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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Marketing Practices | 8-12% | - Marketing regulations - Producer responsibilities - Advertising guidelines - Prohibited practices |
| Policy Provisions and Clauses | 18-22% | - Benefit periods - Preexisting condition clauses - Waiting periods - Coverage terms and conditions - Deductibles and copayments - Exclusions and limitations |
| Types of Health Insurance Policies | 20-25% | - Dental and vision insurance - Medicare and Medicaid - Disability income insurance - Long-term care insurance - Group health insurance - Individual health insurance |
| Maryland Insurance Laws and Regulations | 20-25% | - Maryland Insurance Code - Unfair claim settlement practices - Violations and penalty provisions - Producer licensing requirements - Privacy and confidentiality requirements - Consumer protection regulations |
| Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Social Security disability benefits - Medicaid programs - Medicare Part A, B, C, D |
| Field Underwriting and Application Process | 8-12% | - Risk classification - Application procedures - Agent responsibilities in enrollment - Medical underwriting |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. An insurer may pay a commission directly or indirectly to:
A) An unlicensed employee of the insurer
B) A producer whose license is terminated after earning the commission
C) Anyone soliciting business for the insurer
D) A surplus lines broker operating without a license for less than one year
2. When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:
A) Health maintenance organization
B) Dental
C) Major medical
D) Disability income
3. Coverage for the first three pints of blood for Medicare enrollees is:
A) A Medicare Part B benefit
B) A Medicare Part A benefit
C) A Medicare Supplement additional benefit
D) A Medicare Supplement core benefit
4. In Maryland, continuation of medical plan coverage for a handicapped child beyond the age limit stated in the policy may require proof of the child's:
A) Continued insurability
B) Incapacity only
C) Incapacity and dependency upon reaching the age limit
D) Dependency for the first two years of continued coverage only
5. An elimination period in a disability income insurance policy is the:
A) Period between the start of a disability and the beginning of benefits
B) Time during which benefits are paid under the policy
C) Time period the policy is in force
D) Same as the probationary period
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |






