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

1. Reasonable and customary charges for health care are based primarily on:

A) Insurance industry studies
B) National physician surveys
C) Actuarial tables
D) Average charges within a geographic area

2. In general practice, which one of the following is true of the powers of the Maryland Insurance Administration with respect to access to a producer's business records?

A) Authorization must come from the National Association of Insurance Commissioners (NAIC)
B) Records must be produced upon the request of the Maryland Insurance Administration
C) Records can only be accessed by an order of a state court
D) The Maryland Insurance Administration has no right to access a producer's business records because of privacy considerations

3. 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) Dependency for the first two years of continued coverage only
B) Incapacity and dependency upon reaching the age limit
C) Continued insurability
D) Incapacity only

4. Which feature in a long-term care insurance policy is designed specifically to provide benefits at times when family members need a break from caring for the insured?

A) Skilled nursing facility care
B) Custodial facility care
C) Home health care
D) Respite care

5. An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:

A) A drug smuggling operation
B) A nuclear power plant
C) A skydiving exhibition
D) A state-sponsored centennial celebration

Solutions: