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NEW QUESTION # 90
Which benefit is usually excluded from accident and health plan coverage?
Answer: A
Explanation:
Accident and health plans (Insurance Article, § 15-201) cover acute needs like hospital, physician, and surgical expenses. Custodial care-non-medical daily assistance-is excluded, typically covered by long-term care insurance.
References:Maryland Insurance Article, § 15-201; MIA health insurance standards.
NEW QUESTION # 91
Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?
Answer: C
Explanation:
Direct response (Insurance Article, § 10-101) uses mass media and mail to sell directly, bypassing producers, unlike branch offices, captive agents, or contingent systems, which involve intermediaries.
References:Maryland Insurance Article, § 10-101; MIA marketing guidelines.
NEW QUESTION # 92
In accident and health insurance, a waiting period for pre-existing conditions means that:
Answer: B
Explanation:
A waiting period (Insurance Article, § 15-109) delays coverage for pre-existing conditions (e.g., 6-12 months), not permanently excluding them, starting at inception, or holding payments in escrow.
References:Maryland Insurance Article, § 15-109; MIA pre-existing condition rules.
NEW QUESTION # 93
Which type of coverage bases benefit eligibility on the capacity to perform activities of daily living?
Answer: D
Explanation:
Long-term care insurance (Insurance Article, § 18-101) triggers benefits based on inability to perform ADLs (e.g., bathing), unlike Medigap, major medical, or disability, which focus on medical or work criteria.
References:Maryland Insurance Article, § 18-101; MIA long-term care rules.
NEW QUESTION # 94
In general practice, which one of the following is true of the powers of the Maryland Insurance Administration with respect to access to a producer's business records?
Answer: B
Explanation:
The MIA (Insurance Article, § 2-207) can request and access producer records for audits or investigations, overriding privacy for regulatory purposes. Court orders or NAIC approval aren't required, and access is a standard power.
References:Maryland Insurance Article, § 2-207; MIA regulatory authority.
NEW QUESTION # 95
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