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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q36-Q41):
NEW QUESTION # 36
Which of the following is a requirement of an insurable risk?
- A. The loss must be catastrophic.
- B. The loss must be intentional.
- C. The chance of loss must be calculable.
- D. There must be a large number of different loss exposures.
Answer: C
Explanation:
Comprehensive and Detailed Step by Step Explanation:Aninsurable riskmust meet specific criteria to ensure fair and financially viable coverage:
Chance of loss must be calculable (C):Correct. Insurers need statistical data to assess risk and determine premiums.
Loss must be intentional (A):Incorrect; intentional losses are not insurable.
Loss must be catastrophic (B):Incorrect; catastrophic losses (e.g., war or large-scale disasters) are often excluded or managed through reinsurance.
Large number of different loss exposures (D):A large number of similar, not different, exposures is required for risk pooling.
References:Maryland Insurance Principles, Actuarial Standards, and COMAR 31.09.14.
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NEW QUESTION # 37
Which statement describes the most likely federal income tax treatment of death benefits paid to the family of an insured under an accident and health insurance policy?
- A. Taxation depends on the beneficiary's tax bracket
- B. All benefits will be taxable
- C. Some benefits will usually be taxable
- D. Benefits will not be taxable
Answer: D
Explanation:
Death benefits from accident and health policies (e.g., accidental death, IRC ยง 101) are generally tax-free to beneficiaries. Partial or full taxation is rare unless tied to taxable settlements, and tax brackets don't determine this exemption.
References:IRC ยง 101; MIA tax treatment guidelines.
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NEW QUESTION # 38
When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?
- A. The insurer
- B. The principal insured individual
- C. The patient or parent of the patient
- D. The premium payor
Answer: A
Explanation:
If an insurer mandates a physical exam (Insurance Article, ยง 12-202), it pays the cost, as it's a condition of coverage or claims processing. The premium payor, insured, or patient isn't responsible for insurer-initiated requirements.
References:Maryland Insurance Article, ยง 12-202; MIA policy standards.
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NEW QUESTION # 39
Medicare Supplement insurance is specifically designed for individuals who:
- A. Have enrolled in Medicare
- B. Cannot obtain commercial coverage due to health problems
- C. Are ineligible for coverage under an employer group accident and health plan
- D. Have low incomes and limited assets
Answer: A
Explanation:
Medicare Supplement (Medigap, Insurance Article, ยง 15-901) is for Medicare enrollees (Parts A and B) to cover gaps, not low-income (Medicaid), uninsurable (pre-ACA pools), or employer-ineligible individuals.
References:Maryland Insurance Article, ยง 15-901; MIA Medigap rules.
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NEW QUESTION # 40
All of the following factors may affect premium determination in individual life insurance EXCEPT:
- A. Health
- B. Occupation
- C. Age
- D. Race
Answer: D
Explanation:
Comprehensive and Detailed Step by Step Explanation:Premium determination in life insurance depends on factors that measure risk, butrace (D)is not and cannot be used due to anti-discrimination laws.
Age (A):A primary factor; younger applicants are charged lower premiums due to lower mortality risk.
Health (B):Significant; poor health or pre-existing conditions increase premiums.
Occupation (C):Risky professions (e.g., construction or aviation) may result in higher premiums.
Race (D):Prohibited by Maryland law, which ensures fairness and prohibits underwriting based on race, ethnicity, or similar discriminatory criteria.
References:Maryland Insurance Article ยง27-501, COMAR 31.09.03, and Anti-Discrimination Standards in Insurance.
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NEW QUESTION # 41
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