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MarylandAccident and Health or Sickness Producer Series 20-24 Exam

Last Update 11 hours ago Total Questions : 90

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Question # 21

All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

A.

Wellness programs

B.

Discounts on local health spa memberships

C.

Twenty-four hour access to emergency care

D.

Outpatient medical services

Question # 22

All of the following are examples of unfair claims settlement practices EXCEPT:

A.

Failing to promptly provide a reason for a claim denial

B.

Refusing arbitrarily and unreasonably to pay claims

C.

Denying unsubstantiated claims on a timely basis

D.

Misrepresenting pertinent facts of coverage

Question # 23

The free-look period provided in a life insurance policy is usually:

A.

10 days

B.

31 days

C.

45 days

D.

60 days

Question # 24

Reasonable and customary charges for health care are based primarily on:

A.

Actuarial tables

B.

Insurance industry studies

C.

Average charges within a geographic area

D.

National physician surveys

Question # 25

Disability income insurance premiums are a deductible expense when the premiums are paid by:

A.

A partnership for group disability income coverage for the partners

B.

A corporation for group disability income coverage for the employees

C.

An insured for individual disability income coverage

D.

An employee for group disability income coverage

Question # 26

Pre-existing conditions include conditions of health that:

A.

Are never insurable under any circumstances or degree of severity

B.

Must exist before an applicant can be accepted by an insurer

C.

Have been medically treated or diagnosed prior to the effective date of coverage

D.

Develop after the effective date of the policy but before the expiration of the time limit on certain defenses

Question # 27

Which feature in a long-term care insurance policy is designed specifically to provide benefits at times when family members need a break from caring for the insured?

A.

Respite care

B.

Skilled nursing facility care

C.

Custodial facility care

D.

Home health care

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