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| Section | Objectives |
|---|---|
| Health Insurance Systems | - Managed care models
|
| Policy Administration and Ethics | - Ethical obligations
|
| General Insurance Principles | - Insurance concepts
|
| Accident and Health Insurance Basics | - Policy structure and provisions
|
| Insurance Law and Regulation (Maryland) | - Maryland Insurance Administration rules
|
1. Which benefit is usually excluded from accident and health plan coverage?
A) Hospital expense
B) Surgical expense
C) Custodial care
D) Physicians' visits
2. After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?
A) Fraud
B) Replacement
C) Twisting
D) Rebating
3. In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?
A) No, because of privacy considerations
B) Yes, because of the powers defined by state laws
C) No, because only an officer of the court can inspect these records
D) Yes, because all company and agency records are public domain
4. All of the following services are covered under the Medicare Supplement preventive care benefit EXCEPT:
A) Hearing tests
B) Immunizations
C) Routine physical examinations
D) Outpatient prescription vitamins
5. In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:
A) Charged an additional premium for the first three years
B) Charged the standard premium rate
C) Required to pay the first year's premium in a lump sum
D) Declined coverage
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: B |
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