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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% | - Privacy and confidentiality requirements - Unfair claim settlement practices - Consumer protection regulations - Producer licensing requirements - Violations and penalty provisions - Maryland Insurance Code |
| Marketing Practices | 8-12% | - Producer responsibilities - Advertising guidelines - Marketing regulations - Prohibited practices |
| Types of Health Insurance Policies | 20-25% | - Long-term care insurance - Individual health insurance - Dental and vision insurance - Disability income insurance - Group health insurance - Medicare and Medicaid |
| Field Underwriting and Application Process | 8-12% | - Agent responsibilities in enrollment - Medical underwriting - Application procedures - Risk classification |
| Policy Provisions and Clauses | 18-22% | - Benefit periods - Coverage terms and conditions - Deductibles and copayments - Preexisting condition clauses - Exclusions and limitations - Waiting periods |
| Social Insurance Programs | 8-12% | - Social Security disability benefits - Medicaid programs - Medicare Part A, B, C, D - CHIP (Children's Health Insurance Program) |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
When a producer sells an individual accident and health insurance policy, how is the initial premium usually paid?
- A. The insurer bills the applicant when the application is approved
- B. The insurer utilizes the applicant's automatic bank draft authorization
- C. The producer collects and forwards it to the insurer
- D. The applicant sends it directly to the insurer with the application
Correct Answer: C 🗳️
Explanation: Only visible for ActualCollection members. You can sign-up / login (it's free).
All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:
- A. High income
- B. Non-smoker
- C. Non-hazardous occupation
- D. Physically active
Correct Answer: A 🗳️
Explanation: Only visible for ActualCollection members. You can sign-up / login (it's free).
Which of the following is NOT a mandated benefit in Maryland?
- A. Treatment of mental illness
- B. Weight reduction programs
- C. Hearing aids for children
- D. Treatment of substance abuse
Correct Answer: B 🗳️
Explanation: Only visible for ActualCollection members. You can sign-up / login (it's free).
All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:
- A. Immunizations for children
- B. Experimental surgery
- C. Physical examinations
- D. Well-baby checkups
Correct Answer: B 🗳️
Explanation: Only visible for ActualCollection members. You can sign-up / login (it's free).
All advertisements for health insurance shall make clear the identity of the:
- A. Insurance Commissioner
- B. Insurer
- C. Beneficiary
- D. Insured
Correct Answer: B 🗳️
Explanation: Only visible for ActualCollection members. You can sign-up / login (it's free).
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