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2025 Test Accident-and-Health-or-Sickness-Producer Price | Efficient Test Accident-and-Health-or-Sickness-Producer Collection Pdf: MarylandAccident and Health or Sickness Producer Series 20-24 Exam 100% Pass

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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q86-Q91):

NEW QUESTION # 86
If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?

A. Help the employer sign-up through the SHOP Exchange
B. Refer the employer to the Maryland Insurance Administration
C. Refer the employer to a licensed insurance producer
D. Refer the employer to the carrier where a friend works

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 # 87
To be deemed a "qualified employer" under the Maryland Health Benefit Exchange Act, anemployer MUST:

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

Answer: B

Explanation:
The Maryland Health Benefit Exchange Act (Insurance Article, § 31-101) defines a qualified employer as one with its principal place of business in Maryland for SHOP Exchange eligibility. Premium contributions are optional, and employee work or residency percentages aren't required.
References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange rules.

NEW QUESTION # 88
All of the following are considered to be fraud EXCEPT:

A. Collecting a premium for insurance that is not provided
B. Willfully collecting a premium that exceeds the amount of the premium
C. Collecting a charge for insurance that is less than the charge applicable to that insurance
D. Collecting a proper premium for insurance that is provided

Answer: D

Explanation:
Fraud involves intentional deception for gain (Insurance Article, § 27-401). Overcharging, undercharging deceptively, or charging for nonexistent coverage are fraudulent. Collecting the proper premium for provided insurance is a legitimate transaction and not fraud, making it the exception.
References:Maryland Insurance Article, § 27-401, § 27-212; MIA fraud regulations.

NEW QUESTION # 89
All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:

A. High income
B. Non-smoker
C. Non-hazardous occupation
D. Physically active

Answer: A

Explanation:
Preferred risk applicants (Insurance Article, § 15-201) have low disability risk due to non-smoking, safe jobs, and physical activity. High income affects benefit amounts, not risk classification, making it the exception.
References:Maryland Insurance Article, § 15-201; MIA underwriting standards.

NEW QUESTION # 90
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. An accounting error discovered by the producer's accountant
C. Incorrect filing of federal income taxes
D. Submitting a premium payment to an insurer in excess of the required amount

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 # 91
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