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

1. All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

A) Discounts on local health spa memberships
B) Outpatient medical services
C) Wellness programs
D) Twenty-four hour access to emergency care

2. All advertisements for health insurance shall make clear the identity of the:

A) Insurance Commissioner
B) Beneficiary
C) Insured
D) Insurer

3. In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:

A) Declined coverage
B) Required to pay the first year's premium in a lump sum
C) Charged the standard premium rate
D) Charged an additional premium for the first three years

4. All of the following are examples of unfair claims settlement practices EXCEPT:

A) Refusing arbitrarily and unreasonably to pay claims
B) Misrepresenting pertinent facts of coverage
C) Failing to promptly provide a reason for a claim denial
D) Denying unsubstantiated claims on a timely basis

5. Which benefit is usually excluded from accident and health plan coverage?

A) Hospital expense
B) Surgical expense
C) Custodial care
D) Physicians' visits

Solutions: