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Online Accident-and-Health-or-Sickness-Producer Test | Valid Real Accident-and-Health-or-Sickness-Producer Exam

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Valid Real Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam - Accident-and-Health-or-Sickness-Producer Test Vce

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q29-Q34):

NEW QUESTION # 29
A certificate of insurance in a group accident and health plan is:

A. A binding contract between the employer and the insurer
B. Evidence of the employee's insurance coverage
C. A binding contract between the employee and the insurer
D. Issued to the employer for each insured location

Answer: B

Explanation:
The certificate (Insurance Article, § 15-1207) provides employees with evidence of coverage under the group plan, not a binding contract (master policy) or employer-specific by location. It summarizes benefits for clarity.
References:Maryland Insurance Article, § 15-1207; MIA group insurance rules.

NEW QUESTION # 30
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:

A. Copy of the person's living will
B. Report of a physical examination
C. Applicant's family's consent
D. Power of attorney

Answer: B

Explanation:
For non-guaranteed issue long-term care policies (Insurance Article, § 18-107), a physical exam report is required for applicants 80+ to assess risk, not family consent, living wills, or power of attorney.
References:Maryland Insurance Article, § 18-107; MIA LTC underwriting rules.

NEW QUESTION # 31
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 upon receipt of the proof of loss
C. Can refuse to pay the claim under the pre-existing conditions exclusion
D. Must pay the claim within one year of termination of coverage

Answer: B

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 # 32
In HMO coverage, all of the following services must be available 24 hours per day, 7 days per week EXCEPT:

A. Primary care
B. Emergency medical care
C. In-patient hospital services
D. Dental care

Answer: D

Explanation:
HMOs (Health-General Article, § 19-701) ensure 24/7 access to hospital, emergency, and primary care services. Dental care isn't a core requirement and isn't typically available 24/7 unless added separately.
References:Maryland Health-General Article, § 19-701; MIA HMO standards.

NEW QUESTION # 33
Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?

A. Captive agent
B. Branch office
C. Contingent
D. Direct response

Answer: D

Explanation:
Direct response (Insurance Article, § 10-101) uses mass media and mail to sell directly, bypassing producers, unlike branch offices, captive agents, or contingent systems, which involve intermediaries.
References:Maryland Insurance Article, § 10-101; MIA marketing guidelines.

NEW QUESTION # 34
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