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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Marketing Practices | 8-12% | - Advertising guidelines - Marketing regulations - Producer responsibilities - Prohibited practices |
| Topic 2: Policy Provisions and Clauses | 18-22% | - Waiting periods - Deductibles and copayments - Preexisting condition clauses - Benefit periods - Coverage terms and conditions - Exclusions and limitations |
| Topic 3: Types of Health Insurance Policies | 20-25% | - Group health insurance - Medicare and Medicaid - Disability income insurance - Individual health insurance - Dental and vision insurance - Long-term care insurance |
| Topic 4: Maryland Insurance Laws and Regulations | 20-25% | - Maryland Insurance Code - Producer licensing requirements - Unfair claim settlement practices - Privacy and confidentiality requirements - Consumer protection regulations - Violations and penalty provisions |
| Topic 5: Field Underwriting and Application Process | 8-12% | - Agent responsibilities in enrollment - Risk classification - Medical underwriting - Application procedures |
| Topic 6: Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Medicare Part A, B, C, D - Medicaid programs - Social Security disability benefits |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?
A) Captive agent
B) Contingent
C) Branch office
D) Direct response
2. A disability income insurance policy typically provides coverage for disabilities resulting from:
A) Occupational accidents only
B) Sickness only
C) Accidents only
D) Both accidents and sickness
3. Which benefit is usually excluded from major medical expense plan coverage?
A) Routine dental care
B) Prescription drugs
C) Physical therapy
D) Hospice care
4. In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:
A) Declined coverage
B) Required to pay the first year's premium in a lump sum
C) Charged the standard premium rate
D) Charged an additional premium for the first three years
5. Which statement is true of trade association groups eligible for group medical benefits?
A) Employer contributions are usually waived
B) Members of the association are usually in the same industry
C) Such associations are formed for the purpose of purchasing insurance
D) The association membership primarily consists of large employers
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: B |




