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

1. Which benefit is usually excluded from accident and health plan coverage?

A) Physicians' visits
B) Custodial care
C) Hospital expense
D) Surgical expense

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

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

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

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

4. A nonprofit health service plan may NOT issue a contract that covers which of the following types of benefits?

A) Medical expense benefits
B) Disability income benefits
C) Dental benefits
D) Vision benefits

5. A certificate of insurance in a group accident and health plan is:

A) A binding contract between the employer and the insurer
B) Issued to the employer for each insured location
C) Evidence of the employee's insurance coverage
D) A binding contract between the employee and the insurer

Solutions: