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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q28-Q33):

NEW QUESTION # 28
The typical group disability income insurance policy EXCLUDES coverage for disability resulting from:

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

Answer: A

Explanation:
Group disability policies (Insurance Article, § 15-201) cover accidents like crashes or home injuries, but exclude military service disabilities, often covered by government programs (e.g., VA), reflecting standard exclusions.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.

NEW QUESTION # 29
Which statement describes the most likely federal income tax treatment of death benefits paid to the family of an insured under an accident and health insurance policy?

A. Benefits will not be taxable
B. Some benefits will usually be taxable
C. Taxation depends on the beneficiary's tax bracket
D. All benefits will be taxable

Answer: A

Explanation:
Death benefits from accident and health policies (e.g., accidental death, IRC § 101) are generally tax-free to beneficiaries. Partial or full taxation is rare unless tied to taxable settlements, and tax brackets don't determine this exemption.
References:IRC § 101; MIA tax treatment guidelines.

NEW QUESTION # 30
A producer may be guilty of misrepresentation if the producer:

A. Failed to disclose exclusions of the policy
B. Required timely written notice of loss for all claims
C. Denied a claim for failure of the policyholder to prove damages
D. Issued a full settlement check expressly releasing the insurer

Answer: A

Explanation:
Comprehensive and Detailed Step by Step Explanation:Misrepresentation involves providing false, misleading, or incomplete information about a policy:
Failed to disclose exclusions of the policy (A):Correct. Not informing the insured about policy exclusions misrepresents the coverage and violates Maryland law.
Denied a claim for failure to prove damages (B):This relates to claims handling and is not misrepresentation.
Required written notice of loss (C):This is a legitimate policy requirement, not misrepresentation.
Issued a full settlement check (D):Standard claims settlement practice when agreed upon; not related to misrepresentation.
References:Maryland Insurance Article §27-303, Misrepresentation and False Advertising Standards, COMAR 31.15.03.

NEW QUESTION # 31
If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?

A. Refer the employer to the carrier where a friend works
B. Refer the employer to the Maryland Insurance Administration
C. Refer the employer to a licensed insurance producer
D. Help the employer sign-up through the SHOP Exchange

Answer: C

Explanation:
SHOP Exchange (Insurance Article, § 31-101) serves employers with 1-50 employees; a 200-employee firm exceeds this, so the navigator should refer them to a producer for large group plans, not assist via SHOP, refer personally, or send to the MIA.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange guidelines.

NEW QUESTION # 32
A certificate of insurance in a group accident and health plan is:

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

Answer: A

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 # 33
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