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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
| Topic 1: General Insurance Concepts | 15% | - Policy Provisions
- 1. Exclusions and limitations
- 2. Mandatory and optional clauses
- Fundamental Principles
- 1. Insurable interest and indemnity
- 2. Contract law and policy structure
- 3. Risk and risk management
|
| Topic 2: Insurance Regulation | 30% | - Licensing
- 1. License issuance, renewal, and termination
- 2. General provisions and definitions
- 3. Initial qualifications and examination
- Regulation of Producers
- 1. Unfair trade practices
- 2. Privacy and confidentiality rules
- 3. Compensation and commissions
- Providers and Markets
- 1. HMOs and managed care arrangements
- 2. Insurers and health service organizations
|
| Topic 3: Accident and Health Insurance Policies | 35% | - Policy Features
- 1. Pre-existing conditions and exclusions
- 2. Waiting periods and elimination periods
- 3. Benefit structures and limits
- Types of Coverage
- 1. Disability income insurance
- 2. Accident-only coverage
- 3. Long-term care insurance
- 4. Medical expense insurance
|
| Topic 4: Maryland State-Specific Regulations | 20% | - Compliance and Enforcement
- 1. Penalties and violations
- 2. Reporting and recordkeeping
- Statutory Requirements
- 1. Claims handling and settlement rules
- 2. Disclosure and marketing requirements
- 3. Mandatory benefits and coverage mandates
|
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
In Maryland, an insurance producer is a person who solicits, negotiates, or sells insurance plans PRIMARILY in conjunction with:
- A. Acting as a regularly salaried officer
- B. Performing clerical duties
- C. Enrolling individuals in group plans
- D. Earning commission
Reveal Solution
Discussion
Correct Answer: D 🗳️
Explanation: Only visible for TestPDF members. You can sign-up / login (it's free).
After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?
- A. Replacement
- B. Twisting
- C. Rebating
- D. Fraud
Reveal Solution
Discussion
Short-term group disability income insurance:
- A. Usually coordinates the amount of benefits paid with disability benefits received under Social Security
- B. Frequently provides coverage through age 65 for insureds who are over 55 when they become disabled
- C. Often has a benefit period extending up to a maximum of ten years
- D. Usually provides benefits expressed as a percentage of the insured's normal weekly wage, up to a specified weekly maximum
Reveal Solution
Discussion
Correct Answer: D 🗳️
Explanation: Only visible for TestPDF members. You can sign-up / login (it's free).
Which statement is true of trade association groups eligible for group medical benefits?
- A. Such associations are formed for the purpose of purchasing insurance
- B. Employer contributions are usually waived
- C. The association membership primarily consists of large employers
- D. Members of the association are usually in the same industry
Reveal Solution
Discussion
Correct Answer: D 🗳️
Explanation: Only visible for TestPDF members. You can sign-up / login (it's free).
The entire contract provision in an individual accident and health insurance policy states that the producer:
- A. Has no authority to change the policy or waive any of its provisions
- B. May waive only certain contract provisions
- C. Has company authority to waive any contract provisions
- D. Has company authority to change the policy
Reveal Solution
Discussion
Correct Answer: A 🗳️
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