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

1. A health maintenance organization may issue a contract that provides benefits for the following:

A) The dismemberment of an HMO member
B) Replacement of income lost by a member due to the member's disability
C) Health care services provided to members of the HMO
D) The accidental death of an HMO member

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

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

3. All of the following are considered to be fraud EXCEPT:

A) Willfully collecting a premium that exceeds the amount of the premium
B) Collecting a proper premium for insurance that is provided
C) Collecting a premium for insurance that is not provided
D) Collecting a charge for insurance that is less than the charge applicable to that insurance

4. When the insured's willful failure to disclose a material fact at the time of application is discovered by the insurer shortly after the policy is issued:

A) The policy is automatically void
B) The insurer may cancel the policy only at the expiration or renewal date
C) The policy is voidable at the insurer's option
D) The insurer must continue the insurance policy in full force

5. An insured's statements on an accident and health insurance application are deemed to be:

A) Categorical
B) General provisions
C) Warranties
D) Representations

Solutions: