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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q78-Q83):
NEW QUESTION # 78
An insurance producer or advisor in the State of Maryland can be disciplined by the MarylandInsurance Administration for all of the following EXCEPT:
- A. Making false or misleading statements about dividends previously paid on similar policies
- B. Filing a complaint on behalf of the consumer with the Maryland Insurance Administration
- C. Using inappropriate description of a policy to hide the true nature of the policy
- D. Making a misleading statement about the financial condition of an insurer
Answer: B
Explanation:
The MIA (Insurance Article, § 10-126) disciplines producers for misrepresentation (§ 27-202, § 27-503), but filing a consumer complaint with the MIA is a legitimate advocacy action, not a disciplinary offense. It supports consumer protection, unlike the other deceptive practices.
References:Maryland Insurance Article, § 10-126, § 27-202, § 27-503; MIA producer regulations.
NEW QUESTION # 79
An elimination period in a disability income insurance policy is the:
- A. Period between the start of a disability and the beginning of benefits
- B. Same as the probationary period
- C. Time period the policy is in force
- D. Time during which benefits are paid under the policy
Answer: A
Explanation:
The elimination period (Insurance Article, § 15-201) is the waiting time (e.g., 90 days) before disability benefits begin, distinct from the benefit period (payment duration), probationary period (pre-coverage wait), or policy term.
References:Maryland Insurance Article, § 15-201; MIA disability insurance rules.
NEW QUESTION # 80
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. Continued insurability
- B. Incapacity only
- C. Incapacity and dependency upon reaching the age limit
- D. Dependency for the first two years of continued coverage only
Answer: C
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 # 81
Pat owns a small business and is interested in enrolling her son in the Maryland Children's Health Insurance Program. Which of the following is the MOST appropriate person for Pat to contact for enrollment?
- A. The Maryland Insurance Commissioner
- B. A SHOP Exchange Navigator
- C. A certified Navigator or authorized Producer for the Individual Exchange
- D. An Insurance Producer authorized to work in the SHOP Exchange
Answer: C
Explanation:
MCHIP enrollment (Insurance Article, § 31-113) occurs through the Individual Exchange (Maryland Health Connection), where certified Navigators or Producers assist, not SHOP (business-focused) or the Commissioner (regulatory).
References:Maryland Insurance Article, § 31-113; MIA MCHIP guidelines.
NEW QUESTION # 82
A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:
- A. Emergency services
- B. Routine physical examinations
- C. Well-baby or well-child care
- D. Dental and vision care
Answer: D
Explanation:
Maryland HMOs (Health-General Article, § 19-701) must provide basic health services like routine physicals, well-child care, and emergency services. Dental and vision care, however, are not required unless specified as supplemental benefits. State law mandates pediatric care but excludes routine dental and vision from standard HMO coverage unless the plan explicitly includes them.
References:Maryland Health-General Article, § 19-701; Insurance Article, § 15-1201; MIA HMO guidelines.
NEW QUESTION # 83
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