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

1. All of the following are examples of unfair claims settlement practices EXCEPT:

A) Misrepresenting pertinent facts of coverage
B) Failing to promptly provide a reason for a claim denial
C) Refusing arbitrarily and unreasonably to pay claims
D) Denying unsubstantiated claims on a timely basis

2. Which of the following is a requirement of an insurable risk?

A) The chance of loss must be calculable.
B) The loss must be intentional.
C) The loss must be catastrophic.
D) There must be a large number of different loss exposures.

3. When determining the premiums for large groups, most insurance companies use:

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

4. Which of the following is NOT a mandated benefit in Maryland?

A) Treatment of mental illness
B) Treatment of substance abuse
C) Hearing aids for children
D) Weight reduction programs

5. The Maryland Health Insurance Plan is designed to provide comprehensive health benefits for:

A) Medically uninsurable Maryland residents
B) Children of low-income Maryland residents
C) Low-income residents of Maryland
D) Senior citizens residing in Maryland

Solutions: