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| Section | Objectives |
|---|---|
| Topic 1: General Insurance Principles | - Insurance concepts
|
| Topic 2: Health Insurance Systems | - Managed care models
|
| Topic 3: Insurance Law and Regulation (Maryland) | - Maryland Insurance Administration rules
|
| Topic 4: Policy Administration and Ethics | - Ethical obligations
|
| Topic 5: Accident and Health Insurance Basics | - Types of coverage
|
1. Medical expense insurance typically EXCLUDES coverage for treatment of:
A) Eating disorders
B) Undiagnosed diseases
C) Chronic back pain
D) Intentionally self-inflicted injuries
2. All of the following are examples of unfair claims settlement practices EXCEPT:
A) Misrepresenting pertinent facts of coverage
B) Denying unsubstantiated claims on a timely basis
C) Failing to promptly provide a reason for a claim denial
D) Refusing arbitrarily and unreasonably to pay claims
3. An insurer may pay a commission directly or indirectly to:
A) An unlicensed employee of the insurer
B) Anyone soliciting business for the insurer
C) A producer whose license is terminated after earning the commission
D) A surplus lines broker operating without a license for less than one year
4. All of the following services are covered under the Medicare Supplement preventive care benefit EXCEPT:
A) Immunizations
B) Routine physical examinations
C) Hearing tests
D) Outpatient prescription vitamins
5. An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:
A) An accounting error discovered by the producer's accountant
B) Submitting a premium payment to an insurer in excess of the required amount
C) Incorrect filing of federal income taxes
D) Misleading a prospective insured in replacing accident and health insurance
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: D |
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