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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Passing Score - Accident-and-Health-or-Sickness-Producer Vce Test Simulator

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q56-Q61):

NEW QUESTION # 56
An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:

A. An accounting error discovered by the producer's accountant
B. Incorrect filing of federal income taxes
C. Misleading a prospective insured in replacing accident and health insurance
D. Submitting a premium payment to an insurer in excess of the required amount

Answer: C

Explanation:
Errors and omissions liability arises from professional negligence (Insurance Article, § 10-126). Misleading a client about policy replacement (twisting, § 27-203) directly harms them, unlike accounting errors, overpayments, or tax issues, which are internal or personal.
References:Maryland Insurance Article, § 10-126, § 27-203; MIA producer liability rules.

NEW QUESTION # 57
Which type of coverage bases benefit eligibility on the capacity to perform activities of daily living?

A. Medicare supplement
B. Long-term care insurance
C. Long-term disability
D. Major medical expense

Answer: B

Explanation:
Long-term care insurance (Insurance Article, § 18-101) triggers benefits based on inability to perform ADLs (e.g., bathing), unlike Medigap, major medical, or disability, which focus on medical or work criteria.
References:Maryland Insurance Article, § 18-101; MIA long-term care rules.

NEW QUESTION # 58
Coverage for the first three pints of blood for Medicare enrollees is:

A. A Medicare Part B benefit
B. A Medicare Supplement additional benefit
C. A Medicare Supplement core benefit
D. A Medicare Part A benefit

Answer: C

Explanation:
Medicare Part A excludes the first three pints of blood for inpatient care, but Medigap core benefits (Insurance Article, § 15-901) cover this cost across all plans (A-J), making it a standard, not additional, benefit. Parts A and B don't include it directly.
References:Maryland Insurance Article, § 15-901; CMS Medicare guidelines.

NEW QUESTION # 59
When determining the premiums for large groups, most insurance companies use:

A. Occupational rating
B. Area rating
C. Pooled rating
D. Experience rating

Answer: D

Explanation:
Large group premiums (Insurance Article, § 15-1205) use experience rating, basing rates on the group's claims history. Occupational rating applies to specific jobs, area rating to geography, and pooled rating to small groups, none of which dominate large groups.
References:Maryland Insurance Article, § 15-1205; MIA group insurance guidelines.

NEW QUESTION # 60
Accident and health policies must cover physically or mentally handicapped dependent children:

A. To age 25
B. Until they become self-sustaining
C. To age 19
D. For life

Answer: D

Explanation:
Maryland law (Insurance Article, § 15-401) requires coverage for handicapped dependent children beyond standard age limits if they're incapable of self-sustaining employment and dependent on the insured. This extends for life, or as long as the policy is active, not limited to ages 19 or 25, nor tied to self-sustainability.
References:Maryland Insurance Article, § 15-401; MIA dependent coverage regulations.

NEW QUESTION # 61
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