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| Section | Objectives |
|---|
| Life Insurance | - Policy provisions and riders
- 1. Beneficiaries and settlements
- 2. Policy loans and dividends
- Life insurance policies
- 1. Whole life insurance
- 2. Term life insurance
- 3. Universal life insurance
|
| Accident and Health Insurance | - Health insurance types
- 1. Medical expense insurance
- 2. Long-term care insurance
- 3. Disability income insurance
- Policy provisions
- 1. Exclusions and limitations
- 2. Coordination of benefits
|
| State Law and Regulations | - Insurance producer regulations
- 1. Licensing requirements
- 2. Ethics and fiduciary duties
|
| General Insurance Concepts | - Insurance principles and risk management
- 1. Insurance contract fundamentals
- 2. Risk types and management methods
|
>> Life-and-Accident-and-Health-or-Sickness-Producer-Combo Hot Questions <<
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Insurance Licensing Life and Accident and Health or Sickness Producer - Combo Series 20-30 Sample Questions (Q161-Q166):
NEW QUESTION # 161
(One of the purposes of a qualified profit-sharing plan is to:)
- A. Liquidate the assets of a corporation.
- B. Motivate management to achieve a 25% profit margin.
- C. Distribute a portion of company earnings to employees.
- D. Reward the stockholders of a corporation.
Answer: C
Explanation:
Comprehensive and Detailed Step by Step Explanation:
* What a profit-sharing plan is:An employer-sponsored retirement plan where the employer may make discretionary contributions, often tied to profits, allocating contributions to employees under a formula.
* Purpose:To share company success with employees and provide retirement/compensation benefits.
* Why B is correct:It directly states the core purpose-distribute a portion of company earnings to employees.
* Why others are wrong:
* A: Plans are not designed to guarantee a profit margin goal.
* C: Liquidation is unrelated.
* D: Stockholders benefit through dividends/stock appreciation, not through an employee qualified plan.
* Maryland reference (consumer-facing fairness):If these plans are sold/represented alongside insurance products, any misleading description of plan nature/benefits could be a misrepresentation; Maryland prohibits misleading disclosure of pertinent facts or provisions in the insurance context.
NEW QUESTION # 162
Under what circumstances will a contingent beneficiary be entitled to proceeds from a life insurance policy?
- A. If the contingent beneficiary is a child of the insured
- B. After proceeds are paid to the primary beneficiary
- C. If the primary beneficiary has predeceased the insured
- D. After all outstanding debts of the insured have been settled
Answer: C
Explanation:
Comprehensive and Detailed in Depth Explanation:
The correct answer isC. If the primary beneficiary has predeceased the insured. A contingent beneficiary, also called a secondary beneficiary, receives life insurance proceeds only if the primary beneficiary cannot receive them. The NAIC explains that primary beneficiaries receive the policy benefit if they outlive the insured, while contingent or secondary beneficiaries receive the proceeds if the primary beneficiary dies before the insured.
Option A is incorrect because a contingent beneficiary does not receive proceeds after the primary beneficiary has already been paid. Option B is incorrect because life insurance beneficiary rights are not based simply on whether all of the insured's debts have been settled. Option D is incorrect because being the insured's child does not automatically make someone the contingent beneficiary; the person must be properly designated under the policy. Maryland regulations require the policy to identify the beneficiary and reserve the policyowner's right to change the beneficiary unless the designation is irrevocable. Official References:
Maryland COMAR beneficiary provision and NAIC beneficiary guidance.
NEW QUESTION # 163
Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:
- A. Scheduled charges
- B. Preapproved charges
- C. Reasonable and customary charges
- D. Utilization charges
Answer: C
Explanation:
Reasonable and customary charges are the typical fees for a procedure in a geographic area, used to set reimbursement levels (Insurance Article, § 15-1005). Preapproved charges require prior authorization, utilization charges relate to service reviews, and scheduled charges are fixed fees, none of which define this standard.
References:Maryland Insurance Article, § 15-1005; MIA health insurance guidelines.
NEW QUESTION # 164
The Maryland Health Insurance Plan is designed to provide comprehensive health benefits for:
- A. Senior citizens residing in Maryland
- B. Medically uninsurable Maryland residents
- C. Children of low-income Maryland residents
- D. Low-income residents of Maryland
Answer: B
Explanation:
The Maryland Health Insurance Plan (MHIP, Insurance Article, § 15-1301) historically provided coverage for medically uninsurable residents rejected by private insurers, until phased out in 2014 by the ACA. It didn't target low-income (Medicaid), seniors (Medicare), or children (CHIP) specifically.
References:Maryland Insurance Article, § 15-1301 (historical); MIA MHIP documentation.
NEW QUESTION # 165
Based on the law of large numbers, which one of the following is true if the number of similar insured units increases?
- A. Predictability of losses improves
- B. Losses of specific individuals can be predicted
- C. The number of losses decreases
- D. Predictability of losses is impaired
Answer: A
Explanation:
Definition of the law of large numbers.
This actuarial principle states that as the number of exposure units increases, actual losses will more closely match expected losses.
Why insurers rely on this law.
It allows insurers to:
Set accurate premiums
Maintain solvency
Spread risk efficiently
Evaluate each option.
A). Predictability is impaired
Incorrect; predictability improves.
B). Individual losses predicted
Incorrect; only group results are predictable.
C). Predictability improves
Correct.
D). Number of losses decreases
Incorrect; frequency does not necessarily decline.
Maryland solvency oversight relevance.
The Maryland Insurance Administration relies on actuarial predictability to ensure insurers remain financially sound.
Conclusion.
Increasing similar exposure units improves predictability of losses.
NEW QUESTION # 166
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