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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q23-Q28):

NEW QUESTION # 23
Which benefit is usually excluded from major medical expense plan coverage?

A. Hospice care
B. Routine dental care
C. Physical therapy
D. Prescription drugs

Answer: B

Explanation:
Major medical plans (Insurance Article, § 15-201) cover hospice, drugs, and therapy, but excluderoutine dental care, which requires separate dental insurance.
References:Maryland Insurance Article, § 15-201; MIA major medical standards.

NEW QUESTION # 24
Which type of coverage bases benefit eligibility on the capacity to perform activities of daily living?

A. Long-term care insurance
B. Major medical expense
C. Medicare supplement
D. Long-term disability

Answer: A

Explanation:
Long-term care insurance (Insurance Article, § 18-101) triggers benefits based on inability to perform ADLs (e.g., bathing), unlike Medigap, major medical, or disability, which focus on medical or work criteria.
References:Maryland Insurance Article, § 18-101; MIA long-term care rules.

NEW QUESTION # 25
The primary purpose of disability income insurance is to:

A. Pay necessary hospital expenses when the insured is unable to work
B. Provide benefit payments for a period of time when the insured is unable to work
C. Provide indemnity for loss of life
D. Pay any physicians' fees resulting from a disabling injury

Answer: B

Explanation:
Disability income insurance (Insurance Article, § 15-201) replaces income during disability, not life indemnity, hospital costs (health insurance), or physician fees (medical insurance). It supports financial stability when work is impossible.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.

NEW QUESTION # 26
After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?

A. Rebating
B. Twisting
C. Replacement
D. Fraud

Answer: D

NEW QUESTION # 27
A certificate of insurance in a group accident and health plan is:

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

Answer: B

Explanation:
The certificate (Insurance Article, § 15-1207) provides employees with evidence of coverage under the group plan, not a binding contract (master policy) or employer-specific by location. It summarizes benefits for clarity.
References:Maryland Insurance Article, § 15-1207; MIA group insurance rules.

NEW QUESTION # 28
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