Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer

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

1. An insurance producer provided several examples to the applicant persuasively demonstrating that the insurance coverage offered under his company's policy was superior to a competitor's product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?

A) Fraud
B) Discrimination
C) Twisting
D) Rebating

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

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

3. In Maryland, a group accident and health certificate of insurance must contain:

A) A summary of policy features and benefits
B) A copy of the group contract
C) The insurer's financial statement
D) A list of all participating physicians

4. All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

A) Wellness programs
B) Outpatient medical services
C) Discounts on local health spa memberships
D) Twenty-four hour access to emergency care

5. A certificate of insurance in a group accident and health plan is:

A) Evidence of the employee's insurance coverage
B) Issued to the employer for each insured location
C) A binding contract between the employee and the insurer
D) A binding contract between the employer and the insurer

Solutions: