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State RegulationsPA specificDifficulty 2/5

An applicant already owns a Medicare supplement policy, and a producer recommends a second policy with largely duplicative benefits. Under the appropriateness rules of 31 Pa. Code 89.787, the recommendation is improper primarily because:

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Answer & full 3-part explanation (select an option above, or peek)

Why D is correct

Pennsylvania's appropriateness rule, 31 Pa. Code 89.787, requires a reasonable effort to determine that a recommended Medicare supplement purchase fits the applicant's needs and prohibits excessive coverage that duplicates benefits the consumer already has. Selling a second policy with largely overlapping benefits extracts additional premium without adding protection. The Pennsylvania Insurance Department polices this standard together with the compensation rules of 31 Pa. Code 89.782, so that neither sales practices nor pay structures reward needless duplication.

Why the other options are wrong

  • A) The domicile of the insurers is irrelevant; the vice is the duplication of coverage itself, wherever the insurers are chartered.
  • B) The federal Medicare program is named here only for context; no federal disclosure step authorizes a duplicative sale under Pennsylvania's appropriateness rule.
  • C) The first insurer has no exclusive right to recommend coverage; the restraint applies to any recommendation that fails the appropriateness standard.

Memory hook

Needs first, duplicates never: the recommendation must fit, not overlap.

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