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Accident-and-Health-or-Sickness-Producer 100% Exam Coverage - Accident-and-Health-or-Sickness-Producer Latest Study Guide
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q65-Q70):
NEW QUESTION # 65
When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?
- A. The patient or parent of the patient
- B. The premium payor
- C. The principal insured individual
- D. The insurer
Answer: D
Explanation:
If an insurer mandates a physical exam (Insurance Article, § 12-202), it pays the cost, as it's a condition of coverage or claims processing. The premium payor, insured, or patient isn't responsible for insurer-initiated requirements.
References:Maryland Insurance Article, § 12-202; MIA policy standards.
NEW QUESTION # 66
Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?
- A. Branch office
- B. Contingent
- C. Captive agent
- D. Direct response
Answer: D
Explanation:
Direct response (Insurance Article, § 10-101) uses mass media and mail to sell directly, bypassing producers, unlike branch offices, captive agents, or contingent systems, which involve intermediaries.
References:Maryland Insurance Article, § 10-101; MIA marketing guidelines.
NEW QUESTION # 67
Disability income insurance premiums are a deductible expense when the premiums are paid by:
- A. A corporation for group disability income coverage for the employees
- B. An employee for group disability income coverage
- C. A partnership for group disability income coverage for the partners
- D. An insured for individual disability income coverage
Answer: A
Explanation:
Under IRC § 162, premiums paid by a corporation for group disability coverage for employees are deductible as a business expense, with benefits taxable to employees. Partnerships can't deduct for partners (owners), individual premiums aren't deductible (IRC § 213), and employee-paid premiums don't qualify unless under specific plans. Maryland follows federal tax treatment.
References:Maryland Insurance Article; IRC § 162, § 213; MIA tax guidelines.
NEW QUESTION # 68
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 grace period
- D. The disability benefit period
Answer: D
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 # 69
All of the following factors may affect premium determination in individual life insurance EXCEPT:
- A. Age
- B. Health
- C. Occupation
- D. Race
Answer: D
Explanation:
Comprehensive and Detailed Step by Step Explanation:Premium determination in life insurance depends on factors that measure risk, butrace (D)is not and cannot be used due to anti-discrimination laws.
Age (A):A primary factor; younger applicants are charged lower premiums due to lower mortality risk.
Health (B):Significant; poor health or pre-existing conditions increase premiums.
Occupation (C):Risky professions (e.g., construction or aviation) may result in higher premiums.
Race (D):Prohibited by Maryland law, which ensures fairness and prohibits underwriting based on race, ethnicity, or similar discriminatory criteria.
References:Maryland Insurance Article §27-501, COMAR 31.09.03, and Anti-Discrimination Standards in Insurance.
NEW QUESTION # 70
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