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Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Exam Sample Questions (Q56-Q61):

NEW QUESTION # 56
When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:

A. Dental
B. Major medical
C. Disability income
D. Health maintenance organization

Answer: C

Explanation:
Federal tax rules (IRC § 105, § 106) make employer-paid medical benefits (major medical, dental, HMO) tax- free, but disability income benefits are taxable if employer-funded, as they replace income.
References:IRC § 105, § 106; Maryland Insurance Article, § 15-1201; MIA tax guidelines.

NEW QUESTION # 57
Which type of Medicare Supplement information can be used without prior state approval?

A. Insurance company brochures
B. Television advertisements approved by the insurer
C. Radio announcements approved by the insurer
D. Government publications

Answer: D

Explanation:
Medigap marketing materials (Insurance Article, § 15-912) require MIA approval, except for government publications (e.g., CMS's "Medicare & You"), which are exempt as official federal resources. Insurer- approved ads still need state review.
References:Maryland Insurance Article, § 15-912; MIA Medigap advertising rules.

NEW QUESTION # 58
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

Answer: C

Explanation:
Maryland HMOs (Health-General Article, § 19-701) must provide basic health services like routine physicals, well-child care, and emergency services. Dental and vision care, however, are not required unless specified as supplemental benefits. State law mandates pediatric care but excludes routine dental and vision from standard HMO coverage unless the plan explicitly includes them.
References:Maryland Health-General Article, § 19-701; Insurance Article, § 15-1201; MIA HMO guidelines.

NEW QUESTION # 59
The typical group disability income insurance policy EXCLUDES coverage for disability resulting from:

A. Injuries occurring in the home
B. Automobile accidents
C. Military service
D. Commercial airline crashes

Answer: C

Explanation:
Group disability policies (Insurance Article, § 15-201) cover accidents like crashes or home injuries, but exclude military service disabilities, often covered by government programs (e.g., VA), reflecting standard exclusions.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.

NEW QUESTION # 60
In Maryland, continuation of medical plan coverage for a handicapped child beyond the age limit stated in the policy may require proof of the child's:

A. Incapacity and dependency upon reaching the age limit
B. Incapacity only
C. Continued insurability
D. Dependency for the first two years of continued coverage only

Answer: A

Explanation:
Under Insurance Article, § 15-401, coverage for handicapped children extends beyond age limits if they're incapacitated (unable to work) and dependent on the insured at the age limit. Insurability isn't required, incapacity alone isn't enough, and dependency isn't time-limited to two years.
References:Maryland Insurance Article, § 15-401; MIA dependent coverage rules.

NEW QUESTION # 61
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