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

1. A health maintenance organization may issue a contract that provides benefits for the following:

A) Replacement of income lost by a member due to the member's disability
B) Health care services provided to members of the HMO
C) The dismemberment of an HMO member
D) The accidental death of an HMO member

2. Which benefit is usually excluded from major medical expense plan coverage?

A) Routine dental care
B) Physical therapy
C) Prescription drugs
D) Hospice care

3. An insurance producer or advisor in the State of Maryland can be disciplined by the MarylandInsurance Administration for all of the following EXCEPT:

A) Filing a complaint on behalf of the consumer with the Maryland Insurance Administration
B) Using inappropriate description of a policy to hide the true nature of the policy
C) Making false or misleading statements about dividends previously paid on similar policies
D) Making a misleading statement about the financial condition of an insurer

4. In HMO coverage, all of the following services must be available 24 hours per day, 7 days per week EXCEPT:

A) In-patient hospital services
B) Primary care
C) Dental care
D) Emergency medical care

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

Solutions: