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| Section | Weight | Objectives |
|---|---|---|
| Accident and Health Insurance Policies | 35% | - Types of Coverage
|
| Maryland State-Specific Regulations | 20% | - Statutory Requirements
|
| General Insurance Concepts | 15% | - Fundamental Principles
|
| Insurance Regulation | 30% | - Licensing
|
1. If an individual's occupation is considered to be illegal:
A) It may require a waiver on a disability income insurance policy
B) It must be stated as such on an accident and health insurance application
C) It may result in a denial of a disability income claim
D) It results in a substandard rating on an accident and health insurance policy
2. Which benefit is usually excluded from major medical expense plan coverage?
A) Routine dental care
B) Hospice care
C) Physical therapy
D) Prescription drugs
3. Medicare Supplement insurance is specifically designed for individuals who:
A) Have low incomes and limited assets
B) Cannot obtain commercial coverage due to health problems
C) Have enrolled in Medicare
D) Are ineligible for coverage under an employer group accident and health plan
4. Coverage for the first three pints of blood for Medicare enrollees is:
A) A Medicare Supplement core benefit
B) A Medicare Part A benefit
C) A Medicare Supplement additional benefit
D) A Medicare Part B benefit
5. An insured incurs a covered accident and health insurance loss on May 30, which is submitted to the insurer on June 8. If the insured terminated coverage on June 1, the insurer:
A) Must pay the claim upon receipt of the proof of loss
B) Must pay the claim within one year of termination of coverage
C) Can refuse to pay the claim under the pre-existing conditions exclusion
D) Can refuse to pay the claim because coverage has been terminated
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A |
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