NEW ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER EXAMCOLLECTION VCE | EFFICIENT EXAM ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER PASS GUIDE: MARYLANDACCIDENT AND HEALTH OR SICKNESS PRODUCER SERIES 20-24 EXAM

New Accident-and-Health-or-Sickness-Producer Examcollection Vce | Efficient Exam Accident-and-Health-or-Sickness-Producer Pass Guide: MarylandAccident and Health or Sickness Producer Series 20-24 Exam

New Accident-and-Health-or-Sickness-Producer Examcollection Vce | Efficient Exam Accident-and-Health-or-Sickness-Producer Pass Guide: MarylandAccident and Health or Sickness Producer Series 20-24 Exam

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q79-Q84):

NEW QUESTION # 79
Which expenses are covered by Medicare Part D?

  • A. Medical
  • B. Hospital
  • C. Dental
  • D. Prescription drug

Answer: D

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 # 80
When determining the premiums for large groups, most insurance companies use:

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

Answer: A

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 # 81
Medical expense insurance typically EXCLUDES coverage for:

  • A. Maternity care benefits
  • B. Hospital laboratory tests
  • C. Hospital care extending past 30 days
  • D. Expenses incurred for primarily cosmetic surgery

Answer: D

Explanation:
Medical expense insurance covers necessary treatments like hospital stays, maternity care, and diagnostic tests, but excludes elective procedures such as primarily cosmetic surgery unless medically necessary (e.g., reconstructive surgery post-injury). Maryland law (Insurance Article, § 15-103) allows exclusions for non- essential services, aligning with standard practice where aesthetic surgeries like facelifts are not covered.
References:Maryland Insurance Article, § 15-103; MIA guidelines.


NEW QUESTION # 82
Disability income insurance premiums are a deductible expense when the premiums are paid by:

  • A. A partnership for group disability income coverage for the partners
  • B. A corporation for group disability income coverage for the employees
  • C. An insured for individual disability income coverage
  • D. An employee for group disability income coverage

Answer: B

Explanation:
Under IRC § 162, premiums paid by a corporation for group disability coverage for employees are deductible as a business expense, with benefits taxable to employees. Partnerships can't deduct for partners (owners), individual premiums aren't deductible (IRC § 213), and employee-paid premiums don't qualify unless under specific plans. Maryland follows federal tax treatment.
References:Maryland Insurance Article; IRC § 162, § 213; MIA tax guidelines.


NEW QUESTION # 83
To be deemed a "qualified employer" under the Maryland Health Benefit Exchange Act, anemployer MUST:

  • A. Have at least 50% of its employees reside in the state of Maryland
  • B. Have its principal place of business in the state of Maryland
  • C. Contribute to employee premiums
  • D. Have at least 50% of its employees work in the state of Maryland

Answer: B

Explanation:
The Maryland Health Benefit Exchange Act (Insurance Article, § 31-101) defines a qualified employer as one with its principal place of business in Maryland for SHOP Exchange eligibility. Premium contributions are optional, and employee work or residency percentages aren't required.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange rules.


NEW QUESTION # 84
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