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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q79-Q84):
NEW QUESTION # 79
An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:
- A. Misleading a prospective insured in replacing accident and health insurance
- B. Incorrect filing of federal income taxes
- C. Submitting a premium payment to an insurer in excess of the required amount
- D. An accounting error discovered by the producer's accountant
Answer: A
Explanation:
Errors and omissions liability arises from professional negligence (Insurance Article, § 10-126). Misleading a client about policy replacement (twisting, § 27-203) directly harms them, unlike accounting errors, overpayments, or tax issues, which are internal or personal.
References:Maryland Insurance Article, § 10-126, § 27-203; MIA producer liability rules.
NEW QUESTION # 80
An insurance producer provided several examples to the applicant persuasively demonstrating that the insurance coverage offered under his company's policy was superior to a competitor's product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?
- A. Twisting
- B. Fraud
- C. Rebating
- D. Discrimination
Answer: A
Explanation:
Twisting (Insurance Article, § 27-203) involves misrepresenting policy benefits to induce replacement with an inferior product. Fraud is broader, discrimination isn't relevant, and rebating offers financial inducements, not misrepresentation.
References:Maryland Insurance Article, § 27-203; MIA trade practice rules.
NEW QUESTION # 81
If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?
- A. Refer the employer to the carrier where a friend works
- B. Refer the employer to the Maryland Insurance Administration
- C. Refer the employer to a licensed insurance producer
- D. Help the employer sign-up through the SHOP Exchange
Answer: C
Explanation:
SHOP Exchange (Insurance Article, § 31-101) serves employers with 1-50 employees; a 200-employee firm exceeds this, so the navigator should refer them to a producer for large group plans, not assist via SHOP, refer personally, or send to the MIA.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange guidelines.
NEW QUESTION # 82
Which statement describes the most likely federal income tax treatment of death benefits paid to the family of an insured under an accident and health insurance policy?
- A. Benefits will not be taxable
- B. Some benefits will usually be taxable
- C. Taxation depends on the beneficiary's tax bracket
- D. All benefits will be taxable
Answer: A
Explanation:
Death benefits from accident and health policies (e.g., accidental death, IRC § 101) are generally tax-free to beneficiaries. Partial or full taxation is rare unless tied to taxable settlements, and tax brackets don't determine this exemption.
References:IRC § 101; MIA tax treatment guidelines.
NEW QUESTION # 83
When determining the premiums for large groups, most insurance companies use:
- A. Area rating
- B. Experience rating
- C. Pooled rating
- D. Occupational rating
Answer: B
Explanation:
Large group premiums (Insurance Article, § 15-1205) use experience rating, basing rates on the group's claims history. Occupational rating applies to specific jobs, area rating to geography, and pooled rating to small groups, none of which dominate large groups.
References:Maryland Insurance Article, § 15-1205; MIA group insurance guidelines.
NEW QUESTION # 84
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