ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER MARYLANDACCIDENT AND HEALTH OR SICKNESS PRODUCER SERIES 20-24 EXAM FOR GUARANTEED SUCCESS

Accident-and-Health-or-Sickness-Producer MarylandAccident and Health or Sickness Producer Series 20-24 Exam For Guaranteed Success

Accident-and-Health-or-Sickness-Producer MarylandAccident and Health or Sickness Producer Series 20-24 Exam For Guaranteed Success

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q17-Q22):

NEW QUESTION # 17
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?

  • A. Discrimination
  • B. Rebating
  • C. Fraud
  • D. Twisting

Answer: D

Explanation:
Twisting (Insurance Article, § 27-203) involves misrepresenting policy benefits to induce replacement with an inferior product. Fraud is broader, discrimination isn't relevant, and rebating offers financial inducements, not misrepresentation.
References:Maryland Insurance Article, § 27-203; MIA trade practice rules.


NEW QUESTION # 18
Medical expense insurance typically EXCLUDES coverage for:

  • A. Hospital care extending past 30 days
  • B. Hospital laboratory tests
  • 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 # 19
In Maryland, an insurance producer is a person who solicits, negotiates, or sells insurance plans PRIMARILY in conjunction with:

  • A. Performing clerical duties
  • B. Enrolling individuals in group plans
  • C. Acting as a regularly salaried officer
  • D. Earning commission

Answer: D

Explanation:
A producer (Insurance Article, § 1-101(aa)) solicits and sells insurance primarily for commissions, distinguishing them from clerical staff, enrollment facilitators, or salaried insurer employees. This reflects their independent role.
References:Maryland Insurance Article, § 1-101(aa), § 10-101; MIA producer definitions.


NEW QUESTION # 20
All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:

  • A. Physical examinations
  • B. Experimental surgery
  • C. Immunizations for children
  • D. Well-baby checkups

Answer: B

Explanation:
HMOs (Health-General Article, § 19-701) provide preventive care like checkups, immunizations, and exams.
Experimental surgery isn't preventive or standard, making it the exception to covered services.
References:Maryland Health-General Article, § 19-701; MIA HMO guidelines.


NEW QUESTION # 21
All of the following are basic underwriting actions in accident and health insurance EXCEPT:

  • A. Issuing policies with exclusion riders
  • B. Deleting uniform policy provisions
  • C. Issuing standard policies as applied for
  • D. Rejecting applicants

Answer: B

Explanation:
Underwriting involves assessing risk by rejecting high-risk applicants, issuing standard policies, or adding exclusion riders for specific conditions. Deleting uniform policy provisions-mandatory clauses like grace periods (Insurance Article, § 15-201)-isn't an underwriting action, as these are legally required and cannot be altered by underwriters.
References:Maryland Insurance Article, § 15-201 et seq.; MIA underwriting guidelines.


NEW QUESTION # 22
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