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

1. An insurance producer provided several examples to the applicant persuasively demonstrating that the insurance coverage offered under his company's policy was superior to a competitor's product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?

A) Rebating
B) Discrimination
C) Twisting
D) Fraud

2. 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

3. When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

A) The premium payor
B) The patient or parent of the patient
C) The principal insured individual
D) The insurer

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

5. Misrepresenting pertinent policy provisions relating to coverages after a loss is:

A) A concealment in insurance applications
B) A violation of the principle of adhesion
C) An unfair discrimination between individuals
D) An unfair claim settlement practice

Solutions: