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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q20-Q25):
NEW QUESTION # 20
The Maryland State Benchmark Plan applies to which of the following?
- A. Individual Health Benefit Plans sold outside the Exchange prior to January 1, 2014
- B. Individual Health Benefit Plans sold through the Exchange
- C. Medicare supplement plans sold outside the Exchange prior to January 1, 2014
- D. Medicaid plans sold through the Exchange
Answer: B
Explanation:
The Maryland Benchmark Plan (Insurance Article, § 31-115) defines EHBs for individual and small group plans sold via the Maryland Health Connection Exchange, not Medicaid, Medigap, or pre-2014 off-Exchange plans.
References:Maryland Insurance Article, § 31-115; MIA ACA guidelines.
NEW QUESTION # 21
The phrase, "this policy pays $1,800 for hospital room and board expenses," should include the:
- A. Maximum daily benefit and the maximum time limit for hospital room and board expenses
- B. Minimum daily benefit and the minimum time limit for hospital room and board expenses
- C. Maximum daily benefit and the minimum time limit for hospital room and board expenses
- D. Minimum daily benefit and the maximum time limit for hospital room and board expenses
Answer: A
Explanation:
Policy statements (Insurance Article, § 15-201) must clarify benefits with the maximum daily benefit (e.g.,
$200/day) and maximum time limit (e.g., 9 days) to define the $1,800 total. Minimums are irrelevant, and a mix of maximum and minimum limits lacks clarity.
References:Maryland Insurance Article, § 15-201; MIA policy disclosure rules.
NEW QUESTION # 22
An insurer may pay a commission directly or indirectly to:
- A. A producer whose license is terminated after earning the commission
- B. Anyone soliciting business for the insurer
- C. An unlicensed employee of the insurer
- D. A surplus lines broker operating without a license for less than one year
Answer: A
Explanation:
Commissions (Insurance Article, § 10-103) require a license, but a producer earning a commission while licensed can be paid post-termination. Unlicensed individuals or brokers can't legally receive commissions.
References:Maryland Insurance Article, § 10-103, § 10-130, § 3-306; MIA commission rules.
NEW QUESTION # 23
An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:
- A. A state-sponsored centennial celebration
- B. A skydiving exhibition
- C. A drug smuggling operation
- D. A nuclear power plant
Answer: C
Explanation:
Insurance (Insurance Article, § 12-101) covers legal risks like skydiving, events, or plants, but not illegal acts like drug smuggling, barred by public policy.
References:Maryland Insurance Article, § 12-101; MIA insurability guidelines.
NEW QUESTION # 24
Short-term group disability income insurance:
- A. Often has a benefit period extending up to a maximum of ten years
- B. Usually coordinates the amount of benefits paid with disability benefits received under Social Security
- C. Usually provides benefits expressed as a percentage of the insured's normal weekly wage, up to a specified weekly maximum
- D. Frequently provides coverage through age 65 for insureds who are over 55 when they become disabled
Answer: C
Explanation:
Short-term disability (Insurance Article, § 15-201) pays a percentage of wages (e.g., 50-70%) up to a weekly cap for a short duration (e.g., 13-26 weeks). Coordination with Social Security, 10-year periods, or coverage to age 65 are long-term disability features.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.
NEW QUESTION # 25
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