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

1. 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) Health maintenance organization
D) Disability income

2. Which benefit is usually excluded from major medical expense plan coverage?

A) Prescription drugs
B) Routine dental care
C) Physical therapy
D) Hospice care

3. The Maryland State Benchmark Plan applies to which of the following?

A) Medicaid plans sold through the Exchange
B) Medicare supplement plans sold outside the Exchange prior to January 1, 2014
C) Individual Health Benefit Plans sold outside the Exchange prior to January 1, 2014
D) Individual Health Benefit Plans sold through the Exchange

4. When a single major medical contract covers all medical expenses, the plan is considered to be:

A) Limited
B) Comprehensive
C) Supplemental
D) First-dollar

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

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

Solutions: