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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

SectionObjectives
Topic 1: Insurance Law and Regulation (Maryland)- Maryland Insurance Administration rules
  • 1. Producer licensing requirements
    • 2. Unfair trade practices (rebating, twisting, misrepresentation)
      Topic 2: Policy Administration and Ethics- Ethical obligations
      • 1. Suitability and fiduciary duties
        • 2. Disclosure requirements
          Topic 3: General Insurance Principles- Insurance concepts
          • 1. Risk, peril, hazard
            • 2. Principles of indemnity and insurable interest
              Topic 4: Health Insurance Systems- Government health programs
              • 1. Medicare basics
                • 2. Medicaid basics
                  - Managed care models
                  • 1. HMO, PPO, POS
                    Topic 5: Accident and Health Insurance Basics- Types of coverage
                    • 1. Disability income insurance
                      • 2. Accidental death & dismemberment (AD&D)
                        • 3. Medical expense insurance
                          - Policy structure and provisions
                          • 1. Exclusions and limitations
                            • 2. Definitions and clauses

                              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 producer collects and forwards it to the insurer
                              B) The insurer bills the applicant when the application is approved
                              C) The applicant sends it directly to the insurer with the application
                              D) The insurer utilizes the applicant's automatic bank draft authorization


                              2. A disability income insurance policy typically provides coverage for disabilities resulting from:

                              A) Occupational accidents only
                              B) Both accidents and sickness
                              C) Accidents only
                              D) Sickness only


                              3. In dental insurance coverage, which one of the following typically is EXCLUDED?

                              A) Preventive care
                              B) Treatment started prior to the eligibility date
                              C) Dental X-rays
                              D) Root canal therapy


                              4. If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?

                              A) Refer the employer to the carrier where a friend works
                              B) Refer the employer to a licensed insurance producer
                              C) Refer the employer to the Maryland Insurance Administration
                              D) Help the employer sign-up through the SHOP Exchange


                              5. In accident and health insurance underwriting, when the risk imposed by an applicant is similar to the risks imposed by most other applicants, the applicant is:

                              A) Required to pay the first year's premium in a lump sum
                              B) Charged the standard premium rate
                              C) Declined coverage
                              D) Charged an additional premium for the first three years


                              Solutions:

                              Question # 1
                              Answer: A
                              Question # 2
                              Answer: B
                              Question # 3
                              Answer: B
                              Question # 4
                              Answer: B
                              Question # 5
                              Answer: B

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