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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q59-Q64):

NEW QUESTION # 59
Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:

A. Copy of the person's living will
B. Report of a physical examination
C. Power of attorney
D. Applicant's family's consent

Answer: B

Explanation:
For non-guaranteed issue long-term care policies (Insurance Article, § 18-107), a physical exam report is required for applicants 80+ to assess risk, not family consent, living wills, or power of attorney.
References:Maryland Insurance Article, § 18-107; MIA LTC underwriting rules.

NEW QUESTION # 60
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 accidental death of an HMO member
C. Health care services provided to members of the HMO
D. The dismemberment 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 # 61
Who has the right to change the beneficiary of an accident and health policy with a revocable beneficiary designation?

A. The beneficiary
B. The insurer
C. The producer
D. The policyowner

Answer: D

Explanation:
With a revocable beneficiary (Insurance Article, § 16-201), the policyowner retains the right to change the beneficiary, not the beneficiary, insurer, or producer, who lack such authority.
References:Maryland Insurance Article, § 16-201; MIA policy ownership rules.

NEW QUESTION # 62
An insured incurs a covered accident and health insurance loss on May 30, which is submitted to the insurer on June 8. If the insured terminated coverage on June 1, the insurer:

A. Can refuse to pay the claim under the pre-existing conditions exclusion
B. Can refuse to pay the claim because coverage has been terminated
C. Must pay the claim upon receipt of the proof of loss
D. Must pay the claim within one year of termination of coverage

Answer: C

Explanation:
A loss on May 30, while covered (Insurance Article, § 15-201), obligates the insurer to pay upon proof, despite termination on June 1. Termination or pre-existing exclusions don't negate prior coverage, and no one- year rule applies.
References:Maryland Insurance Article, § 15-201; MIA claims rules.

NEW QUESTION # 63
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 the carrier where a friend works
B. Refer the employer to the Maryland Insurance Administration
C. Refer the employer to a licensed insurance producer
D. Help the employer sign-up through the SHOP Exchange

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 # 64
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