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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Types of Health Insurance Policies | 20-25% | - Disability income insurance - Dental and vision insurance - Long-term care insurance - Individual health insurance - Group health insurance - Medicare and Medicaid |
| Policy Provisions and Clauses | 18-22% | - Benefit periods - Deductibles and copayments - Preexisting condition clauses - Coverage terms and conditions - Waiting periods - Exclusions and limitations |
| Maryland Insurance Laws and Regulations | 20-25% | - Producer licensing requirements - Violations and penalty provisions - Maryland Insurance Code - Unfair claim settlement practices - Privacy and confidentiality requirements - Consumer protection regulations |
| Field Underwriting and Application Process | 8-12% | - Medical underwriting - Application procedures - Agent responsibilities in enrollment - Risk classification |
| Marketing Practices | 8-12% | - Marketing regulations - Advertising guidelines - Producer responsibilities - Prohibited practices |
| Social Insurance Programs | 8-12% | - Medicare Part A, B, C, D - Medicaid programs - CHIP (Children's Health Insurance Program) - Social Security disability benefits |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. A nonprofit health service plan may NOT issue a contract that covers which of the following types of benefits?
A) Vision benefits
B) Medical expense benefits
C) Disability income benefits
D) Dental benefits
2. When the insured's willful failure to disclose a material fact at the time of application is discovered by the insurer shortly after the policy is issued:
A) The insurer may cancel the policy only at the expiration or renewal date
B) The policy is voidable at the insurer's option
C) The insurer must continue the insurance policy in full force
D) The policy is automatically void
3. An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:
A) Submitting a premium payment to an insurer in excess of the required amount
B) Misleading a prospective insured in replacing accident and health insurance
C) Incorrect filing of federal income taxes
D) An accounting error discovered by the producer's accountant
4. Under Maryland law, the agreement between an insurance producer and insurer under which the insurance producer, for compensation, may sell, solicit, or negotiate policies issued by the insurer is defined as:
A) A binding agreement
B) A certificate of authority
C) A license
D) An appointment
5. Short-term group disability income insurance:
A) Frequently provides coverage through age 65 for insureds who are over 55 when they become disabled
B) Often has a benefit period extending up to a maximum of ten years
C) Usually provides benefits expressed as a percentage of the insured's normal weekly wage, up to a specified weekly maximum
D) Usually coordinates the amount of benefits paid with disability benefits received under Social Security
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: C |



