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Valid Accident-and-Health-or-Sickness-Producer Exam Topics - Accident-and-Health-or-Sickness-Producer Authorized Pdf
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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q83-Q88):
NEW QUESTION # 83
All of the following are true of insurance EXCEPT:
- A. It protects against uncertainty
- B. It eliminates risk
- C. It is a means of sharing losses
- D. It transfers risk
Answer: B
Explanation:
Insurance (Insurance Article, § 1-101) transfers risk, shares losses, and protects against uncertainty, but it mitigates, not eliminates, risk, which remains inherent.
References:Maryland Insurance Article, § 1-101; MIA insurance basics.
NEW QUESTION # 84
All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:
- A. Physical examinations
- B. Immunizations for children
- C. Well-baby checkups
- D. Experimental surgery
Answer: D
Explanation:
HMOs (Health-General Article, § 19-701) provide preventive care like checkups, immunizations, and exams.
Experimental surgery isn't preventive or standard, making it the exception to covered services.
References:Maryland Health-General Article, § 19-701; MIA HMO guidelines.
NEW QUESTION # 85
Which expenses are covered by Medicare Part D?
- A. Medical
- B. Hospital
- C. Prescription drug
- D. Dental
Answer: C
Explanation:
Medicare Part D covers outpatient prescription drugs, not medical (Part B), hospital (Part A), or dental (excluded) expenses, per federal law applicable in Maryland. It fills a key gap for enrollees' medication costs.
References:Medicare guidelines; Maryland Insurance Article, § 15-901.
NEW QUESTION # 86
A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:
- A. Dental and vision care
- B. Well-baby or well-child care
- C. Routine physical examinations
- D. Emergency services
Answer: A
Explanation:
Maryland HMOs (Health-General Article, § 19-701) must provide basic health services like routine physicals, well-child care, and emergency services. Dental and vision care, however, are not required unless specified as supplemental benefits. State law mandates pediatric care but excludes routine dental and vision from standard HMO coverage unless the plan explicitly includes them.
References:Maryland Health-General Article, § 19-701; Insurance Article, § 15-1201; MIA HMO guidelines.
NEW QUESTION # 87
Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?
- A. Branch office
- B. Captive agent
- C. Direct response
- D. Contingent
Answer: C
Explanation:
Direct response (Insurance Article, § 10-101) uses mass media and mail to sell directly, bypassing producers, unlike branch offices, captive agents, or contingent systems, which involve intermediaries.
References:Maryland Insurance Article, § 10-101; MIA marketing guidelines.
NEW QUESTION # 88
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