Summer Special Sale - Limited Time 60% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: 575363r9

Welcome To DumpsPedia

Accident-and-Health-or-Sickness-Producer Sample Questions Answers

Questions 4

Medical expense insurance typically EXCLUDES coverage for treatment of:

Options:

A.

Chronic back pain

B.

Eating disorders

C.

Intentionally self-inflicted injuries

D.

Undiagnosed diseases

Buy Now
Questions 5

The typical group disability income insurance policy EXCLUDES coverage for disability resulting from:

Options:

A.

Commercial airline crashes

B.

Injuries occurring in the home

C.

Automobile accidents

D.

Military service

Buy Now
Questions 6

Under federal law, an insurance producer may be sentenced to prison for:

Options:

A.

Selling insurance with a nonresident license

B.

Embezzling money from an insurance company

C.

Inducing a client to sign an application for insurance

D.

Suing an insurer over contract violations

Buy Now
Questions 7

An insured’s statements on an accident and health insurance application are deemed to be:

Options:

A.

Representations

B.

Warranties

C.

Categorical

D.

General provisions

Buy Now
Questions 8

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

Options:

A.

In-patient hospital services

B.

Emergency medical care

C.

Primary care

D.

Dental care

Buy Now
Questions 9

Which expenses are covered by Medicare Part D?

Options:

A.

Medical

B.

Hospital

C.

Prescription drug

D.

Dental

Buy Now
Questions 10

An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:

Options:

A.

An accounting error discovered by the producer’s accountant

B.

Submitting a premium payment to an insurer in excess of the required amount

C.

Incorrect filing of federal income taxes

D.

Misleading a prospective insured in replacing accident and health insurance

Buy Now
Questions 11

It is unlawful for a person to provide an advertisement that:

Options:

A.

Points out coverage advantages of a policy

B.

Refers to the insurer’s financial rating

C.

Uses a policy title to misrepresent a coverage

D.

Makes a comparison of benefits between policies

Buy Now
Questions 12

When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:

Options:

A.

Disability income

B.

Major medical

C.

Dental

D.

Health maintenance organization

Buy Now
Questions 13

Which one of the following causes of death typically would be included under an accidental death rider attached to a life insurance policy?

Options:

A.

Intentionally self-inflicted injuries

B.

Illness or disease

C.

War or acts of war

D.

Automobile accidents resulting from the insured's negligence

Buy Now
Questions 14

Which benefit is usually excluded from major medical expense plan coverage?

Options:

A.

Hospice care

B.

Prescription drugs

C.

Routine dental care

D.

Physical therapy

Buy Now
Questions 15

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?

Options:

A.

Fraud

B.

Discrimination

C.

Twisting

D.

Rebating

Buy Now
Questions 16

All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:

Options:

A.

Non-smoker

B.

Non-hazardous occupation

C.

High income

D.

Physically active

Buy Now
Questions 17

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

Options:

A.

Wellness programs

B.

Discounts on local health spa memberships

C.

Twenty-four hour access to emergency care

D.

Outpatient medical services

Buy Now
Questions 18

Who has the right to change the beneficiary of an accident and health policy with a revocable beneficiary designation?

Options:

A.

The policyowner

B.

The beneficiary

C.

The insurer

D.

The producer

Buy Now
Questions 19

Reasonable and customary charges for health care are based primarily on:

Options:

A.

Actuarial tables

B.

Insurance industry studies

C.

Average charges within a geographic area

D.

National physician surveys

Buy Now
Questions 20

When a single major medical contract covers all medical expenses, the plan is considered to be:

Options:

A.

Comprehensive

B.

Limited

C.

First-dollar

D.

Supplemental

Buy Now
Questions 21

The entire contract provision in an individual accident and health insurance policy states that the producer:

Options:

A.

Has company authority to change the policy

B.

May waive only certain contract provisions

C.

Has company authority to waive any contract provisions

D.

Has no authority to change the policy or waive any of its provisions

Buy Now
Questions 22

The waiver of premium provision in a disability income policy provides that premiums will be waived during:

Options:

A.

The disability benefit period

B.

The elimination period

C.

The grace period

D.

The time limit on certain defenses

Buy Now
Questions 23

If an individual’s occupation is considered to be illegal:

Options:

A.

It must be stated as such on an accident and health insurance application

B.

It may require a waiver on a disability income insurance policy

C.

It may result in a denial of a disability income claim

D.

It results in a substandard rating on an accident and health insurance policy

Buy Now
Questions 24

If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?

Options:

A.

Refer the employer to a licensed insurance producer

B.

Help the employer sign-up through the SHOP Exchange

C.

Refer the employer to the carrier where a friend works

D.

Refer the employer to the Maryland Insurance Administration

Buy Now
Questions 25

In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?

Options:

A.

No, because of privacy considerations

B.

Yes, because of the powers defined by state laws

C.

No, because only an officer of the court can inspect these records

D.

Yes, because all company and agency records are public domain

Buy Now
Questions 26

Which one of the following causes of loss typically is EXCLUDED under a disability income insurance policy?

Options:

A.

Auto accidents

B.

Cancer

C.

Tropical disease

D.

Intentionally self-inflicted injuries

Buy Now
Questions 27

The Maryland State Benchmark Plan applies to which of the following?

Options:

A.

Medicaid plans sold through the Exchange

B.

Individual Health Benefit Plans sold through the Exchange

C.

Medicare supplement plans sold outside the Exchange prior to January 1, 2014

D.

Individual Health Benefit Plans sold outside the Exchange prior to January 1, 2014

Buy Now
Exam Code: Accident-and-Health-or-Sickness-Producer
Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
Last Update: Oct 16, 2025
Questions: 90
$66  $164.99
$50  $124.99
$42  $104.99
buy now Accident-and-Health-or-Sickness-Producer