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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Field Underwriting and Application Process | 8-12% | - Agent responsibilities in enrollment - Medical underwriting - Application procedures - Risk classification |
| Topic 2: Policy Provisions and Clauses | 18-22% | - Waiting periods - Preexisting condition clauses - Deductibles and copayments - Exclusions and limitations - Benefit periods - Coverage terms and conditions |
| Topic 3: Marketing Practices | 8-12% | - Prohibited practices - Advertising guidelines - Marketing regulations - Producer responsibilities |
| Topic 4: Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Medicare Part A, B, C, D - Social Security disability benefits - Medicaid programs |
| Topic 5: Maryland Insurance Laws and Regulations | 20-25% | - Violations and penalty provisions - Unfair claim settlement practices - Maryland Insurance Code - Consumer protection regulations - Privacy and confidentiality requirements - Producer licensing requirements |
| Topic 6: Types of Health Insurance Policies | 20-25% | - Dental and vision insurance - Group health insurance - Long-term care insurance - Individual health insurance - Disability income insurance - Medicare and Medicaid |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
The Maryland Insurance Administration is an agency of the:
- A. Maryland General Assembly
- B. State government
- C. Federal government
- D. National Association of Insurance Commissioners
Correct Answer: B 🗳️
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Which of the following is NOT a mandated benefit in Maryland?
- A. Treatment of mental illness
- B. Hearing aids for children
- C. Treatment of substance abuse
- D. Weight reduction programs
Correct Answer: D 🗳️
Explanation: Only visible for DumpsValid members. You can sign-up / login (it's free).
When determining the premiums for large groups, most insurance companies use:
- A. Area rating
- B. Occupational rating
- C. Pooled rating
- D. Experience rating
Correct Answer: D 🗳️
Explanation: Only visible for DumpsValid members. You can sign-up / login (it's free).
Disability income insurance premiums are a deductible expense when the premiums are paid by:
- A. A corporation for group disability income coverage for the employees
- B. A partnership for group disability income coverage for the partners
- C. An employee for group disability income coverage
- D. An insured for individual disability income coverage
Correct Answer: A 🗳️
Explanation: Only visible for DumpsValid members. You can sign-up / login (it's free).
When the insured's willful failure to disclose a material fact at the time of application is discovered by the insurer shortly after the policy is issued:
- A. The policy is voidable at the insurer's option
- B. The policy is automatically void
- C. The insurer may cancel the policy only at the expiration or renewal date
- D. The insurer must continue the insurance policy in full force
Correct Answer: A 🗳️
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