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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 - Unfair claim settlement practices - Privacy and confidentiality requirements - Violations and penalty provisions - Maryland Insurance Code - Producer licensing requirements |
| Social Insurance Programs | 8-12% | - Medicare Part A, B, C, D - Social Security disability benefits - Medicaid programs - CHIP (Children's Health Insurance Program) |
| Types of Health Insurance Policies | 20-25% | - Individual health insurance - Long-term care insurance - Disability income insurance - Group health insurance - Dental and vision insurance - Medicare and Medicaid |
| Marketing Practices | 8-12% | - Producer responsibilities - Marketing regulations - Advertising guidelines - Prohibited practices |
| Field Underwriting and Application Process | 8-12% | - Agent responsibilities in enrollment - Medical underwriting - Risk classification - Application procedures |
| Policy Provisions and Clauses | 18-22% | - Benefit periods - Preexisting condition clauses - Coverage terms and conditions - Waiting periods - Deductibles and copayments - Exclusions and limitations |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. An elimination period in a disability income insurance policy is the:
A) Same as the probationary period
B) Period between the start of a disability and the beginning of benefits
C) Time period the policy is in force
D) Time during which benefits are paid under the policy
2. Which benefit is usually excluded from accident and health plan coverage?
A) Hospital expense
B) Physicians' visits
C) Custodial care
D) Surgical expense
3. All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:
A) Non-hazardous occupation
B) High income
C) Physically active
D) Non-smoker
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 license
B) An appointment
C) A binding agreement
D) A certificate of authority
5. An insurance producer provided several examples to the applicant persuasively demonstrating that the insurance coverage offered under his company's policy was superior to a competitor's product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?
A) Twisting
B) Fraud
C) Rebating
D) Discrimination
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: A |
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