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

1. When the insured's willful failure to disclose a material fact at the time of application is discovered by the insurer shortly after the policy is issued:

A) The insurer must continue the insurance policy in full force
B) The policy is voidable at the insurer's option
C) The insurer may cancel the policy only at the expiration or renewal date
D) The policy is automatically void

2. A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:

A) Routine physical examinations
B) Emergency services
C) Dental and vision care
D) Well-baby or well-child care

3. All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:

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

4. Misrepresenting pertinent policy provisions relating to coverages after a loss is:

A) An unfair claim settlement practice
B) An unfair discrimination between individuals
C) A concealment in insurance applications
D) A violation of the principle of adhesion

5. A health maintenance organization may issue a contract that provides benefits for the following:

A) The dismemberment of an HMO member
B) Health care services provided to members of the HMO
C) The accidental death of an HMO member
D) Replacement of income lost by a member due to the member's disability

Solutions: