Insurance Licensing Life-Producer - Maryland Life Producer Exam (Series 20-27)

Ethical responsibilities and state laws mandate that insurance producers act in good faith when handling applications.

Reporting material facts to the insurer (D): Producers must disclose any information that could impact underwriting decisions. Transparency ensures that policies are accurately priced and legally enforceable.

Denying knowledge (A): Violates ethical and legal obligations.

Acknowledging facts only if asked (B): Demonstrates bad faith and can lead to legal penalties.

Advising applicants to amend (C): While this helps, it does not fulfill the producer’s duty to inform the insurer.

Meaning of the doctrine of reasonable expectations.

This doctrine holds that insurance policies should be interpreted according to the reasonable expectations of the average insured, even if strict legal wording might suggest otherwise.

Why this doctrine exists.

Insurance contracts are:

Complex

Drafted by insurers

Typically non-negotiable

Evaluate each option.

A. Indemnity

Restores the insured to pre-loss condition.

B. Comity

A legal courtesy between jurisdictions.

C. Reasonable expectations

Correct.

D. Subrogation

Allows insurer to recover from a responsible third party.

Maryland consumer protection relevance.

Maryland courts often construe ambiguities in favor of the insured, consistent with reasonable expectations.

Conclusion.

The applicable doctrine is reasonable expectations.

Insurance producers using an assumed or fictitious name for their business must file the name with the Maryland Insurance Administration (MIA).

File the name with the Insurance Administration (A): This ensures transparency and compliance with regulatory standards.

Apply for an additional license (B): Not required; the existing license covers the producer.

Apply for an additional appointment (C): Applies when a producer represents multiple insurers, not for fictitious names.

Post a $10,000 bond (D): Irrelevant to this context.

A viatical settlement allows a policyowner (often with a terminal illness) to sell their life insurance policy for immediate cash, typically to a third party.

Less than the death benefit (D): The settlement amount is a fraction of the policy's face value, reflecting the buyer's expected profit after paying premiums and collecting the death benefit.

Equal to the sum of all premiums paid (A): This is incorrect as premiums paid do not determine the settlement amount.

Equal to the death benefit (B): The buyer profits from receiving the full death benefit upon the insured’s death, so they pay less upfront.

Greater than the death benefit (C): This would result in a financial loss for the buyer, which is not the case in viatical settlements.

Understanding structured payments.

Large settlements and awards are often paid over time to provide steady income, improve financial security, and reduce the risk of rapid depletion.

Evaluate each option.

A. Modified endowment contract (MEC)

Used for life insurance tax classification, not settlement structuring.

B. Individual retirement account (IRA)

Designed for retirement savings, not settlement payouts.

C. 403(b) tax-sheltered annuity

Employer-sponsored retirement plan for certain employees.

D. Immediate annuity

Correct. Immediate annuities are commonly used to provide guaranteed periodic payments from a lump sum.

Maryland claims and settlement context.

Structured settlements using immediate annuities are widely accepted in Maryland liability claims as they promote long-term financial stability, aligning with good-faith settlement practices.

Conclusion.

An immediate annuity is the standard tool used to structure large settlement payments.

Family life insurance policies provide comprehensive coverage for families, including automatic coverage for certain dependents.

Option A: Correct. A significant portion of the premium funds whole life insurance for the primary insured (typically the head of household).

Option B: Correct. Dependent children born after the policy is issued are automatically covered, often without additional cost or underwriting.

Option C: Incorrect. Family life insurance policies are not restricted to individuals under 30; this criterion does not exist in standard policy guidelines.

Option D: Correct. Coverage for dependents can often be converted to whole life insurance at specific ages or policy milestones without medical underwriting.

Definition of an immediate annuity.

An immediate annuity is designed to begin income payments shortly after purchase, usually within one year.

Key structural feature.

Immediate annuities are purchased with a single lump sum.

Payments begin almost immediately.

Why there is no accumulation period.

The accumulation period exists only in deferred annuities, where funds grow before payout.

Immediate annuities move directly into the annuity (payout) phase.

Evaluate each option.

A. Purchased in installments

Incorrect; installment purchases describe flexible premium deferred annuities.

B. Pays a lump sum

Incorrect; it pays periodic income, not a lump sum.

C. Lacks an accumulation period

Correct.

D. Tax-deductible contributions

Incorrect; contributions are generally not deductible unless within a qualified plan.

Conclusion.

An immediate annuity has no accumulation period.

Ownership rights in life insurance.

The policyowner controls key policy decisions, including:

Naming beneficiaries

Changing beneficiaries (if revocable)

Assigning ownership

Why the policyowner selects the beneficiary.

The beneficiary designation reflects the policyowner’s intent regarding who receives proceeds.

Why the other options are incorrect.

Insurer: Issues the policy but does not control beneficiary choices.

Beneficiary: Cannot designate themselves unless they are also the owner.

Producer: May advise but cannot select beneficiaries.

Maryland legal relevance.

Maryland law enforces beneficiary designations as written unless changed by the policyowner.

Conclusion.

The policyowner usually selects the beneficiary.

Accidental death riders provide additional benefits if the insured dies due to an unforeseen accident.

Automobile accidents resulting from the insured’s negligence (D): Covered because negligence in driving does not disqualify the event from being an accident. The death must be directly and solely caused by the accident.

Intentionally self-inflicted injuries (A): Excluded as they are not accidental but intentional.

Illness or disease (B): Excluded as accidental death benefits do not apply to natural causes.

War or acts of war (C): Generally excluded under most policies as a specific clause addresses wartime risks.

Nature of group life insurance.

Group life insurance is typically tied to employment and ends when employment terminates.

Purpose of the conversion provision.

The conversion provision protects employees by allowing them to:

Convert group coverage to an individual policy

Do so without evidence of insurability

Apply within a specified time period after termination

Why conversion is critical.

Prevents loss of coverage due to job loss or retirement.

Especially important if the employee’s health has declined.

Evaluate each option.

A. Nonforfeiture

Applies to cash value policies, not group life.

B. Conversion

Correct. This provision grants the conversion right.

C. Assignment

Transfers ownership, not coverage type.

D. Incontestability

Limits defenses after a period of time.

Maryland consumer protection relevance.

Maryland requires clear disclosure of conversion rights to prevent gaps in life insurance protection.

Conclusion.

The conversion provision allows group coverage to become individual coverage.