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Accident-and-Health-or-Sickness-Producer Valid Dumps Ppt & Accident-and-Health-or-Sickness-Producer Exam Topics
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q89-Q94):
NEW QUESTION # 89
If an insurer pays an individual accident and health insurance claim during a policy's grace period:
- A. The policy is canceled automatically at the end of the grace period
- B. A 10% service fee is charged
- C. The amount of unpaid premium may be subtracted from the reimbursement
- D. The deductible is waived
Answer: C
Explanation:
During the grace period (Insurance Article, § 15-209), insurers can deduct unpaid premiums from claims paid, maintaining coverage without waiving deductibles, charging fees, or auto-canceling.
References:Maryland Insurance Article, § 15-209; MIA policy payment rules.
NEW QUESTION # 90
If an individual's occupation is considered to be illegal:
- A. It may require a waiver on a disability income insurance policy
- B. It results in a substandard rating on an accident and health insurance policy
- C. It must be stated as such on an accident and health insurance application
- D. It may result in a denial of a disability income claim
Answer: D
Explanation:
Illegal occupations (Insurance Article, § 12-101) can lead to claim denials if disability arises from illegal acts, per public policy. Disclosure isn't mandated, waivers don't apply, and ratings adjust risk, not legality.
References:Maryland Insurance Article, § 12-101; MIA claims policies.
NEW QUESTION # 91
In Maryland, continuation of medical plan coverage for a handicapped child beyond the age limit stated in the policy may require proof of the child's:
- A. Incapacity only
- B. Incapacity and dependency upon reaching the age limit
- C. Continued insurability
- D. Dependency for the first two years of continued coverage only
Answer: B
Explanation:
Under Insurance Article, § 15-401, coverage for handicapped children extends beyond age limits if they're incapacitated (unable to work) and dependent on the insured at the age limit. Insurability isn't required, incapacity alone isn't enough, and dependency isn't time-limited to two years.
References:Maryland Insurance Article, § 15-401; MIA dependent coverage rules.
NEW QUESTION # 92
An insured's statements on an accident and health insurance application are deemed to be:
- A. General provisions
- B. Representations
- C. Warranties
- D. Categorical
Answer: B
Explanation:
Statements on applications (Insurance Article, § 12-206) are representations-factual assertions to the best of the insured's knowledge-where only material misrepresentations void a policy. Warranties are stricter and less common, while categorical and general provisions don't apply.
References:Maryland Insurance Article, § 12-206; MIA application rules.
NEW QUESTION # 93
All of the following factors may affect premium determination in individual life insurance EXCEPT:
- A. Race
- B. Health
- C. Occupation
- D. Age
Answer: A
Explanation:
Comprehensive and Detailed Step by Step Explanation:Premium determination in life insurance depends on factors that measure risk, butrace (D)is not and cannot be used due to anti-discrimination laws.
Age (A):A primary factor; younger applicants are charged lower premiums due to lower mortality risk.
Health (B):Significant; poor health or pre-existing conditions increase premiums.
Occupation (C):Risky professions (e.g., construction or aviation) may result in higher premiums.
Race (D):Prohibited by Maryland law, which ensures fairness and prohibits underwriting based on race, ethnicity, or similar discriminatory criteria.
References:Maryland Insurance Article §27-501, COMAR 31.09.03, and Anti-Discrimination Standards in Insurance.
NEW QUESTION # 94
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