VALID ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER PRACTICE MATERIALS & ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER REAL TORRENT

Valid Accident-and-Health-or-Sickness-Producer Practice Materials & Accident-and-Health-or-Sickness-Producer Real Torrent

Valid Accident-and-Health-or-Sickness-Producer Practice Materials & Accident-and-Health-or-Sickness-Producer Real Torrent

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q80-Q85):

NEW QUESTION # 80
Which type of Medicare Supplement information can be used without prior state approval?

  • A. Radio announcements approved by the insurer
  • B. Insurance company brochures
  • C. Television advertisements approved by the insurer
  • D. Government publications

Answer: D

Explanation:
Medigap marketing materials (Insurance Article, § 15-912) require MIA approval, except for government publications (e.g., CMS's "Medicare & You"), which are exempt as official federal resources. Insurer- approved ads still need state review.
References:Maryland Insurance Article, § 15-912; MIA Medigap advertising rules.


NEW QUESTION # 81
All of the following are considered to be fraud EXCEPT:

  • A. Collecting a proper premium for insurance that is provided
  • B. Collecting a charge for insurance that is less than the charge applicable to that insurance
  • C. Collecting a premium for insurance that is not provided
  • D. Willfully collecting a premium that exceeds the amount of the premium

Answer: A

Explanation:
Fraud involves intentional deception for gain (Insurance Article, § 27-401). Overcharging, undercharging deceptively, or charging for nonexistent coverage are fraudulent. Collecting the proper premium for provided insurance is a legitimate transaction and not fraud, making it the exception.
References:Maryland Insurance Article, § 27-401, § 27-212; MIA fraud regulations.


NEW QUESTION # 82
To be deemed a "qualified employer" under the Maryland Health Benefit Exchange Act, anemployer MUST:

  • A. Have at least 50% of its employees reside in the state of Maryland
  • B. Have at least 50% of its employees work in the state of Maryland
  • C. Contribute to employee premiums
  • D. Have its principal place of business in the state of Maryland

Answer: D

Explanation:
The Maryland Health Benefit Exchange Act (Insurance Article, § 31-101) defines a qualified employer as one with its principal place of business in Maryland for SHOP Exchange eligibility. Premium contributions are optional, and employee work or residency percentages aren't required.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange rules.


NEW QUESTION # 83
An insurer may pay a commission directly or indirectly to:

  • A. A surplus lines broker operating without a license for less than one year
  • B. Anyone soliciting business for the insurer
  • C. A producer whose license is terminated after earning the commission
  • D. An unlicensed employee of the insurer

Answer: C

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 # 84
In dental insurance coverage, which one of the following typically is EXCLUDED?

  • A. Dental X-rays
  • B. Root canal therapy
  • C. Preventive care
  • D. Treatment started prior to the eligibility date

Answer: D

Explanation:
Dental insurance (Insurance Article, § 15-201) covers preventive care, X-rays, and root canals, but excludes treatment started before the eligibility date to avoid claims for pre-existing work. This ensures coverage applies only to services initiated under the policy.
References:Maryland Insurance Article, § 15-201; MIA dental insurance standards.


NEW QUESTION # 85
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