Pass Guaranteed Marvelous Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Valid Exam Online
Pass Guaranteed Marvelous Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Valid Exam Online
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q85-Q90):
NEW QUESTION # 85
All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:
- A. Wellness programs
- B. Discounts on local health spa memberships
- C. Twenty-four hour access to emergency care
- D. Outpatient medical services
Answer: B
Explanation:
HMOs (Health-General Article, § 19-701) offer wellness, emergency, and outpatient services. Discounts on spa memberships aren't a standard feature, unrelated to core health care delivery.
References:Maryland Health-General Article, § 19-701; MIA HMO standards.
NEW QUESTION # 86
Which feature in a long-term care insurance policy is designed specifically to provide benefits at times when family members need a break from caring for the insured?
- A. Respite care
- B. Custodial facility care
- C. Home health care
- D. Skilled nursing facility care
Answer: A
Explanation:
Respite care (Insurance Article, § 18-101) offers temporary professional care to relieve family caregivers, a mandated feature in Maryland long-term care policies. Skilled nursing, custodial care, and home health care serve ongoing needs, not specifically caregiver breaks.
References:Maryland Insurance Article, § 18-101 et seq.; MIA LTC guidelines.
NEW QUESTION # 87
A certificate of insurance in a group accident and health plan is:
- A. Issued to the employer for each insured location
- B. A binding contract between the employee and the insurer
- C. A binding contract between the employer and the insurer
- D. Evidence of the employee's insurance coverage
Answer: D
Explanation:
The certificate (Insurance Article, § 15-1207) provides employees with evidence of coverage under the group plan, not a binding contract (master policy) or employer-specific by location. It summarizes benefits for clarity.
References:Maryland Insurance Article, § 15-1207; MIA group insurance rules.
NEW QUESTION # 88
Which of the following is a requirement of an insurable risk?
- A. The chance of loss must be calculable.
- B. There must be a large number of different loss exposures.
- C. The loss must be catastrophic.
- D. The loss must be intentional.
Answer: A
Explanation:
Comprehensive and Detailed Step by Step Explanation:Aninsurable riskmust meet specific criteria to ensure fair and financially viable coverage:
Chance of loss must be calculable (C):Correct. Insurers need statistical data to assess risk and determine premiums.
Loss must be intentional (A):Incorrect; intentional losses are not insurable.
Loss must be catastrophic (B):Incorrect; catastrophic losses (e.g., war or large-scale disasters) are often excluded or managed through reinsurance.
Large number of different loss exposures (D):A large number of similar, not different, exposures is required for risk pooling.
References:Maryland Insurance Principles, Actuarial Standards, and COMAR 31.09.14.
NEW QUESTION # 89
Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?
- A. Branch office
- B. Captive agent
- C. Direct response
- D. Contingent
Answer: C
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 # 90
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