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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

If an insurer pays an individual accident and health insurance claim during a policy’s grace period:

Options:

A.

The deductible is waived

B.

A 10% service fee is charged

C.

The policy is canceled automatically at the end of the grace period

D.

The amount of unpaid premium may be subtracted from the reimbursement

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Questions 5

All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

Options:

A.

Wellness programs

B.

Discounts on local health spa memberships

C.

Twenty-four hour access to emergency care

D.

Outpatient medical services

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Questions 6

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 7

An insurance adviser’s written contract with the client must include all of the following EXCEPT:

Options:

A.

Expiration date of the consultant’s license

B.

Amount of the fee

C.

Duration of the contract

D.

Disclosure as to whether commissions may be received

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Questions 8

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 9

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 10

The Maryland Insurance Administration is an agency of the:

Options:

A.

Federal government

B.

State government

C.

National Association of Insurance Commissioners

D.

Maryland General Assembly

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Questions 11

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 12

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 13

In dental insurance coverage, which one of the following typically is EXCLUDED?

Options:

A.

Treatment started prior to the eligibility date

B.

Preventive care

C.

Dental X-rays

D.

Root canal therapy

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Questions 14

An insurance producer provided several examples to the applicant persuasively demonstrating that the insurance coverage offered under his company’s policy was superior to a competitor’s product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?

Options:

A.

Fraud

B.

Discrimination

C.

Twisting

D.

Rebating

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Questions 15

Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:

Options:

A.

Report of a physical examination

B.

Applicant’s family’s consent

C.

Copy of the person’s living will

D.

Power of attorney

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Questions 16

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 17

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 18

Pre-existing conditions include conditions of health that:

Options:

A.

Are never insurable under any circumstances or degree of severity

B.

Must exist before an applicant can be accepted by an insurer

C.

Have been medically treated or diagnosed prior to the effective date of coverage

D.

Develop after the effective date of the policy but before the expiration of the time limit on certain defenses

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Questions 19

The free-look period provided in a life insurance policy is usually:

Options:

A.

10 days

B.

31 days

C.

45 days

D.

60 days

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Questions 20

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 21

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 22

Coverage for the first three pints of blood for Medicare enrollees is:

Options:

A.

A Medicare Supplement additional benefit

B.

A Medicare Supplement core benefit

C.

A Medicare Part A benefit

D.

A Medicare Part B benefit

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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

Who has the right to change the beneficiary of an accident and health policy with a revocable beneficiary designation?

Options:

A.

The policyowner

B.

The beneficiary

C.

The insurer

D.

The producer

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Questions 25

The entire contract provision in an individual accident and health insurance policy states that the producer:

Options:

A.

Has company authority to change the policy

B.

May waive only certain contract provisions

C.

Has company authority to waive any contract provisions

D.

Has no authority to change the policy or waive any of its provisions

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Questions 26

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 27

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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Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
Last Update: May 21, 2026
Questions: 90

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