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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. Coverage for the first three pints of blood for Medicare enrollees is:

A) A Medicare Part B benefit
B) A Medicare Supplement additional benefit
C) A Medicare Part A benefit
D) A Medicare Supplement core benefit

2. In HMO coverage, all of the following services must be available 24 hours per day, 7 days per week EXCEPT:

A) In-patient hospital services
B) Dental care
C) Emergency medical care
D) Primary care

3. 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) Must pay the claim within one year of termination of coverage
B) Must pay the claim upon receipt of the proof of loss
C) Can refuse to pay the claim under the pre-existing conditions exclusion
D) Can refuse to pay the claim because coverage has been terminated

4. Which statement describes the most likely federal income tax treatment of death benefits paid to the family of an insured under an accident and health insurance policy?

A) Taxation depends on the beneficiary's tax bracket
B) Benefits will not be taxable
C) All benefits will be taxable
D) Some benefits will usually be taxable

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

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

Solutions: