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

1. Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:

A) Reasonable and customary charges
B) Scheduled charges
C) Utilization charges
D) Preapproved charges

2. In Maryland, a group accident and health certificate of insurance must contain:

A) A list of all participating physicians
B) A summary of policy features and benefits
C) The insurer's financial statement
D) A copy of the group contract

3. Which statement is true of trade association groups eligible for group medical benefits?

A) Members of the association are usually in the same industry
B) The association membership primarily consists of large employers
C) Employer contributions are usually waived
D) Such associations are formed for the purpose of purchasing insurance

4. The typical group disability income insurance policy EXCLUDES coverage for disability resulting from:

A) Injuries occurring in the home
B) Military service
C) Automobile accidents
D) Commercial airline crashes

5. In accident and health insurance, a waiting period for pre-existing conditions means that:

A) A period of time must elapse before pre-existing conditions are covered
B) Payment for expenses resulting from pre-existing conditions is held in escrow
C) Coverage for pre-existing conditions is permanently excluded by a new insurer
D) Coverage for pre-existing conditions starts at the inception of the new policy

Solutions: