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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Marketing Practices | 8-12% | - Prohibited practices - Producer responsibilities - Advertising guidelines - Marketing regulations |
| Topic 2: Policy Provisions and Clauses | 18-22% | - Deductibles and copayments - Preexisting condition clauses - Waiting periods - Coverage terms and conditions - Exclusions and limitations - Benefit periods |
| Topic 3: Maryland Insurance Laws and Regulations | 20-25% | - Privacy and confidentiality requirements - Consumer protection regulations - Violations and penalty provisions - Unfair claim settlement practices - Maryland Insurance Code - Producer licensing requirements |
| Topic 4: Field Underwriting and Application Process | 8-12% | - Application procedures - Agent responsibilities in enrollment - Medical underwriting - Risk classification |
| Topic 5: Types of Health Insurance Policies | 20-25% | - Medicare and Medicaid - Group health insurance - Individual health insurance - Long-term care insurance - Disability income insurance - Dental and vision insurance |
| Topic 6: 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. Which one of the following causes of loss typically is EXCLUDED under a disability income insurance policy?
A) Auto accidents
B) Intentionally self-inflicted injuries
C) Cancer
D) Tropical disease
2. Group health insurance contracts providing coverage for employees in more than one state are usually controlled by the laws of the state where:
A) The master contract is issued
B) The majority of employees reside
C) The application is signed
D) The producer resides
3. A certificate of insurance in a group accident and health plan is:
A) Evidence of the employee's insurance coverage
B) Issued to the employer for each insured location
C) A binding contract between the employee and the insurer
D) A binding contract between the employer and the insurer
4. In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?
A) No, because only an officer of the court can inspect these records
B) No, because of privacy considerations
C) Yes, because of the powers defined by state laws
D) Yes, because all company and agency records are public domain
5. In Maryland, a group accident and health certificate of insurance must contain:
A) The insurer's financial statement
B) A list of all participating physicians
C) A summary of policy features and benefits
D) A copy of the group contract
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: C |


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