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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:

1. Misrepresenting pertinent policy provisions relating to coverages after a loss is:

A) An unfair claim settlement practice
B) A concealment in insurance applications
C) An unfair discrimination between individuals
D) A violation of the principle of adhesion

2. Which of the following is NOT a mandated benefit in Maryland?

A) Treatment of mental illness
B) Weight reduction programs
C) Treatment of substance abuse
D) Hearing aids for children

3. An insurance producer provided several examples to the applicant persuasively demonstrating that the insurance coverage offered under his company's policy was superior to a competitor's product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?

A) Discrimination
B) Rebating
C) Fraud
D) Twisting

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

5. Medical expense insurance typically EXCLUDES coverage for treatment of:

A) Intentionally self-inflicted injuries
B) Chronic back pain
C) Eating disorders
D) Undiagnosed diseases

Solutions: