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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:

1. Which one of the following causes of loss typically is EXCLUDED under a disability income insurance policy?

A) Tropical disease
B) Auto accidents
C) Intentionally self-inflicted injuries
D) Cancer

2. The phrase, "this policy pays $1,800 for hospital room and board expenses," should include the:

A) Maximum daily benefit and the minimum time limit for hospital room and board expenses
B) Maximum daily benefit and the maximum time limit for hospital room and board expenses
C) Minimum daily benefit and the minimum time limit for hospital room and board expenses
D) Minimum daily benefit and the maximum time limit for hospital room and board expenses

3. Which benefit is usually excluded from accident and health plan coverage?

A) Custodial care
B) Hospital expense
C) Physicians' visits
D) Surgical expense

4. Misrepresenting pertinent policy provisions relating to coverages after a loss is:

A) A concealment in insurance applications
B) An unfair claim settlement practice
C) An unfair discrimination between individuals
D) A violation of the principle of adhesion

5. 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

Solutions: