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Accident-and-Health-or-Sickness-Producer Test Labs - New Accident-and-Health-or-Sickness-Producer Exam Online

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q53-Q58):

NEW QUESTION # 53
Which benefit is usually excluded from major medical expense plan coverage?

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

Answer: A

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 # 54
A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:

A. Emergency services
B. Well-baby or well-child care
C. Dental and vision care
D. Routine physical examinations

Answer: C

Explanation:
Maryland HMOs (Health-General Article, § 19-701) must provide basic health services like routine physicals, well-child care, and emergency services. Dental and vision care, however, are not required unless specified as supplemental benefits. State law mandates pediatric care but excludes routine dental and vision from standard HMO coverage unless the plan explicitly includes them.
References:Maryland Health-General Article, § 19-701; Insurance Article, § 15-1201; MIA HMO guidelines.

NEW QUESTION # 55
An insurance producer's license may be suspended or revoked by:

A. The Attorney General
B. The appointing insurer
C. The Maryland Insurance Administration
D. The continuing education course provider

Answer: C

Explanation:
Comprehensive and Detailed Step by Step Explanation:The Maryland Insurance Administration (MIA) has sole authority to regulate, suspend, or revoke an insurance producer's license for violations of state insurance laws:
Maryland Insurance Administration (C):Correct. The MIA oversees producer licensing, compliance, and disciplinary actions.
Appointing insurer (A):Can terminate an appointment but cannot revoke a license.
Continuing education provider (B):Only offers training and has no regulatory authority.
Attorney General (D):Handles legal actions but does not directly manage licensing.
References:Maryland Insurance Article §10-126, Producer Regulation Guidelines, COMAR 31.03.13.

NEW QUESTION # 56
Which benefit is usually excluded from accident and health plan coverage?

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

Answer: A

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 # 57
All of the following are true of insurance EXCEPT:

A. It is a means of sharing losses
B. It protects against uncertainty
C. It transfers risk
D. It eliminates risk

Answer: D

Explanation:
Insurance (Insurance Article, § 1-101) transfers risk, shares losses, and protects against uncertainty, but it mitigates, not eliminates, risk, which remains inherent.
References:Maryland Insurance Article, § 1-101; MIA insurance basics.

NEW QUESTION # 58
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