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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Accident and Health Insurance Policies | 35% | - Types of Coverage
|
| Topic 2: Maryland State-Specific Regulations | 20% | - Statutory Requirements
|
| Topic 3: General Insurance Concepts | 15% | - Policy Provisions
|
| Topic 4: Insurance Regulation | 30% | - Providers and Markets
|
1. All of the following are considered to be fraud EXCEPT:
A) Willfully collecting a premium that exceeds the amount of the premium
B) Collecting a premium for insurance that is not provided
C) Collecting a proper premium for insurance that is provided
D) Collecting a charge for insurance that is less than the charge applicable to that insurance
2. 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
3. In accident and health insurance, a waiting period for pre-existing conditions means that:
A) Payment for expenses resulting from pre-existing conditions is held in escrow
B) Coverage for pre-existing conditions is permanently excluded by a new insurer
C) Coverage for pre-existing conditions starts at the inception of the new policy
D) A period of time must elapse before pre-existing conditions are covered
4. Group health insurance contracts providing coverage for employees in more than one state are usually controlled by the laws of the state where:
A) The master contract is issued
B) The producer resides
C) The majority of employees reside
D) The application is signed
5. In dental insurance coverage, which one of the following typically is EXCLUDED?
A) Treatment started prior to the eligibility date
B) Dental X-rays
C) Preventive care
D) Root canal therapy
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: A |
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