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Pass Guaranteed Quiz 2025 Authoritative Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Test Dumps Pdf

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q12-Q17):

NEW QUESTION # 12
A producer may be guilty of misrepresentation if the producer:

A. Failed to disclose exclusions of the policy
B. Denied a claim for failure of the policyholder to prove damages
C. Required timely written notice of loss for all claims
D. Issued a full settlement check expressly releasing the insurer

Answer: A

Explanation:
Comprehensive and Detailed Step by Step Explanation:Misrepresentation involves providing false, misleading, or incomplete information about a policy:
Failed to disclose exclusions of the policy (A):Correct. Not informing the insured about policy exclusions misrepresents the coverage and violates Maryland law.
Denied a claim for failure to prove damages (B):This relates to claims handling and is not misrepresentation.
Required written notice of loss (C):This is a legitimate policy requirement, not misrepresentation.
Issued a full settlement check (D):Standard claims settlement practice when agreed upon; not related to misrepresentation.
References:Maryland Insurance Article §27-303, Misrepresentation and False Advertising Standards, COMAR 31.15.03.

NEW QUESTION # 13
In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:

A. Declined coverage
B. Charged the standard premium rate
C. Required to pay the first year's premium in a lump sum
D. Charged an additional premium for the first three years

Answer: B

Explanation:
Standard risk applicants (Insurance Article, § 15-201) receive the standard premium rate, as their risk aligns with the average pool. Declining coverage or adjusting payment terms applies to higher risks, not standard ones.
References:Maryland Insurance Article, § 15-201; MIA underwriting guidelines.

NEW QUESTION # 14
Medicare Supplement insurance is specifically designed for individuals who:

A. Cannot obtain commercial coverage due to health problems
B. Are ineligible for coverage under an employer group accident and health plan
C. Have low incomes and limited assets
D. Have enrolled in Medicare

Answer: D

Explanation:
Medicare Supplement (Medigap, Insurance Article, § 15-901) is for Medicare enrollees (Parts A and B) to cover gaps, not low-income (Medicaid), uninsurable (pre-ACA pools), or employer-ineligible individuals.
References:Maryland Insurance Article, § 15-901; MIA Medigap rules.

NEW QUESTION # 15
Which type of Medicare Supplement information can be used without prior state approval?

A. Government publications
B. Television advertisements approved by the insurer
C. Radio announcements approved by the insurer
D. Insurance company brochures

Answer: A

Explanation:
Medigap marketing materials (Insurance Article, § 15-912) require MIA approval, except for government publications (e.g., CMS's "Medicare & You"), which are exempt as official federal resources. Insurer- approved ads still need state review.
References:Maryland Insurance Article, § 15-912; MIA Medigap advertising rules.

NEW QUESTION # 16
When a single major medical contract covers all medical expenses, the plan is considered to be:

A. Limited
B. First-dollar
C. Comprehensive
D. Supplemental

Answer: C

Explanation:
A single policy covering all medical expenses (Insurance Article, § 15-201) is comprehensive, unlike limited (specific), first-dollar (no deductible), or supplemental (add-on) plans.
References:Maryland Insurance Article, § 15-201; MIA major medical standards.

NEW QUESTION # 17
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