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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. A health maintenance organization may issue a contract that provides benefits for the following:
A) The accidental death of an HMO member
B) Replacement of income lost by a member due to the member's disability
C) The dismemberment of an HMO member
D) Health care services provided to members of the HMO
2. The waiver of premium provision in a disability income policy provides that premiums will be waived during:
A) The disability benefit period
B) The grace period
C) The elimination period
D) The time limit on certain defenses
3. All of the following are examples of unfair claims settlement practices EXCEPT:
A) Denying unsubstantiated claims on a timely basis
B) Failing to promptly provide a reason for a claim denial
C) Refusing arbitrarily and unreasonably to pay claims
D) Misrepresenting pertinent facts of coverage
4. It is unlawful for a person to provide an advertisement that:
A) Uses a policy title to misrepresent a coverage
B) Makes a comparison of benefits between policies
C) Points out coverage advantages of a policy
D) Refers to the insurer's financial rating
5. Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:
A) Reasonable and customary charges
B) Preapproved charges
C) Utilization charges
D) Scheduled charges
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: A |






