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Free PDF Accident-and-Health-or-Sickness-Producer Exam Registration & Accurate Mock Accident-and-Health-or-Sickness-Producer Exams Ensure You a High Passing Rate

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q28-Q33):

NEW QUESTION # 28
Medical expense insurance typically EXCLUDES coverage for:

A. Hospital laboratory tests
B. Hospital care extending past 30 days
C. Maternity care benefits
D. Expenses incurred for primarily cosmetic surgery

Answer: D

Explanation:
Medical expense insurance covers necessary treatments like hospital stays, maternity care, and diagnostic tests, but excludes elective procedures such as primarily cosmetic surgery unless medically necessary (e.g., reconstructive surgery post-injury). Maryland law (Insurance Article, § 15-103) allows exclusions for non- essential services, aligning with standard practice where aesthetic surgeries like facelifts are not covered.
References:Maryland Insurance Article, § 15-103; MIA guidelines.

NEW QUESTION # 29
If an insurer pays an individual accident and health insurance claim during a policy's grace period:

A. A 10% service fee is charged
B. The amount of unpaid premium may be subtracted from the reimbursement
C. The policy is canceled automatically at the end of the grace period
D. The deductible is waived

Answer: B

Explanation:
During the grace period (Insurance Article, § 15-209), insurers can deduct unpaid premiums from claims paid, maintaining coverage without waiving deductibles, charging fees, or auto-canceling.
References:Maryland Insurance Article, § 15-209; MIA policy payment rules.

NEW QUESTION # 30
Which statement is true of trade association groups eligible for group medical benefits?

A. Employer contributions are usually waived
B. The association membership primarily consists of large employers
C. Members of the association are usually in the same industry
D. Such associations are formed for the purpose of purchasing insurance

Answer: C

Explanation:
Trade associations (Insurance Article, § 15-1209) group members in the same industry for medical benefits, not solely for insurance, and include small employers with contributions typically required.
References:Maryland Insurance Article, § 15-1209; MIA group insurance rules.

NEW QUESTION # 31
Accident and health policies must cover physically or mentally handicapped dependent children:

A. For life
B. To age 19
C. To age 25
D. Until they become self-sustaining

Answer: A

Explanation:
Maryland law (Insurance Article, § 15-401) requires coverage for handicapped dependent children beyond standard age limits if they're incapable of self-sustaining employment and dependent on the insured. This extends for life, or as long as the policy is active, not limited to ages 19 or 25, nor tied to self-sustainability.
References:Maryland Insurance Article, § 15-401; MIA dependent coverage regulations.

NEW QUESTION # 32
Which of the following is a requirement of an insurable risk?

A. The loss must be intentional.
B. The chance of loss must be calculable.
C. There must be a large number of different loss exposures.
D. The loss must be catastrophic.

Answer: B

Explanation:
Comprehensive and Detailed Step by Step Explanation:Aninsurable riskmust meet specific criteria to ensure fair and financially viable coverage:
Chance of loss must be calculable (C):Correct. Insurers need statistical data to assess risk and determine premiums.
Loss must be intentional (A):Incorrect; intentional losses are not insurable.
Loss must be catastrophic (B):Incorrect; catastrophic losses (e.g., war or large-scale disasters) are often excluded or managed through reinsurance.
Large number of different loss exposures (D):A large number of similar, not different, exposures is required for risk pooling.
References:Maryland Insurance Principles, Actuarial Standards, and COMAR 31.09.14.

NEW QUESTION # 33
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