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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:
1. 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
2. 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
3. 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
4. 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
5. All advertisements for health insurance shall make clear the identity of the:
A) Insurance Commissioner
B) Insurer
C) Beneficiary
D) Insured
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: B |





