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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
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
                          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
                                    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

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

                                                    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
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: A  🗳️

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                                                    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
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: C  🗳️

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                                                    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
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: B  🗳️

                                                    Explanation: Only visible for PassTestking members. You can sign-up / login (it's free).

                                                    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
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: D  🗳️

                                                    Explanation: Only visible for PassTestking members. You can sign-up / login (it's free).

                                                    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
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: B  🗳️

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