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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

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

1. Which one of the following causes of death typically would be included under an accidental death rider attached to a life insurance policy?

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

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

3. If an insurer pays an individual accident and health insurance claim during a policy's grace period:

A) A 10% service fee is charged
B) The policy is canceled automatically at the end of the grace period
C) The amount of unpaid premium may be subtracted from the reimbursement
D) The deductible is waived

4. Which statement is true of trade association groups eligible for group medical benefits?

A) Such associations are formed for the purpose of purchasing insurance
B) Members of the association are usually in the same industry
C) Employer contributions are usually waived
D) The association membership primarily consists of large employers

5. Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:

A) Reasonable and customary charges
B) Preapproved charges
C) Scheduled charges
D) Utilization charges

Solutions: