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

1. 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

2. Which feature in a long-term care insurance policy is designed specifically to provide benefits at times when family members need a break from caring for the insured?

A) Respite care
B) Skilled nursing facility care
C) Home health care
D) Custodial facility care

3. A producer may be guilty of misrepresentation if the producer:

A) Denied a claim for failure of the policyholder to prove damages
B) Issued a full settlement check expressly releasing the insurer
C) Required timely written notice of loss for all claims
D) Failed to disclose exclusions of the policy

4. Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:

A) Copy of the person's living will
B) Power of attorney
C) Report of a physical examination
D) Applicant's family's consent

5. Which of the following is NOT a mandated benefit in Maryland?

A) Weight reduction programs
B) Treatment of substance abuse
C) Treatment of mental illness
D) Hearing aids for children

Solutions: