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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q31-Q36):

NEW QUESTION # 31
In HMO coverage, all of the following services must be available 24 hours per day, 7 days per week EXCEPT:

A. Emergency medical care
B. Primary care
C. In-patient hospital services
D. Dental care

Answer: D

Explanation:
HMOs (Health-General Article, § 19-701) ensure 24/7 access to hospital, emergency, and primary care services. Dental care isn't a core requirement and isn't typically available 24/7 unless added separately.
References:Maryland Health-General Article, § 19-701; MIA HMO standards.

NEW QUESTION # 32
Short-term group disability income insurance:

A. Frequently provides coverage through age 65 for insureds who are over 55 when they become disabled
B. Often has a benefit period extending up to a maximum of ten years
C. Usually provides benefits expressed as a percentage of the insured's normal weekly wage, up to a specified weekly maximum
D. Usually coordinates the amount of benefits paid with disability benefits received under Social Security

Answer: C

Explanation:
Short-term disability (Insurance Article, § 15-201) pays a percentage of wages (e.g., 50-70%) up to a weekly cap for a short duration (e.g., 13-26 weeks). Coordination with Social Security, 10-year periods, or coverage to age 65 are long-term disability features.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.

NEW QUESTION # 33
When a single major medical contract covers all medical expenses, the plan is considered to be:

A. Limited
B. First-dollar
C. Comprehensive
D. Supplemental

Answer: C

Explanation:
A single policy covering all medical expenses (Insurance Article, § 15-201) is comprehensive, unlike limited (specific), first-dollar (no deductible), or supplemental (add-on) plans.
References:Maryland Insurance Article, § 15-201; MIA major medical standards.

NEW QUESTION # 34
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. Twisting
B. Fraud
C. Replacement
D. Rebating

Answer: B

Explanation:
Producers hold premiums in a fiduciary capacity (Insurance Article, § 10-126) and must remit them to the insurer or a trust account. Depositing them into a personal account is fraud-specifically misappropriation- violating state law. Twisting, rebating, and replacement involve different unethical acts, not fund misuse.
References:Maryland Insurance Article, § 10-126; MIA producer conduct regulations.

NEW QUESTION # 35
All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:

A. Immunizations for children
B. Physical examinations
C. Experimental surgery
D. Well-baby checkups

Answer: C

Explanation:
HMOs (Health-General Article, § 19-701) provide preventive care like checkups, immunizations, and exams.
Experimental surgery isn't preventive or standard, making it the exception to covered services.
References:Maryland Health-General Article, § 19-701; MIA HMO guidelines.

NEW QUESTION # 36
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