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Clear Accident-and-Health-or-Sickness-Producer Exam | Valid Accident-and-Health-or-Sickness-Producer: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q29-Q34):
NEW QUESTION # 29
Under federal law, an insurance producer may be sentenced to prison for:
- A. Suing an insurer over contract violations
- B. Inducing a client to sign an application for insurance
- C. Selling insurance with a nonresident license
- D. Embezzling money from an insurance company
Answer: D
Explanation:
Federal law (18 U.S.C. § 1033) criminalizes embezzlement by a producer, a felony punishable by prison if interstate commerce is affected. Nonresident licensing is a state issue, inducing applications is legal, and suing is a civil action, not criminal.
References:18 U.S.C. § 1033; MIA producer conduct alignment.
NEW QUESTION # 30
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
Answer: D
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 # 31
If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?
- A. Refer the employer to a licensed insurance producer
- B. Help the employer sign-up through the SHOP Exchange
- C. Refer the employer to the Maryland Insurance Administration
- D. Refer the employer to the carrier where a friend works
Answer: A
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 # 32
In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:
- A. Charged an additional premium for the first three years
- B. Declined coverage
- C. Charged the standard premium rate
- D. Required to pay the first year's premium in a lump sum
Answer: C
Explanation:
Standard risk applicants (Insurance Article, § 15-201) receive the standard premium rate, as their risk aligns with the average pool. Declining coverage or adjusting payment terms applies to higher risks, not standard ones.
References:Maryland Insurance Article, § 15-201; MIA underwriting guidelines.
NEW QUESTION # 33
The Maryland Insurance Administration is an agency of the:
- A. State government
- B. National Association of Insurance Commissioners
- C. Maryland General Assembly
- D. Federal government
Answer: A
Explanation:
The Maryland Insurance Administration (MIA) is a state agency under Insurance Article, § 2-101, regulating insurance within Maryland. The federal government oversees broader laws, the NAIC is a voluntary group, and the General Assembly legislates, but the MIA operates as an executive state entity.
References:Maryland Insurance Article, § 2-101; MIA official structure.
NEW QUESTION # 34
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