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

1. The entire contract provision in an individual accident and health insurance policy states that the producer:

A) Has no authority to change the policy or waive any of its provisions
B) May waive only certain contract provisions
C) Has company authority to waive any contract provisions
D) Has company authority to change the policy

2. When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

A) The principal insured individual
B) The patient or parent of the patient
C) The premium payor
D) The insurer

3. In dental insurance coverage, which one of the following typically is EXCLUDED?

A) Treatment started prior to the eligibility date
B) Preventive care
C) Root canal therapy
D) Dental X-rays

4. A certificate of insurance in a group accident and health plan is:

A) Issued to the employer for each insured location
B) A binding contract between the employee and the insurer
C) A binding contract between the employer and the insurer
D) Evidence of the employee's insurance coverage

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

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

Solutions: