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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q71-Q76):
NEW QUESTION # 71
The Maryland State Benchmark Plan applies to which of the following?
- A. Individual Health Benefit Plans sold outside the Exchange prior to January 1, 2014
- B. Individual Health Benefit Plans sold through the Exchange
- C. Medicare supplement plans sold outside the Exchange prior to January 1, 2014
- D. Medicaid plans sold through the Exchange
Answer: B
Explanation:
The Maryland Benchmark Plan (Insurance Article, § 31-115) defines EHBs for individual and small group plans sold via the Maryland Health Connection Exchange, not Medicaid, Medigap, or pre-2014 off-Exchange plans.
References:Maryland Insurance Article, § 31-115; MIA ACA guidelines.
NEW QUESTION # 72
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 within one year of termination of coverage
- D. Must pay the claim upon receipt of the proof of loss
Answer: D
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 # 73
An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:
- A. Misleading a prospective insured in replacing accident and health insurance
- B. Submitting a premium payment to an insurer in excess of the required amount
- C. An accounting error discovered by the producer's accountant
- D. Incorrect filing of federal income taxes
Answer: A
Explanation:
Errors and omissions liability arises from professional negligence (Insurance Article, § 10-126). Misleading a client about policy replacement (twisting, § 27-203) directly harms them, unlike accounting errors, overpayments, or tax issues, which are internal or personal.
References:Maryland Insurance Article, § 10-126, § 27-203; MIA producer liability rules.
NEW QUESTION # 74
The free-look period provided in a life insurance policy is usually:
- A. 31 days
- B. 45 days
- C. 10 days
- D. 60 days
Answer: C
Explanation:
Comprehensive and Detailed Step by Step Explanation:Thefree-look periodis a consumer protection mechanism allowing policyholders to cancel a policy within a specific period for a full refund.
* 10 days (A):Maryland law requires a minimum free-look period of 10 days for life insurance policies, allowing buyers to review the policy without financial obligation.
* 31 days (B), 45 days (C), and 60 days (D):These exceed Maryland's statutory minimum and are not standard requirements unless specifically offered by the insurer.
References:Maryland Free-Look Provisions, COMAR 31.09.09, and Maryland Consumer Protection Act.
NEW QUESTION # 75
When the insured's willful failure to disclose a material fact at the time of application is discovered by the insurer shortly after the policy is issued:
- A. The insurer must continue the insurance policy in full force
- B. The policy is voidable at the insurer's option
- C. The insurer may cancel the policy only at the expiration or renewal date
- D. The policy is automatically void
Answer: B
Explanation:
A material misrepresentation (Insurance Article, § 12-206) allows the insurer to void the policy within the contestability period (typically 2 years) if willful. It's not automatically void, nor must it continue or wait until renewal; the insurer decides based on materiality.
References:Maryland Insurance Article, § 12-206; MIA misrepresentation rules.
NEW QUESTION # 76
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