Life-and-Accident-and-Health-or-Sickness-Producer-Combo Sample Exam - New Life-and-Accident-and-Health-or-Sickness-Producer-Combo Exam Notes

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Insurance Licensing Life-and-Accident-and-Health-or-Sickness-Producer-Combo Exam Syllabus Topics:

SectionObjectives
Topic 1: General Insurance Concepts- Insurance principles and risk management
  • 1. Risk types and management methods
    • 2. Insurance contract fundamentals
      Topic 2: Life Insurance- Policy provisions and riders
      • 1. Policy loans and dividends
        • 2. Beneficiaries and settlements
          - Life insurance policies
          • 1. Whole life insurance
            • 2. Universal life insurance
              • 3. Term life insurance
                Topic 3: Accident and Health Insurance- Policy provisions
                • 1. Exclusions and limitations
                  • 2. Coordination of benefits
                    - Health insurance types
                    • 1. Disability income insurance
                      • 2. Medical expense insurance
                        • 3. Long-term care insurance
                          Topic 4: State Law and Regulations- Insurance producer regulations
                          • 1. Licensing requirements
                            • 2. Ethics and fiduciary duties

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                              Insurance Licensing Life and Accident and Health or Sickness Producer - Combo Series 20-30 Sample Questions (Q249-Q254):

                              NEW QUESTION # 249
                              Which benefit is usually excluded from accident and health plan coverage?

                              Answer: A

                              Explanation:
                              Accident and health plans (Insurance Article, § 15-201) cover acute needs like hospital, physician, and surgical expenses. Custodial care-non-medical daily assistance-is excluded, typically covered by long-term care insurance.
                              References:Maryland Insurance Article, § 15-201; MIA health insurance standards.


                              NEW QUESTION # 250
                              In HMO coverage, all of the following services must be available 24 hours per day, 7 days per week EXCEPT:

                              Answer: C

                              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 # 251
                              A licensee must report each of the following to the Maryland Insurance Administration EXCEPT:

                              Answer: A

                              Explanation:
                              Insurance licensees in Maryland are required to report certain changes to the Maryland Insurance Administration (MIA):
                              Change of name (A): Must be reported promptly to ensure accurate licensure records.
                              Change of residence address (B): Also required for communication and compliance purposes.
                              Felony convictions (D): Mandatory disclosure to maintain transparency and evaluate fitness for licensure.
                              Change in financial status (C): Not required unless it directly affects the licensee's ability to meet financial obligations tied to the license (e.g., bonding requirements).
                              References: Maryland Insurance Code §10-118, COMAR 31.03.01.


                              NEW QUESTION # 252
                              In accident and health insurance, a waiting period for pre-existing conditions means that:

                              Answer: D

                              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 # 253
                              An insurer may refuse to underwrite a particular insurance applicant for a reason based wholly on:

                              Answer: A

                              Explanation:
                              Maryland law allows insurers to consider medical conditions (A) as part of the underwriting process, provided it is done fairly and within legal boundaries.
                              Race (B), Gender (C), and Creed (D): Discrimination based on these factors is strictly prohibited under Maryland's anti-discrimination laws and the Unfair Trade Practices Act.
                              Insurers must comply with state and federal regulations, ensuring underwriting decisions are based on actuarially justified factors, such as health and lifestyle, rather than prohibited discriminatory criteria.
                              References: Maryland Insurance Article §27-501, Anti-Discrimination Guidelines, and COMAR 31.15.03.


                              NEW QUESTION # 254
                              ......

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