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

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

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

2. After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?

A) Rebating
B) Fraud
C) Twisting
D) Replacement

3. The Maryland Insurance Administration is an agency of the:

A) Maryland General Assembly
B) National Association of Insurance Commissioners
C) Federal government
D) State government

4. When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

A) The premium payor
B) The insurer
C) The principal insured individual
D) The patient or parent of the patient

5. Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:

A) Preapproved charges
B) Utilization charges
C) Reasonable and customary charges
D) Scheduled charges

Solutions: