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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Maryland Insurance Laws and Regulations | 20-25% | - Consumer protection regulations - Maryland Insurance Code - Producer licensing requirements - Violations and penalty provisions - Privacy and confidentiality requirements - Unfair claim settlement practices |
| Policy Provisions and Clauses | 18-22% | - Waiting periods - Preexisting condition clauses - Coverage terms and conditions - Deductibles and copayments - Benefit periods - Exclusions and limitations |
| Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Medicare Part A, B, C, D - Medicaid programs - Social Security disability benefits |
| Marketing Practices | 8-12% | - Advertising guidelines - Producer responsibilities - Prohibited practices - Marketing regulations |
| Types of Health Insurance Policies | 20-25% | - Disability income insurance - Long-term care insurance - Group health insurance - Medicare and Medicaid - Dental and vision insurance - Individual health insurance |
| Field Underwriting and Application Process | 8-12% | - Risk classification - Application procedures - Medical underwriting - Agent responsibilities in enrollment |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:
A) Non-hazardous occupation
B) Physically active
C) High income
D) Non-smoker
2. Which one of the following causes of death typically would be included under an accidental death rider attached to a life insurance policy?
A) Automobile accidents resulting from the insured's negligence
B) Illness or disease
C) War or acts of war
D) Intentionally self-inflicted injuries
3. All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:
A) Well-baby checkups
B) Immunizations for children
C) Physical examinations
D) Experimental surgery
4. Which type of Medicare Supplement information can be used without prior state approval?
A) Insurance company brochures
B) Radio announcements approved by the insurer
C) Television advertisements approved by the insurer
D) Government publications
5. After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?
A) Fraud
B) Rebating
C) Replacement
D) Twisting
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: A |





