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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q41-Q46):

NEW QUESTION # 41
When a producer engages in unfair practices, all of the following are true EXCEPT:

• A. The Maryland Insurance Administration's decision is final
• B. The Maryland Insurance Administration can suspend the producer's license
• C. The Maryland Insurance Administration can issue a cease and desist order
• D. The Maryland Insurance Administration can investigate the problem and hold a hearing

Answer: A

Explanation:
The MIA (Insurance Article, § 2-201, § 10-126) can investigate, suspend licenses, and issue orders, but its decisions are appealable to Maryland courts, not final.
References:Maryland Insurance Article, § 2-201, § 10-126; MIA enforcement powers.

 

NEW QUESTION # 42
When determining the premiums for large groups, most insurance companies use:

• A. Pooled rating
• B. Area rating
• C. Occupational rating
• D. Experience rating

Answer: D

Explanation:
Large group premiums (Insurance Article, § 15-1205) use experience rating, basing rates on the group's claims history. Occupational rating applies to specific jobs, area rating to geography, and pooled rating to small groups, none of which dominate large groups.
References:Maryland Insurance Article, § 15-1205; MIA group insurance guidelines.

 

NEW QUESTION # 43
When a single major medical contract covers all medical expenses, the plan is considered to be:

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

Answer: A

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 # 44
Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:

• A. Applicant's family's consent
• B. Power of attorney
• C. Copy of the person's living will
• D. Report of a physical examination

Answer: D

Explanation:
For non-guaranteed issue long-term care policies (Insurance Article, § 18-107), a physical exam report is required for applicants 80+ to assess risk, not family consent, living wills, or power of attorney.
References:Maryland Insurance Article, § 18-107; MIA LTC underwriting rules.

 

NEW QUESTION # 45
Which benefit is usually excluded from accident and health plan coverage?

• A. Physicians' visits
• B. Surgical expense
• C. Custodial care
• D. Hospital expense

Answer: C

Explanation:
Accident and health plans (Insurance Article, § 15-201) cover acute needs like hospital, physician, and surgical expenses. Custodial care-non-medical daily assistance-is excluded, typically covered by long-term care insurance.
References:Maryland Insurance Article, § 15-201; MIA health insurance standards.

 

NEW QUESTION # 46
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