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Latest Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Guide | Exam Accident-and-Health-or-Sickness-Producer Labs
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q90-Q95):
NEW QUESTION # 90
Which benefit is usually excluded from major medical expense plan coverage?
- A. Prescription drugs
- B. Physical therapy
- C. Hospice care
- D. Routine dental care
Answer: D
Explanation:
Major medical plans (Insurance Article, § 15-201) cover hospice, drugs, and therapy, but excluderoutine dental care, which requires separate dental insurance.
References:Maryland Insurance Article, § 15-201; MIA major medical standards.
NEW QUESTION # 91
All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:
- A. Immunizations for children
- B. Experimental surgery
- C. Well-baby checkups
- D. Physical examinations
Answer: B
Explanation:
HMOs (Health-General Article, § 19-701) provide preventive care like checkups, immunizations, and exams.
Experimental surgery isn't preventive or standard, making it the exception to covered services.
References:Maryland Health-General Article, § 19-701; MIA HMO guidelines.
NEW QUESTION # 92
When a single major medical contract covers all medical expenses, the plan is considered to be:
- A. Comprehensive
- B. Supplemental
- C. Limited
- D. First-dollar
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 # 93
Short-term group disability income insurance:
- A. Frequently provides coverage through age 65 for insureds who are over 55 when they become disabled
- B. Often has a benefit period extending up to a maximum of ten years
- C. Usually provides benefits expressed as a percentage of the insured's normal weekly wage, up to a specified weekly maximum
- D. Usually coordinates the amount of benefits paid with disability benefits received under Social Security
Answer: C
Explanation:
Short-term disability (Insurance Article, § 15-201) pays a percentage of wages (e.g., 50-70%) up to a weekly cap for a short duration (e.g., 13-26 weeks). Coordination with Social Security, 10-year periods, or coverage to age 65 are long-term disability features.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.
NEW QUESTION # 94
In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?
- A. No, because of privacy considerations
- B. Yes, because all company and agency records are public domain
- C. Yes, because of the powers defined by state laws
- D. No, because only an officer of the court can inspect these records
Answer: C
Explanation:
Comprehensive and Detailed Step by Step Explanation:The Maryland Insurance Administration (MIA) is authorized to inspect the records of insurers and agencies to ensure compliance with laws:
Yes, because of the powers defined by state laws (B):Correct. The MIA has broad authority under Maryland law to audit, inspect, and investigate insurance business practices.
No, because of privacy considerations (A):Incorrect. Regulatory inspections are exempt from privacy concerns when conducted lawfully.
Only an officer of the court (C):Not required; the MIA operates independently within its legal mandate.
Public domain records (D):Incorrect; insurance records are not publicly accessible unless required by law.
References:Maryland Insurance Article §2-209, COMAR 31.03.01, and Regulatory Oversight Guidelines.
NEW QUESTION # 95
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