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

1. A nonprofit health service plan may NOT issue a contract that covers which of the following types of benefits?

A) Disability income benefits
B) Vision benefits
C) Dental benefits
D) Medical expense benefits

2. When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

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

3. Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:

A) Copy of the person's living will
B) Power of attorney
C) Report of a physical examination
D) Applicant's family's consent

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

5. Under federal law, an insurance producer may be sentenced to prison for:

A) Inducing a client to sign an application for insurance
B) Embezzling money from an insurance company
C) Selling insurance with a nonresident license
D) Suing an insurer over contract violations

Solutions: