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| Section | Objectives |
|---|---|
| Topic 1: General Insurance Principles | - Insurance concepts
|
| Topic 2: Policy Administration and Ethics | - Ethical obligations
|
| Topic 3: Accident and Health Insurance Basics | - Types of coverage
|
| Topic 4: Health Insurance Systems | - Managed care models
|
| Topic 5: Insurance Law and Regulation (Maryland) | - Maryland Insurance Administration rules
|
1. Medical expense insurance typically EXCLUDES coverage for treatment of:
A) Chronic back pain
B) Eating disorders
C) Undiagnosed diseases
D) Intentionally self-inflicted injuries
2. 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) Continued insurability
B) Incapacity and dependency upon reaching the age limit
C) Incapacity only
D) Dependency for the first two years of continued coverage only
3. A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:
A) Emergency services
B) Routine physical examinations
C) Well-baby or well-child care
D) Dental and vision care
4. In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:
A) Required to pay the first year's premium in a lump sum
B) Charged an additional premium for the first three years
C) Charged the standard premium rate
D) Declined coverage
5. If an insurer pays an individual accident and health insurance claim during a policy's grace period:
A) The policy is canceled automatically at the end of the grace period
B) The deductible is waived
C) The amount of unpaid premium may be subtracted from the reimbursement
D) A 10% service fee is charged
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C |
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