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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:

1. When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:

A) Health maintenance organization
B) Dental
C) Major medical
D) Disability income

2. All of the following services are covered under the Medicare Supplement preventive care benefit EXCEPT:

A) Hearing tests
B) Immunizations
C) Outpatient prescription vitamins
D) Routine physical examinations

3. In Maryland, continuation of medical plan coverage for a handicapped child beyond the age limit stated in the policy may require proof of the child's:

A) Continued insurability
B) Dependency for the first two years of continued coverage only
C) Incapacity and dependency upon reaching the age limit
D) Incapacity only

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

5. 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 under the pre-existing conditions exclusion
B) Must pay the claim within one year of termination of coverage
C) Can refuse to pay the claim because coverage has been terminated
D) Must pay the claim upon receipt of the proof of loss

Solutions: