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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
| Social Insurance Programs | 8-12% | - Social Security disability benefits
- Medicare Part A, B, C, D
- CHIP (Children's Health Insurance Program)
- Medicaid programs
|
| Maryland Insurance Laws and Regulations | 20-25% | - Privacy and confidentiality requirements
- Violations and penalty provisions
- Unfair claim settlement practices
- Consumer protection regulations
- Maryland Insurance Code
- Producer licensing requirements
|
| Types of Health Insurance Policies | 20-25% | - Disability income insurance
- Individual health insurance
- Dental and vision insurance
- Group health insurance
- Long-term care insurance
- Medicare and Medicaid
|
| Marketing Practices | 8-12% | - Advertising guidelines
- Marketing regulations
- Producer responsibilities
- Prohibited practices
|
| Field Underwriting and Application Process | 8-12% | - Risk classification
- Agent responsibilities in enrollment
- Medical underwriting
- Application procedures
|
| Policy Provisions and Clauses | 18-22% | - Exclusions and limitations
- Preexisting condition clauses
- Benefit periods
- Deductibles and copayments
- Coverage terms and conditions
- Waiting periods
|
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. Which benefit is usually excluded from major medical expense plan coverage?
A) Physical therapy
B) Routine dental care
C) Hospice care
D) Prescription drugs
2. To be eligible for major medical extended care benefits, a patient must:
A) Require physical therapy
B) Have had surgery
C) Require continuous skilled nursing care
D) Be terminally ill
3. Which one of the following causes of death typically would be included under an accidental death rider attached to a life insurance policy?
A) War or acts of war
B) Intentionally self-inflicted injuries
C) Illness or disease
D) Automobile accidents resulting from the insured's negligence
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. Disability income insurance premiums are a deductible expense when the premiums are paid by:
A) A corporation for group disability income coverage for the employees
B) An insured for individual disability income coverage
C) An employee for group disability income coverage
D) A partnership for group disability income coverage for the partners
Solutions:
Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: A |