Free Accident-and-Health-or-Sickness-Producer Updates | Latest Accident-and-Health-or-Sickness-Producer Study Guide

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q47-Q52):

NEW QUESTION # 47
If an insurer pays an individual accident and health insurance claim during a policy's grace period:

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

Answer: D

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 # 48
The typical group disability income insurance policy EXCLUDES coverage for disability resulting from:

A. Injuries occurring in the home
B. Military service
C. Automobile accidents
D. Commercial airline crashes

Answer: B

Explanation:
Group disability policies (Insurance Article, § 15-201) cover accidents like crashes or home injuries, but exclude military service disabilities, often covered by government programs (e.g., VA), reflecting standard exclusions.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.

NEW QUESTION # 49
When a producer sells an individual accident and health insurance policy, how is the initial premium usually paid?

A. The insurer bills the applicant when the application is approved
B. The producer collects and forwards it to the insurer
C. The insurer utilizes the applicant's automatic bank draft authorization
D. The applicant sends it directly to the insurer with the application

Answer: B

Explanation:
Producers (Insurance Article, § 10-126) typically collect the initial premium with the application and forward it to the insurer, streamlining the process, unlike direct payment, billing, or bank drafts, which are less common initially.
References:Maryland Insurance Article, § 10-126; MIA producer procedures.

NEW QUESTION # 50
All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

A. Discounts on local health spa memberships
B. Outpatient medical services
C. Twenty-four hour access to emergency care
D. Wellness programs

Answer: A

Explanation:
HMOs (Health-General Article, § 19-701) offer wellness, emergency, and outpatient services. Discounts on spa memberships aren't a standard feature, unrelated to core health care delivery.
References:Maryland Health-General Article, § 19-701; MIA HMO standards.

NEW QUESTION # 51
Which type of Medicare Supplement information can be used without prior state approval?

A. Television advertisements approved by the insurer
B. Government publications
C. Insurance company brochures
D. Radio announcements approved by the insurer

Answer: B

Explanation:
Medigap marketing materials (Insurance Article, § 15-912) require MIA approval, except for government publications (e.g., CMS's "Medicare & You"), which are exempt as official federal resources. Insurer- approved ads still need state review.
References:Maryland Insurance Article, § 15-912; MIA Medigap advertising rules.

NEW QUESTION # 52
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