Free PDF Quiz Maryland Insurance Administration - Updated Accident-and-Health-or-Sickness-Producer - Exam MarylandAccident and Health or Sickness Producer Series 20-24 Exam Reference

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q11-Q16):

NEW QUESTION # 11
If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?

A. Help the employer sign-up through the SHOP Exchange
B. Refer the employer to the carrier where a friend works
C. Refer the employer to a licensed insurance producer
D. Refer the employer to the Maryland Insurance Administration

Answer: C

Explanation:
SHOP Exchange (Insurance Article, § 31-101) serves employers with 1-50 employees; a 200-employee firm exceeds this, so the navigator should refer them to a producer for large group plans, not assist via SHOP, refer personally, or send to the MIA.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange guidelines.

NEW QUESTION # 12
When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

A. The principal insured individual
B. The premium payor
C. The insurer
D. The patient or parent of the patient

Answer: C

Explanation:
If an insurer mandates a physical exam (Insurance Article, § 12-202), it pays the cost, as it's a condition of coverage or claims processing. The premium payor, insured, or patient isn't responsible for insurer-initiated requirements.
References:Maryland Insurance Article, § 12-202; MIA policy standards.

NEW QUESTION # 13
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 # 14
An insurance adviser's written contract with the client must include all of the following EXCEPT:

A. Amount of the fee
B. Disclosure as to whether commissions may be received
C. Expiration date of the consultant's license
D. Duration of the contract

Answer: C

Explanation:
Adviser contracts (Insurance Article, § 10-201) require fee amounts, contract duration, and commission disclosure for transparency. The consultant's license expiration is a regulatory detail, not a client contract requirement.
References:Maryland Insurance Article, § 10-201; MIA adviser rules.

NEW QUESTION # 15
The phrase, "this policy pays $1,800 for hospital room and board expenses," should include the:

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

Answer: B

Explanation:
Policy statements (Insurance Article, § 15-201) must clarify benefits with the maximum daily benefit (e.g.,
$200/day) and maximum time limit (e.g., 9 days) to define the $1,800 total. Minimums are irrelevant, and a mix of maximum and minimum limits lacks clarity.
References:Maryland Insurance Article, § 15-201; MIA policy disclosure rules.

NEW QUESTION # 16
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Free PDF Quiz Maryland Insurance Administration - Updated Accident-and-Health-or-Sickness-Producer - Exam MarylandAccident and Health or Sickness Producer Series 20-24 Exam Reference

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q11-Q16):

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