LATEST ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER BRAINDUMPS SHEET - ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER QUESTION EXPLANATIONS

Latest Accident-and-Health-or-Sickness-Producer Braindumps Sheet - Accident-and-Health-or-Sickness-Producer Question Explanations

Latest Accident-and-Health-or-Sickness-Producer Braindumps Sheet - Accident-and-Health-or-Sickness-Producer Question Explanations

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Latest Accident-and-Health-or-Sickness-Producer Braindumps Sheet - Your Powerful Weapon to Pass MarylandAccident and Health or Sickness Producer Series 20-24 Exam

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q17-Q22):

NEW QUESTION # 17
An insured incurs a covered accident and health insurance loss on May 30, which is submitted to the insurer on June 8. If the insured terminated coverage on June 1, the insurer:

  • A. Must pay the claim upon receipt of the proof of loss
  • B. Can refuse to pay the claim under the pre-existing conditions exclusion
  • C. Can refuse to pay the claim because coverage has been terminated
  • D. Must pay the claim within one year of termination of coverage

Answer: A

Explanation:
A loss on May 30, while covered (Insurance Article, § 15-201), obligates the insurer to pay upon proof, despite termination on June 1. Termination or pre-existing exclusions don't negate prior coverage, and no one- year rule applies.
References:Maryland Insurance Article, § 15-201; MIA claims rules.


NEW QUESTION # 18
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. Custodial facility care
  • B. Skilled nursing facility care
  • C. Home health care
  • D. Respite care

Answer: D

Explanation:
Respite care (Insurance Article, § 18-101) offers temporary professional care to relieve family caregivers, a mandated feature in Maryland long-term care policies. Skilled nursing, custodial care, and home health care serve ongoing needs, not specifically caregiver breaks.
References:Maryland Insurance Article, § 18-101 et seq.; MIA LTC guidelines.


NEW QUESTION # 19
In accident and health insurance, a waiting period for pre-existing conditions means that:

  • A. A period of time must elapse before pre-existing conditions are covered
  • B. Payment for expenses resulting from pre-existing conditions is held in escrow
  • C. Coverage for pre-existing conditions is permanently excluded by a new insurer
  • D. Coverage for pre-existing conditions starts at the inception of the new policy

Answer: A

Explanation:
A waiting period (Insurance Article, § 15-109) delays coverage for pre-existing conditions (e.g., 6-12 months), not permanently excluding them, starting at inception, or holding payments in escrow.
References:Maryland Insurance Article, § 15-109; MIA pre-existing condition rules.


NEW QUESTION # 20
In general practice, which one of the following is true of the powers of the Maryland Insurance Administration with respect to access to a producer's business records?

  • A. Authorization must come from the National Association of Insurance Commissioners (NAIC)
  • B. The Maryland Insurance Administration has no right to access a producer's business records because of privacy considerations
  • C. Records can only be accessed by an order of a state court
  • D. Records must be produced upon the request of the Maryland Insurance Administration

Answer: D

Explanation:
The MIA (Insurance Article, § 2-207) can request and access producer records for audits or investigations, overriding privacy for regulatory purposes. Court orders or NAIC approval aren't required, and access is a standard power.
References:Maryland Insurance Article, § 2-207; MIA regulatory authority.


NEW QUESTION # 21
In HMO coverage, all of the following services must be available 24 hours per day, 7 days per week EXCEPT:

  • A. Emergency medical care
  • B. Primary care
  • C. In-patient hospital services
  • D. Dental care

Answer: D

Explanation:
HMOs (Health-General Article, § 19-701) ensure 24/7 access to hospital, emergency, and primary care services. Dental care isn't a core requirement and isn't typically available 24/7 unless added separately.
References:Maryland Health-General Article, § 19-701; MIA HMO standards.


NEW QUESTION # 22
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