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Accident-and-Health-or-Sickness-Producer Valid Exam Test & Sample Accident-and-Health-or-Sickness-Producer Test Online
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q46-Q51):
NEW QUESTION # 46
When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?
- A. The patient or parent of the patient
- B. The premium payor
- C. The principal insured individual
- D. The insurer
Answer: D
Explanation:
If an insurer mandates a physical exam (Insurance Article, § 12-202), it pays the cost, as it's a condition of coverage or claims processing. The premium payor, insured, or patient isn't responsible for insurer-initiated requirements.
References:Maryland Insurance Article, § 12-202; MIA policy standards.
NEW QUESTION # 47
Which benefit is usually excluded from accident and health plan coverage?
- A. Hospital expense
- B. Physicians' visits
- C. Custodial care
- D. Surgical 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 # 48
All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:
- A. Physical examinations
- B. Immunizations for children
- C. Well-baby checkups
- D. Experimental surgery
Answer: D
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 # 49
Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?
- A. Branch office
- B. Contingent
- C. Captive agent
- D. Direct response
Answer: D
Explanation:
Direct response (Insurance Article, § 10-101) uses mass media and mail to sell directly, bypassing producers, unlike branch offices, captive agents, or contingent systems, which involve intermediaries.
References:Maryland Insurance Article, § 10-101; MIA marketing guidelines.
NEW QUESTION # 50
A disability income insurance policy typically provides coverage for disabilities resulting from:
- A. Occupational accidents only
- B. Accidents only
- C. Both accidents and sickness
- D. Sickness only
Answer: C
Explanation:
Disability income policies (Insurance Article, § 15-201) cover both accidents and sickness, providing broad income protection, not limited to one cause or occupational incidents.
References:Maryland Insurance Article, § 15-201; MIA disability standards.
NEW QUESTION # 51
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