing facility care
  • C. Respite care
  • D. Home health care

Answer: C

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 # 37
When determining the premiums for large groups, most insurance companies use:

  • A. Occupational rating
  • B. Pooled rating
  • C. Area rating
  • D. Experience rating

Answer: D

Explanation:
Large group premiums (Insurance Article, § 15-1205) use experience rating, basing rates on the group's claims history. Occupational rating applies to specific jobs, area rating to geography, and pooled rating to small groups, none of which dominate large groups.
References:Maryland Insurance Article, § 15-1205; MIA group insurance guidelines.


NEW QUESTION # 38
A nonprofit health service plan may NOT issue a contract that covers which of the following types of benefits?

  • A. Dental benefits
  • B. Vision benefits
  • C. Medical expense benefits
  • D. Disability income benefits

Answer: D

Explanation:
Nonprofit health service plans (Insurance Article, § 14-102), like HMOs, provide medical, vision, and dental benefits, but disability income-replacing lost wages-is outside their scope and belongs to separate insurance types.
References:Maryland Insurance Article, § 14-102; MIA nonprofit plan rules.


NEW QUESTION # 39
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