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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:

1. To be deemed a "qualified employer" under the Maryland Health Benefit Exchange Act, anemployer MUST:

A) Have its principal place of business in the state of Maryland
B) Have at least 50% of its employees work in the state of Maryland
C) Have at least 50% of its employees reside in the state of Maryland
D) Contribute to employee premiums

2. Which feature in a long-term care insurance policy is designed specifically to provide benefits at times when family members need a break from caring for the insured?

A) Skilled nursing facility care
B) Home health care
C) Respite care
D) Custodial facility care

3. All of the following are examples of unfair claims settlement practices EXCEPT:

A) Denying unsubstantiated claims on a timely basis
B) Misrepresenting pertinent facts of coverage
C) Failing to promptly provide a reason for a claim denial
D) Refusing arbitrarily and unreasonably to pay claims

4. Which expenses are covered by Medicare Part D?

A) Dental
B) Prescription drug
C) Medical
D) Hospital

5. When a producer engages in unfair practices, all of the following are true EXCEPT:

A) The Maryland Insurance Administration can suspend the producer's license
B) The Maryland Insurance Administration can investigate the problem and hold a hearing
C) The Maryland Insurance Administration can issue a cease and desist order
D) The Maryland Insurance Administration's decision is final

Solutions: