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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q65-Q70):

NEW QUESTION # 65
In general practice, which one of the following is true of the powers of the Maryland Insurance Administration with respect to access to a producer's business records?

• A. Records can only be accessed by an order of a state court
• B. Records must be produced upon the request of the Maryland Insurance Administration
• C. Authorization must come from the National Association of Insurance Commissioners (NAIC)
• D. The Maryland Insurance Administration has no right to access a producer's business records because of privacy considerations

Answer: B

Explanation:
The MIA (Insurance Article, § 2-207) can request and access producer records for audits or investigations, overriding privacy for regulatory purposes. Court orders or NAIC approval aren't required, and access is a standard power.
References:Maryland Insurance Article, § 2-207; MIA regulatory authority.

 

NEW QUESTION # 66
Medicare Supplement insurance is specifically designed for individuals who:

• A. Cannot obtain commercial coverage due to health problems
• B. Have enrolled in Medicare
• C. Have low incomes and limited assets
• D. Are ineligible for coverage under an employer group accident and health plan

Answer: B

Explanation:
Medicare Supplement (Medigap, Insurance Article, § 15-901) is for Medicare enrollees (Parts A and B) to cover gaps, not low-income (Medicaid), uninsurable (pre-ACA pools), or employer-ineligible individuals.
References:Maryland Insurance Article, § 15-901; MIA Medigap rules.

 

NEW QUESTION # 67
When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

• A. The principal insured individual
• B. The patient or parent of the patient
• C. The premium payor
• D. The insurer

Answer: D

Explanation:
If an insurer mandates a physical exam (Insurance Article, § 12-202), it pays the cost, as it's a condition of coverage or claims processing. The premium payor, insured, or patient isn't responsible for insurer-initiated requirements.
References:Maryland Insurance Article, § 12-202; MIA policy standards.

 

NEW QUESTION # 68
When a producer sells an individual accident and health insurance policy, how is the initial premium usually paid?

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

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 # 69
An insurer may pay a commission directly or indirectly to:

• A. A surplus lines broker operating without a license for less than one year
• B. An unlicensed employee of the insurer
• C. Anyone soliciting business for the insurer
• D. A producer whose license is terminated after earning the commission

Answer: D

Explanation:
Commissions (Insurance Article, § 10-103) require a license, but a producer earning a commission while licensed can be paid post-termination. Unlicensed individuals or brokers can't legally receive commissions.
References:Maryland Insurance Article, § 10-103, § 10-130, § 3-306; MIA commission rules.

 

NEW QUESTION # 70
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