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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q47-Q52):

NEW QUESTION # 47
Which of the following is a requirement of an insurable risk?

A. The loss must be catastrophic.
B. The loss must be intentional.
C. The chance of loss must be calculable.
D. There must be a large number of different loss exposures.

Answer: C

Explanation:
Comprehensive and Detailed Step by Step Explanation:Aninsurable riskmust meet specific criteria to ensure fair and financially viable coverage:
Chance of loss must be calculable (C):Correct. Insurers need statistical data to assess risk and determine premiums.
Loss must be intentional (A):Incorrect; intentional losses are not insurable.
Loss must be catastrophic (B):Incorrect; catastrophic losses (e.g., war or large-scale disasters) are often excluded or managed through reinsurance.
Large number of different loss exposures (D):A large number of similar, not different, exposures is required for risk pooling.
References:Maryland Insurance Principles, Actuarial Standards, and COMAR 31.09.14.

NEW QUESTION # 48
In Maryland, a group accident and health certificate of insurance must contain:

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

Answer: D

Explanation:
Certificates (Insurance Article, § 15-1207) summarize policy features and benefits for group members, not the full contract, physician lists, or financial statements, which are separate or irrelevant. This ensures employees understand their coverage.
References:Maryland Insurance Article, § 15-1207; MIA group insurance rules.

NEW QUESTION # 49
To be deemed a "qualified employer" under the Maryland Health Benefit Exchange Act, anemployer MUST:

A. Have its principal place of business in the state of Maryland
B. Have at least 50% of its employees work in the state of Maryland
C. Contribute to employee premiums
D. Have at least 50% of its employees reside in the state of Maryland

Answer: A

Explanation:
The Maryland Health Benefit Exchange Act (Insurance Article, § 31-101) defines a qualified employer as one with its principal place of business in Maryland for SHOP Exchange eligibility. Premium contributions are optional, and employee work or residency percentages aren't required.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange rules.

NEW QUESTION # 50
The waiver of premium provision in a disability income policy provides that premiums will be waived during:

A. The elimination period
B. The time limit on certain defenses
C. The disability benefit period
D. The grace period

Answer: C

Explanation:
The waiver of premium provision (Insurance Article, § 15-201) waives premiums during the disability benefit period-when benefits are paid-easing financial strain. The elimination period requires premium payment, the grace period is for late payments, and the time limit on defenses relates to incontestability, not waivers.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.

NEW QUESTION # 51
Which expenses are covered by Medicare Part D?

A. Hospital
B. Medical
C. Dental
D. Prescription drug

Answer: D

Explanation:
Medicare Part D covers outpatient prescription drugs, not medical (Part B), hospital (Part A), or dental (excluded) expenses, per federal law applicable in Maryland. It fills a key gap for enrollees' medication costs.
References:Medicare guidelines; Maryland Insurance Article, § 15-901.

NEW QUESTION # 52
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Latest Accident-and-Health-or-Sickness-Producer Learning Material | Reliable Accident-and-Health-or-Sickness-Producer Exam Preparation

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q47-Q52):

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