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Valid Accident-and-Health-or-Sickness-Producer Exam Answers - Accident-and-Health-or-Sickness-Producer Valid Braindumps Free

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q86-Q91):

NEW QUESTION # 86
Medical expense insurance typically EXCLUDES coverage for:

A. Hospital care extending past 30 days
B. Expenses incurred for primarily cosmetic surgery
C. Maternity care benefits
D. Hospital laboratory tests

Answer: B

Explanation:
Medical expense insurance covers necessary treatments like hospital stays, maternity care, and diagnostic tests, but excludes elective procedures such as primarily cosmetic surgery unless medically necessary (e.g., reconstructive surgery post-injury). Maryland law (Insurance Article, § 15-103) allows exclusions for non- essential services, aligning with standard practice where aesthetic surgeries like facelifts are not covered.
References:Maryland Insurance Article, § 15-103; MIA guidelines.

NEW QUESTION # 87
All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:

A. Non-smoker
B. Non-hazardous occupation
C. High income
D. Physically active

Answer: C

Explanation:
Preferred risk applicants (Insurance Article, § 15-201) have low disability risk due to non-smoking, safe jobs, and physical activity. High income affects benefit amounts, not risk classification, making it the exception.
References:Maryland Insurance Article, § 15-201; MIA underwriting standards.

NEW QUESTION # 88
Which of the following is NOT a mandated benefit in Maryland?

A. Treatment of mental illness
B. Treatment of substance abuse
C. Weight reduction programs
D. Hearing aids for children

Answer: C

Explanation:
Maryland mandates mental health (§ 15-802), substance abuse (§ 15-803), and hearing aids for children (§ 15-
838), but weight reduction programs are elective and not required (Insurance Article, § 15-801).
References:Maryland Insurance Article, § 15-801, § 15-802, § 15-803, § 15-838; MIA mandated benefits.

NEW QUESTION # 89
If an individual's occupation is considered to be illegal:

A. It must be stated as such on an accident and health insurance application
B. It results in a substandard rating on an accident and health insurance policy
C. It may require a waiver on a disability income insurance policy
D. It may result in a denial of a disability income claim

Answer: D

Explanation:
Illegal occupations (Insurance Article, § 12-101) can lead to claim denials if disability arises from illegal acts, per public policy. Disclosure isn't mandated, waivers don't apply, and ratings adjust risk, not legality.
References:Maryland Insurance Article, § 12-101; MIA claims policies.

NEW QUESTION # 90
When a producer engages in unfair practices, all of the following are true EXCEPT:

A. The Maryland Insurance Administration can issue a cease and desist order
B. The Maryland Insurance Administration's decision is final
C. The Maryland Insurance Administration can suspend the producer's license
D. The Maryland Insurance Administration can investigate the problem and hold a hearing

Answer: B

Explanation:
The MIA (Insurance Article, § 2-201, § 10-126) can investigate, suspend licenses, and issue orders, but its decisions are appealable to Maryland courts, not final.
References:Maryland Insurance Article, § 2-201, § 10-126; MIA enforcement powers.

NEW QUESTION # 91
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