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Download PDF Q&A's Demo Total Questions: 92
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  • Prepared by Maryland Insurance Administration Experts
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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

SectionWeightObjectives
Insurance Regulation30%- Regulation of Producers
  • 1. Unfair trade practices
    • 2. Compensation and commissions
      • 3. Privacy and confidentiality rules
        - Licensing
        • 1. Initial qualifications and examination
          • 2. License issuance, renewal, and termination
            • 3. General provisions and definitions
              - Providers and Markets
              • 1. Insurers and health service organizations
                • 2. HMOs and managed care arrangements
                  General Insurance Concepts15%- Fundamental Principles
                  • 1. Insurable interest and indemnity
                    • 2. Risk and risk management
                      • 3. Contract law and policy structure
                        - Policy Provisions
                        • 1. Mandatory and optional clauses
                          • 2. Exclusions and limitations
                            Maryland State-Specific Regulations20%- Compliance and Enforcement
                            • 1. Reporting and recordkeeping
                              • 2. Penalties and violations
                                - Statutory Requirements
                                • 1. Disclosure and marketing requirements
                                  • 2. Mandatory benefits and coverage mandates
                                    • 3. Claims handling and settlement rules
                                      Accident and Health Insurance Policies35%- Types of Coverage
                                      • 1. Long-term care insurance
                                        • 2. Disability income insurance
                                          • 3. Medical expense insurance
                                            • 4. Accident-only coverage
                                              - Policy Features
                                              • 1. Pre-existing conditions and exclusions
                                                • 2. Waiting periods and elimination periods
                                                  • 3. Benefit structures and limits

                                                    Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:

                                                    1. 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 policy is voidable at the insurer's option
                                                    B) The insurer may cancel the policy only at the expiration or renewal date
                                                    C) The insurer must continue the insurance policy in full force
                                                    D) The policy is automatically void


                                                    2. All of the following are true of insurance EXCEPT:

                                                    A) It is a means of sharing losses
                                                    B) It transfers risk
                                                    C) It eliminates risk
                                                    D) It protects against uncertainty


                                                    3. In Maryland, continuation of medical plan coverage for a handicapped child beyond the age limit stated in the policy may require proof of the child's:

                                                    A) Dependency for the first two years of continued coverage only
                                                    B) Incapacity and dependency upon reaching the age limit
                                                    C) Incapacity only
                                                    D) Continued insurability


                                                    4. Who has the right to change the beneficiary of an accident and health policy with a revocable beneficiary designation?

                                                    A) The beneficiary
                                                    B) The insurer
                                                    C) The producer
                                                    D) The policyowner


                                                    5. In accident and health insurance, a waiting period for pre-existing conditions means that:

                                                    A) Coverage for pre-existing conditions starts at the inception of the new policy
                                                    B) A period of time must elapse before pre-existing conditions are covered
                                                    C) Coverage for pre-existing conditions is permanently excluded by a new insurer
                                                    D) Payment for expenses resulting from pre-existing conditions is held in escrow


                                                    Solutions:

                                                    Question # 1
                                                    Answer: A
                                                    Question # 2
                                                    Answer: C
                                                    Question # 3
                                                    Answer: B
                                                    Question # 4
                                                    Answer: D
                                                    Question # 5
                                                    Answer: B


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