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Pass Guaranteed Pass-Sure Maryland Insurance Administration - Accident-and-Health-or-Sickness-Producer Actual Test Pdf
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q46-Q51):
NEW QUESTION # 46
Which type of Medicare Supplement information can be used without prior state approval?
- A. Television advertisements approved by the insurer
- B. Government publications
- C. Radio announcements approved by the insurer
- D. Insurance company brochures
Answer: B
Explanation:
Medigap marketing materials (Insurance Article, § 15-912) require MIA approval, except for government publications (e.g., CMS's "Medicare & You"), which are exempt as official federal resources. Insurer- approved ads still need state review.
References:Maryland Insurance Article, § 15-912; MIA Medigap advertising rules.
NEW QUESTION # 47
Pat owns a small business and is interested in enrolling her son in the Maryland Children's Health Insurance Program. Which of the following is the MOST appropriate person for Pat to contact for enrollment?
- A. A certified Navigator or authorized Producer for the Individual Exchange
- B. The Maryland Insurance Commissioner
- C. An Insurance Producer authorized to work in the SHOP Exchange
- D. A SHOP Exchange Navigator
Answer: A
Explanation:
MCHIP enrollment (Insurance Article, § 31-113) occurs through the Individual Exchange (Maryland Health Connection), where certified Navigators or Producers assist, not SHOP (business-focused) or the Commissioner (regulatory).
References:Maryland Insurance Article, § 31-113; MIA MCHIP guidelines.
NEW QUESTION # 48
If an individual's occupation is considered to be illegal:
- A. It must be stated as such on an accident and health insurance application
- B. It results in a substandard rating on an accident and health insurance policy
- C. It may result in a denial of a disability income claim
- D. It may require a waiver on a disability income insurance policy
Answer: C
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 # 49
A health maintenance organization may issue a contract that provides benefits for the following:
- A. Health care services provided to members of the HMO
- B. The accidental death of an HMO member
- C. Replacement of income lost by a member due to the member's disability
- D. The dismemberment of an HMO member
Answer: A
Explanation:
HMOs (Health-General Article, § 19-701) provide health care services to members, not income replacement (disability insurance), accidental death, or dismemberment benefits (life/accident insurance).
References:Maryland Health-General Article, § 19-701; MIA HMO guidelines.
NEW QUESTION # 50
All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:
- A. Outpatient medical services
- B. Discounts on local health spa memberships
- C. Twenty-four hour access to emergency care
- D. Wellness programs
Answer: B
Explanation:
HMOs (Health-General Article, § 19-701) offer wellness, emergency, and outpatient services. Discounts on spa memberships aren't a standard feature, unrelated to core health care delivery.
References:Maryland Health-General Article, § 19-701; MIA HMO standards.
NEW QUESTION # 51
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