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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Social Insurance Programs | 8-12% | - Medicaid programs - Medicare Part A, B, C, D - CHIP (Children's Health Insurance Program) - Social Security disability benefits |
| Topic 2: Types of Health Insurance Policies | 20-25% | - Long-term care insurance - Medicare and Medicaid - Group health insurance - Disability income insurance - Individual health insurance - Dental and vision insurance |
| Topic 3: Policy Provisions and Clauses | 18-22% | - Coverage terms and conditions - Exclusions and limitations - Benefit periods - Waiting periods - Deductibles and copayments - Preexisting condition clauses |
| Topic 4: Field Underwriting and Application Process | 8-12% | - Agent responsibilities in enrollment - Risk classification - Application procedures - Medical underwriting |
| Topic 5: Marketing Practices | 8-12% | - Producer responsibilities - Advertising guidelines - Prohibited practices - Marketing regulations |
| Topic 6: Maryland Insurance Laws and Regulations | 20-25% | - Unfair claim settlement practices - Violations and penalty provisions - Consumer protection regulations - Producer licensing requirements - Privacy and confidentiality requirements - Maryland Insurance Code |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. Under federal law, an insurance producer may be sentenced to prison for:
A) Inducing a client to sign an application for insurance
B) Embezzling money from an insurance company
C) Selling insurance with a nonresident license
D) Suing an insurer over contract violations
2. In accident and health insurance, a waiting period for pre-existing conditions means that:
A) A period of time must elapse before pre-existing conditions are covered
B) Payment for expenses resulting from pre-existing conditions is held in escrow
C) Coverage for pre-existing conditions starts at the inception of the new policy
D) Coverage for pre-existing conditions is permanently excluded by a new insurer
3. In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?
A) Yes, because all company and agency records are public domain
B) No, because only an officer of the court can inspect these records
C) No, because of privacy considerations
D) Yes, because of the powers defined by state laws
4. The phrase, "this policy pays $1,800 for hospital room and board expenses," should include the:
A) Maximum daily benefit and the minimum time limit for hospital room and board expenses
B) Minimum daily benefit and the maximum time limit for hospital room and board expenses
C) Minimum daily benefit and the minimum time limit for hospital room and board expenses
D) Maximum daily benefit and the maximum time limit for hospital room and board expenses
5. The Maryland State Benchmark Plan applies to which of the following?
A) Individual Health Benefit Plans sold outside the Exchange prior to January 1, 2014
B) Medicare supplement plans sold outside the Exchange prior to January 1, 2014
C) Medicaid plans sold through the Exchange
D) Individual Health Benefit Plans sold through the Exchange
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: D |







