Vce Accident-and-Health-or-Sickness-Producer File - Valid Accident-and-Health-or-Sickness-Producer Study Materials
Vce Accident-and-Health-or-Sickness-Producer File - Valid Accident-and-Health-or-Sickness-Producer Study Materials
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q10-Q15):
NEW QUESTION # 10
The Maryland Health Insurance Plan is designed to provide comprehensive health benefits for:
- A. Senior citizens residing in Maryland
- B. Medically uninsurable Maryland residents
- C. Low-income residents of Maryland
- D. Children of low-income Maryland residents
Answer: B
Explanation:
The Maryland Health Insurance Plan (MHIP, Insurance Article, § 15-1301) historically provided coverage for medically uninsurable residents rejected by private insurers, until phased out in 2014 by the ACA. It didn't target low-income (Medicaid), seniors (Medicare), or children (CHIP) specifically.
References:Maryland Insurance Article, § 15-1301 (historical); MIA MHIP documentation.
NEW QUESTION # 11
Medical expense insurance typically EXCLUDES coverage for treatment of:
- A. Undiagnosed diseases
- B. Eating disorders
- C. Intentionally self-inflicted injuries
- D. Chronic back pain
Answer: C
Explanation:
Medical expense insurance covers necessary treatments like chronic pain, eating disorders (under parity laws,
§ 15-802), and undiagnosed conditions if treated, but excludes intentionally self-inflicted injuries (e.g., suicide attempts) as non-accidental losses (Insurance Article, § 15-201).
References:Maryland Insurance Article, § 15-201, § 15-802; MIA health insurance exclusions.
NEW QUESTION # 12
Accident and health policies must cover physically or mentally handicapped dependent children:
- A. Until they become self-sustaining
- B. To age 19
- C. To age 25
- D. For life
Answer: D
Explanation:
Maryland law (Insurance Article, § 15-401) requires coverage for handicapped dependent children beyond standard age limits if they're incapable of self-sustaining employment and dependent on the insured. This extends for life, or as long as the policy is active, not limited to ages 19 or 25, nor tied to self-sustainability.
References:Maryland Insurance Article, § 15-401; MIA dependent coverage regulations.
NEW QUESTION # 13
When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?
- A. The insurer
- B. The patient or parent of the patient
- C. The premium payor
- D. The principal insured individual
Answer: A
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 # 14
An insurance adviser's written contract with the client must include all of the following EXCEPT:
- A. Disclosure as to whether commissions may be received
- B. Duration of the contract
- C. Amount of the fee
- D. Expiration date of the consultant's license
Answer: D
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 # 15
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