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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Interactive EBook, Exam Accident-and-Health-or-Sickness-Producer Experience

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q20-Q25):

NEW QUESTION # 20
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. Dependency for the first two years of continued coverage only
• B. Incapacity only
• C. Continued insurability
• D. Incapacity and dependency upon reaching the age limit

Answer: D

Explanation:
Under Insurance Article, § 15-401, coverage for handicapped children extends beyond age limits if they're incapacitated (unable to work) and dependent on the insured at the age limit. Insurability isn't required, incapacity alone isn't enough, and dependency isn't time-limited to two years.
References:Maryland Insurance Article, § 15-401; MIA dependent coverage rules.

 

NEW QUESTION # 21
Which benefit is usually excluded from accident and health plan coverage?

• A. Physicians' visits
• B. Surgical expense
• C. Hospital expense
• D. Custodial care

Answer: D

Explanation:
Accident and health plans (Insurance Article, § 15-201) cover acute needs like hospital, physician, and surgical expenses. Custodial care-non-medical daily assistance-is excluded, typically covered by long-term care insurance.
References:Maryland Insurance Article, § 15-201; MIA health insurance standards.

 

NEW QUESTION # 22
Which one of the following causes of death typically would be included under an accidental death rider attached to a life insurance policy?

• A. Intentionally self-inflicted injuries
• B. Illness or disease
• C. War or acts of war
• D. Automobile accidents resulting from the insured's negligence

Answer: D

Explanation:
Comprehensive and Detailed Step by Step Explanation:Accidental death riders provide additional benefits if the insured dies due to an unforeseen accident.
* Automobile accidents resulting from the insured's negligence (D):Covered because negligence in driving does not disqualify the event from being an accident. The death must be directly and solely caused by the accident.
* Intentionally self-inflicted injuries (A):Excluded as they are not accidental but intentional.
* Illness or disease (B):Excluded as accidental death benefits do not apply to natural causes.
* War or acts of war (C):Generally excluded under most policies as a specific clause addresses wartime risks.
References:Maryland Insurance Guidelines for Accidental Death Riders and Policy Exclusions, COMAR
31.09.04.

 

NEW QUESTION # 23
An insurance adviser's written contract with the client must include all of the following EXCEPT:

• A. Expiration date of the consultant's license
• B. Amount of the fee
• C. Disclosure as to whether commissions may be received
• D. Duration of the contract

Answer: A

Explanation:
Adviser contracts (Insurance Article, § 10-201) require fee amounts, contract duration, and commission disclosure for transparency. The consultant's license expiration is a regulatory detail, not a client contract requirement.
References:Maryland Insurance Article, § 10-201; MIA adviser rules.

 

NEW QUESTION # 24
In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?

• A. Yes, because of the powers defined by state laws
• B. No, because of privacy considerations
• C. No, because only an officer of the court can inspect these records
• D. Yes, because all company and agency records are public domain

Answer: A

Explanation:
Comprehensive and Detailed Step by Step Explanation:The Maryland Insurance Administration (MIA) is authorized to inspect the records of insurers and agencies to ensure compliance with laws:
Yes, because of the powers defined by state laws (B):Correct. The MIA has broad authority under Maryland law to audit, inspect, and investigate insurance business practices.
No, because of privacy considerations (A):Incorrect. Regulatory inspections are exempt from privacy concerns when conducted lawfully.
Only an officer of the court (C):Not required; the MIA operates independently within its legal mandate.
Public domain records (D):Incorrect; insurance records are not publicly accessible unless required by law.
References:Maryland Insurance Article §2-209, COMAR 31.03.01, and Regulatory Oversight Guidelines.

 

NEW QUESTION # 25
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