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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

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

1. 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) Medicare supplement plans sold outside the Exchange prior to January 1, 2014
C) Medicaid plans sold through the Exchange
D) Individual Health Benefit Plans sold through the Exchange

2. The Maryland Health Insurance Plan is designed to provide comprehensive health benefits for:

A) Children of low-income Maryland residents
B) Medically uninsurable Maryland residents
C) Low-income residents of Maryland
D) Senior citizens residing in Maryland

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

A) Average charges within a geographic area
B) Insurance industry studies
C) Actuarial tables
D) National physician surveys

4. When a producer sells an individual accident and health insurance policy, how is the initial premium usually paid?

A) The insurer bills the applicant when the application is approved
B) The applicant sends it directly to the insurer with the application
C) The producer collects and forwards it to the insurer
D) The insurer utilizes the applicant's automatic bank draft authorization

5. 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

Solutions: