Exam Accident-and-Health-or-Sickness-Producer Vce, Accident-and-Health-or-Sickness-Producer Reliable Exam Pass4sure
Exam Accident-and-Health-or-Sickness-Producer Vce, Accident-and-Health-or-Sickness-Producer Reliable Exam Pass4sure
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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Reliable Exam Pass4sure - Accident-and-Health-or-Sickness-Producer Verified Answers
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q22-Q27):
NEW QUESTION # 22
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?
- A. Twisting
- B. Discrimination
- C. Rebating
- D. Fraud
Answer: A
Explanation:
Twisting (Insurance Article, § 27-203) involves misrepresenting policy benefits to induce replacement with an inferior product. Fraud is broader, discrimination isn't relevant, and rebating offers financial inducements, not misrepresentation.
References:Maryland Insurance Article, § 27-203; MIA trade practice rules.
NEW QUESTION # 23
An insured incurs a covered accident and health insurance loss on May 30, which is submitted to the insurer on June 8. If the insured terminated coverage on June 1, the insurer:
- A. Can refuse to pay the claim because coverage has been terminated
- B. Can refuse to pay the claim under the pre-existing conditions exclusion
- C. Must pay the claim upon receipt of the proof of loss
- D. Must pay the claim within one year of termination of coverage
Answer: C
Explanation:
A loss on May 30, while covered (Insurance Article, § 15-201), obligates the insurer to pay upon proof, despite termination on June 1. Termination or pre-existing exclusions don't negate prior coverage, and no one- year rule applies.
References:Maryland Insurance Article, § 15-201; MIA claims rules.
NEW QUESTION # 24
All of the following are considered to be fraud EXCEPT:
- A. Willfully collecting a premium that exceeds the amount of the premium
- B. Collecting a proper premium for insurance that is provided
- C. Collecting a charge for insurance that is less than the charge applicable to that insurance
- D. Collecting a premium for insurance that is not provided
Answer: B
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 # 25
If an insurer pays an individual accident and health insurance claim during a policy's grace period:
- A. The amount of unpaid premium may be subtracted from the reimbursement
- B. The policy is canceled automatically at the end of the grace period
- C. The deductible is waived
- D. A 10% service fee is charged
Answer: A
Explanation:
During the grace period (Insurance Article, § 15-209), insurers can deduct unpaid premiums from claims paid, maintaining coverage without waiving deductibles, charging fees, or auto-canceling.
References:Maryland Insurance Article, § 15-209; MIA policy payment rules.
NEW QUESTION # 26
Which expenses are covered by Medicare Part D?
- A. Prescription drug
- B. Hospital
- C. Medical
- D. Dental
Answer: A
Explanation:
Medicare Part D covers outpatient prescription drugs, not medical (Part B), hospital (Part A), or dental (excluded) expenses, per federal law applicable in Maryland. It fills a key gap for enrollees' medication costs.
References:Medicare guidelines; Maryland Insurance Article, § 15-901.
NEW QUESTION # 27
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