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Top Associate Accident-and-Health-or-Sickness-Producer Level Exam - How to Prepare for Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer In Short Time

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q64-Q69):

NEW QUESTION # 64
When the insured's willful failure to disclose a material fact at the time of application is discovered by the insurer shortly after the policy is issued:

• A. The insurer may cancel the policy only at the expiration or renewal date
• B. The policy is voidable at the insurer's option
• C. The policy is automatically void
• D. The insurer must continue the insurance policy in full force

Answer: B

Explanation:
A material misrepresentation (Insurance Article, § 12-206) allows the insurer to void the policy within the contestability period (typically 2 years) if willful. It's not automatically void, nor must it continue or wait until renewal; the insurer decides based on materiality.
References:Maryland Insurance Article, § 12-206; MIA misrepresentation rules.

NEW QUESTION # 65
Coverage for the first three pints of blood for Medicare enrollees is:

• A. A Medicare Supplement core benefit
• B. A Medicare Part A benefit
• C. A Medicare Part B benefit
• D. A Medicare Supplement additional benefit

Answer: A

Explanation:
Medicare Part A excludes the first three pints of blood for inpatient care, but Medigap core benefits (Insurance Article, § 15-901) cover this cost across all plans (A-J), making it a standard, not additional, benefit. Parts A and B don't include it directly.
References:Maryland Insurance Article, § 15-901; CMS Medicare guidelines.

NEW QUESTION # 66
A health maintenance organization may issue a contract that provides benefits for the following:

• A. Replacement of income lost by a member due to the member's disability
• B. The dismemberment of an HMO member
• C. Health care services provided to members of the HMO
• D. The accidental death of an HMO member

Answer: C

Explanation:
HMOs (Health-General Article, § 19-701) provide health care services to members, not income replacement (disability insurance), accidental death, or dismemberment benefits (life/accident insurance).
References:Maryland Health-General Article, § 19-701; MIA HMO guidelines.

NEW QUESTION # 67
In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?

• A. No, because of privacy considerations
• B. Yes, because of the powers defined by state laws
• C. Yes, because all company and agency records are public domain
• D. No, because only an officer of the court can inspect these records

Answer: B

Explanation:
Comprehensive and Detailed Step by Step Explanation:The Maryland Insurance Administration (MIA) is authorized to inspect the records of insurers and agencies to ensure compliance with laws:
Yes, because of the powers defined by state laws (B):Correct. The MIA has broad authority under Maryland law to audit, inspect, and investigate insurance business practices.
No, because of privacy considerations (A):Incorrect. Regulatory inspections are exempt from privacy concerns when conducted lawfully.
Only an officer of the court (C):Not required; the MIA operates independently within its legal mandate.
Public domain records (D):Incorrect; insurance records are not publicly accessible unless required by law.
References:Maryland Insurance Article §2-209, COMAR 31.03.01, and Regulatory Oversight Guidelines.

NEW QUESTION # 68
When a producer sells an individual accident and health insurance policy, how is the initial premium usually paid?

• A. The insurer utilizes the applicant's automatic bank draft authorization
• B. The insurer bills the applicant when the application is approved
• C. The applicant sends it directly to the insurer with the application
• D. The producer collects and forwards it to the insurer

Answer: D

Explanation:
Producers (Insurance Article, § 10-126) typically collect the initial premium with the application and forward it to the insurer, streamlining the process, unlike direct payment, billing, or bank drafts, which are less common initially.
References:Maryland Insurance Article, § 10-126; MIA producer procedures.

NEW QUESTION # 69
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