In this paper, we solve exit problems for a one-sided Markov additive process (MAP) which is exponentially killed with a bivariate killing intensity $\omega(\cdot,\cdot)$ dependent on the present level of the process and the current state of the environment. Moreover, we analyze the respective resolvents. All identities are expressed in terms of new generalizations of classical scale matrices for MAPs. We also remark on a number of applications of the obtained identities to (controlled) insurance risk processes. In particular, we show that our results can be applied to the Omega model, where bankruptcy takes place at rate $\omega(\cdot,\cdot)$ when the surplus process becomes negative. Finally, we consider Markov-modulated Brownian motion (MMBM) as a special case and present analytical and numerical results for a particular choice of piecewise intensity function $\omega(\cdot,\cdot)$ .