VISUAL ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER CERT EXAM - ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER NEW REAL EXAM

Visual Accident-and-Health-or-Sickness-Producer Cert Exam - Accident-and-Health-or-Sickness-Producer New Real Exam

Visual Accident-and-Health-or-Sickness-Producer Cert Exam - Accident-and-Health-or-Sickness-Producer New Real Exam

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q76-Q81):

NEW QUESTION # 76
Medical expense insurance typically EXCLUDES coverage for treatment of:

  • A. Eating disorders
  • B. Chronic back pain
  • C. Intentionally self-inflicted injuries
  • D. Undiagnosed diseases

Answer: C

Explanation:
Medical expense insurance covers necessary treatments like chronic pain, eating disorders (under parity laws,
§ 15-802), and undiagnosed conditions if treated, but excludes intentionally self-inflicted injuries (e.g., suicide attempts) as non-accidental losses (Insurance Article, § 15-201).
References:Maryland Insurance Article, § 15-201, § 15-802; MIA health insurance exclusions.


NEW QUESTION # 77
In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:

  • A. Charged the standard premium rate
  • B. Declined coverage
  • C. Charged an additional premium for the first three years
  • D. Required to pay the first year's premium in a lump sum

Answer: A

Explanation:
Standard risk applicants (Insurance Article, § 15-201) receive the standard premium rate, as their risk aligns with the average pool. Declining coverage or adjusting payment terms applies to higher risks, not standard ones.
References:Maryland Insurance Article, § 15-201; MIA underwriting guidelines.


NEW QUESTION # 78
Under Maryland law, the agreement between an insurance producer and insurer under which the insurance producer, for compensation, may sell, solicit, or negotiate policies issued by the insurer is defined as:

  • A. A binding agreement
  • B. A certificate of authority
  • C. An appointment
  • D. A license

Answer: C

Explanation:
An appointment (Insurance Article, § 10-103) is the formal agreement allowing a producer to sell an insurer's policies for compensation, distinct from a license (producer credential), certificate of authority (insurer's right), or vague binding agreement.
References:Maryland Insurance Article, § 10-103, § 4-101; MIA producer regulations.


NEW QUESTION # 79
An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:

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

Answer: D

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 # 80
To be deemed a "qualified employer" under the Maryland Health Benefit Exchange Act, anemployer MUST:

  • A. Contribute to employee premiums
  • B. Have at least 50% of its employees work in the state of Maryland
  • C. Have at least 50% of its employees reside in the state of Maryland
  • D. Have its principal place of business in the state of Maryland

Answer: D

Explanation:
The Maryland Health Benefit Exchange Act (Insurance Article, § 31-101) defines a qualified employer as one with its principal place of business in Maryland for SHOP Exchange eligibility. Premium contributions are optional, and employee work or residency percentages aren't required.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange rules.


NEW QUESTION # 81
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