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| Section | Objectives |
|---|
| Topic 1: General Insurance Concepts | - Insurance principles and risk management
- 1. Risk types and management methods
- 2. Insurance contract fundamentals
|
| Topic 2: Life Insurance | - Life insurance policies
- 1. Whole life insurance
- 2. Universal life insurance
- 3. Term life insurance
- Policy provisions and riders
- 1. Policy loans and dividends
- 2. Beneficiaries and settlements
|
| Topic 3: Accident and Health Insurance | - Health insurance types
- 1. Long-term care insurance
- 2. Disability income insurance
- 3. Medical expense insurance
- Policy provisions
- 1. Exclusions and limitations
- 2. Coordination of benefits
|
| Topic 4: State Law and Regulations | - Insurance producer regulations
- 1. Ethics and fiduciary duties
- 2. Licensing requirements
|
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Insurance Licensing Life and Accident and Health or Sickness Producer - Combo Series 20-30 Sample Questions (Q194-Q199):
NEW QUESTION # 194
When a wage earner dies, the surviving family members may have all of the following expenses EXCEPT:
- A. Death taxes
- B. Unemployment tax liabilities
- C. Final expenses
- D. Family living expenses
Answer: B
Explanation:
When a wage earner dies, surviving families face significant financial obligations:
Final expenses (A): Include funeral costs and related end-of-life expenses.
Family living expenses (C): Cover ongoing needs like housing, food, and utilities.
Death taxes (D): May apply based on estate value and Maryland inheritance laws.
Unemployment tax liabilities (B) are irrelevant as they apply only to employers, not surviving family members.
References: Maryland Estate Tax and Death Benefit Regulations.
NEW QUESTION # 195
Which one of the following life insurance settlement options pays a predetermined monthly benefit until principal and interest are exhausted?
- A. The interest-only option
- B. The accelerated endowment option
- C. The fixed period installment option
- D. The fixed amount installment option
Answer: D
Explanation:
The fixed amount installment option provides for a predetermined monthly benefit to the policy beneficiary.
Payments continue until the principal (death benefit) and accumulated interest are fully paid out.
Fixed amount installment option (A): Ensures consistent payment amounts until the death benefit and interest are exhausted. This option is often used when beneficiaries want a steady income.
Accelerated endowment option (B): Not relevant as it refers to early payouts for policies reaching maturity.
Interest-only option (C): Only pays interest earned on the death benefit, leaving the principal untouched.
Fixed period installment option (D): Guarantees payments for a specific period, regardless of whether the principal or interest is depleted.
References: Maryland Life Insurance Policy Payout Regulations and Settlement Options Guidelines.
NEW QUESTION # 196
Medical expense insurance typically EXCLUDES coverage for:
- A. Hospital laboratory tests
- B. Maternity care benefits
- C. Expenses incurred for primarily cosmetic surgery
- D. Hospital care extending past 30 days
Answer: C
Explanation:
Medical expense insurance covers necessary treatments like hospital stays, maternity care, and diagnostic tests, but excludes elective procedures such as primarily cosmetic surgery unless medically necessary (e.g., reconstructive surgery post-injury). Maryland law (Insurance Article, ยง 15-103) allows exclusions for non- essential services, aligning with standard practice where aesthetic surgeries like facelifts are not covered.
References:Maryland Insurance Article, ยง 15-103; MIA guidelines.
NEW QUESTION # 197
One factor in premium determination is the expenses of the:
- A. Producer
- B. Policy beneficiary
- C. Insurer
- D. Policy owner
Answer: C
Explanation:
The insurer's expenses are a critical factor in premium calculations. Insurers must cover operational costs, claims payouts, reserves, and regulatory compliance while ensuring profitability.
Insurer (B): Correct. Expenses such as underwriting, administrative costs, and agent commissions are incorporated into the premium.
Producer (A): Costs are included indirectly through commissions but are not a direct factor.
Policy beneficiary (C): Plays no role in premium determination.
Policy owner (D): Pays the premium but does not influence expense considerations.
References: Maryland Insurance Premium Guidelines, Rate Filing Requirements, and COMAR 31.05.02.
NEW QUESTION # 198
Reasonable and customary charges for health care are based primarily on:
- A. Actuarial tables
- B. Average charges within a geographic area
- C. National physician surveys
- D. Insurance industry studies
Answer: B
Explanation:
Reasonable and customary charges (Insurance Article, ยง 15-1005) reflect average fees for procedures in a specific geographic area (e.g., 80th percentile), ensuring fair reimbursement. Actuarial tables, studies, and national surveys aren't the primary basis.
References:Maryland Insurance Article, ยง 15-1005; MIA health insurance guidelines.
NEW QUESTION # 199
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