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

1. Which one of the following causes of death typically would be included under an accidental death rider attached to a life insurance policy?

A) Intentionally self-inflicted injuries
B) Illness or disease
C) Automobile accidents resulting from the insured's negligence
D) War or acts of war

2. 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 upon receipt of the proof of loss
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) Can refuse to pay the claim because coverage has been terminated

3. Which statement is true of trade association groups eligible for group medical benefits?

A) Members of the association are usually in the same industry
B) Employer contributions are usually waived
C) Such associations are formed for the purpose of purchasing insurance
D) The association membership primarily consists of large employers

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

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

5. The phrase, "this policy pays $1,800 for hospital room and board expenses," should include the:

A) Maximum daily benefit and the maximum time limit for hospital room and board expenses
B) Minimum daily benefit and the minimum time limit for hospital room and board expenses
C) Maximum daily benefit and the minimum time limit for hospital room and board expenses
D) Minimum daily benefit and the maximum time limit for hospital room and board expenses

Solutions: