MARYLAND INSURANCE ADMINISTRATION ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER TEST PASS4SURE: MARYLANDACCIDENT AND HEALTH OR SICKNESS PRODUCER SERIES 20-24 EXAM - ACTUAL4TEST AUTHORITATIVE PROVIDER

Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Test Pass4sure: MarylandAccident and Health or Sickness Producer Series 20-24 Exam - Actual4test Authoritative Provider

Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Test Pass4sure: MarylandAccident and Health or Sickness Producer Series 20-24 Exam - Actual4test Authoritative Provider

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q37-Q42):

NEW QUESTION # 37
Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?

  • A. Captive agent
  • B. Branch office
  • C. Direct response
  • D. Contingent

Answer: C

Explanation:
Direct response (Insurance Article, § 10-101) uses mass media and mail to sell directly, bypassing producers, unlike branch offices, captive agents, or contingent systems, which involve intermediaries.
References:Maryland Insurance Article, § 10-101; MIA marketing guidelines.


NEW QUESTION # 38
All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:

  • A. Immunizations for children
  • B. Well-baby checkups
  • C. Experimental surgery
  • D. Physical examinations

Answer: C

Explanation:
HMOs (Health-General Article, § 19-701) provide preventive care like checkups, immunizations, and exams.
Experimental surgery isn't preventive or standard, making it the exception to covered services.
References:Maryland Health-General Article, § 19-701; MIA HMO guidelines.


NEW QUESTION # 39
Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:

  • A. Preapproved charges
  • B. Scheduled charges
  • C. Reasonable and customary charges
  • D. Utilization charges

Answer: C

Explanation:
Reasonable and customary charges are the typical fees for a procedure in a geographic area, used to set reimbursement levels (Insurance Article, § 15-1005). Preapproved charges require prior authorization, utilization charges relate to service reviews, and scheduled charges are fixed fees, none of which define this standard.
References:Maryland Insurance Article, § 15-1005; MIA health insurance guidelines.


NEW QUESTION # 40
A certificate of insurance in a group accident and health plan is:

  • A. A binding contract between the employer and the insurer
  • B. A binding contract between the employee and the insurer
  • C. Issued to the employer for each insured location
  • D. Evidence of the employee's insurance coverage

Answer: D

Explanation:
The certificate (Insurance Article, § 15-1207) provides employees with evidence of coverage under the group plan, not a binding contract (master policy) or employer-specific by location. It summarizes benefits for clarity.
References:Maryland Insurance Article, § 15-1207; MIA group insurance rules.


NEW QUESTION # 41
If an individual's occupation is considered to be illegal:

  • A. It may result in a denial of a disability income claim
  • 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 must be stated as such on an accident and health insurance application

Answer: A

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 # 42
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