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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q89-Q94):
NEW QUESTION # 89
Pre-existing conditions include conditions of health that:
- A. Develop after the effective date of the policy but before the expiration of the time limit on certain defenses
- B. Must exist before an applicant can be accepted by an insurer
- C. Are never insurable under any circumstances or degree of severity
- D. Have been medically treated or diagnosed prior to the effective date of coverage
Answer: D
Explanation:
Pre-existing conditions (Insurance Article, § 15-109) are those treated or diagnosed before coverage begins, often subject to exclusions or waiting periods, unlike new conditions or uninsurable absolutes.
References:Maryland Insurance Article, § 15-109; MIA pre-existing condition rules.
NEW QUESTION # 90
After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?
- A. Twisting
- B. Replacement
- C. Fraud
- D. Rebating
Answer: C
NEW QUESTION # 91
All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:
- A. Immunizations for children
- B. Well-baby checkups
- C. Physical examinations
- D. Experimental surgery
Answer: D
Explanation:
HMOs (Health-General Article, § 19-701) provide preventive care like checkups, immunizations, and exams.
Experimental surgery isn't preventive or standard, making it the exception to covered services.
References:Maryland Health-General Article, § 19-701; MIA HMO guidelines.
NEW QUESTION # 92
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 insurer
- C. The patient or parent of the patient
- D. The premium payor
Answer: B
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 # 93
An insurance producer's license may be suspended or revoked by:
- A. The Attorney General
- B. The appointing insurer
- C. The continuing education course provider
- D. The Maryland Insurance Administration
Answer: D
Explanation:
Comprehensive and Detailed Step by Step Explanation:The Maryland Insurance Administration (MIA) has sole authority to regulate, suspend, or revoke an insurance producer's license for violations of state insurance laws:
Maryland Insurance Administration (C):Correct. The MIA oversees producer licensing, compliance, and disciplinary actions.
Appointing insurer (A):Can terminate an appointment but cannot revoke a license.
Continuing education provider (B):Only offers training and has no regulatory authority.
Attorney General (D):Handles legal actions but does not directly manage licensing.
References:Maryland Insurance Article §10-126, Producer Regulation Guidelines, COMAR 31.03.13.
NEW QUESTION # 94
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