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Free PDF Valid Maryland Insurance Administration - Accident-and-Health-or-Sickness-Producer - MarylandAccident and Health or Sickness Producer Series 20-24 Exam Real Questions
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q26-Q31):
NEW QUESTION # 26
When determining the premiums for large groups, most insurance companies use:
- A. Occupational rating
- B. Area rating
- C. Pooled rating
- D. Experience rating
Answer: D
Explanation:
Large group premiums (Insurance Article, § 15-1205) use experience rating, basing rates on the group's claims history. Occupational rating applies to specific jobs, area rating to geography, and pooled rating to small groups, none of which dominate large groups.
References:Maryland Insurance Article, § 15-1205; MIA group insurance guidelines.
NEW QUESTION # 27
Pre-existing conditions include conditions of health that:
- A. Develop after the effective date of the policy but before the expiration of the time limit on certain defenses
- B. Have been medically treated or diagnosed prior to the effective date of coverage
- C. Must exist before an applicant can be accepted by an insurer
- D. Are never insurable under any circumstances or degree of severity
Answer: B
Explanation:
Pre-existing conditions (Insurance Article, § 15-109) are those treated or diagnosed before coverage begins, often subject to exclusions or waiting periods, unlike new conditions or uninsurable absolutes.
References:Maryland Insurance Article, § 15-109; MIA pre-existing condition rules.
NEW QUESTION # 28
Group health insurance contracts providing coverage for employees in more than one state are usually controlled by the laws of the state where:
- A. The producer resides
- B. The majority of employees reside
- C. The application is signed
- D. The master contract is issued
Answer: D
Explanation:
Multi-state group plans (Insurance Article, § 15-1202) are governed by the state where the master contract is issued, typically the employer's home state, ensuring consistent legal oversight regardless of employee location or producer residence.
References:Maryland Insurance Article, § 15-1202; MIA multi-state group rules.
NEW QUESTION # 29
The Maryland Insurance Administration is an agency of the:
- A. Maryland General Assembly
- B. Federal government
- C. State government
- D. National Association of Insurance Commissioners
Answer: C
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 # 30
All of the following are considered to be fraud EXCEPT:
- A. Collecting a charge for insurance that is less than the charge applicable to that insurance
- B. Collecting a premium for insurance that is not provided
- C. Willfully collecting a premium that exceeds the amount of the premium
- D. Collecting a proper premium for insurance that is provided
Answer: D
Explanation:
Fraud involves intentional deception for gain (Insurance Article, § 27-401). Overcharging, undercharging deceptively, or charging for nonexistent coverage are fraudulent. Collecting the proper premium for provided insurance is a legitimate transaction and not fraud, making it the exception.
References:Maryland Insurance Article, § 27-401, § 27-212; MIA fraud regulations.
NEW QUESTION # 31
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