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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 - Prohibited practices - Advertising guidelines |
| Field Underwriting and Application Process | 8-12% | - Agent responsibilities in enrollment - Medical underwriting - Application procedures - Risk classification |
| Policy Provisions and Clauses | 18-22% | - Exclusions and limitations - Waiting periods - Benefit periods - Preexisting condition clauses - Deductibles and copayments - Coverage terms and conditions |
| Social Insurance Programs | 8-12% | - Social Security disability benefits - Medicaid programs - Medicare Part A, B, C, D - CHIP (Children's Health Insurance Program) |
| Types of Health Insurance Policies | 20-25% | - Individual health insurance - Long-term care insurance - Medicare and Medicaid - Dental and vision insurance - Group health insurance - Disability income insurance |
| Maryland Insurance Laws and Regulations | 20-25% | - Producer licensing requirements - Maryland Insurance Code - Unfair claim settlement practices - Privacy and confidentiality requirements - Consumer protection regulations - Violations and penalty provisions |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
Question 1
A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:
A. Routine physical examinations
B. Well-baby or well-child care
C. Dental and vision care
D. Emergency services
Question 2
Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:
A. Copy of the person's living will
B. Power of attorney
C. Applicant's family's consent
D. Report of a physical examination
Question 3
In Maryland, an insurance producer is a person who solicits, negotiates, or sells insurance plans PRIMARILY in conjunction with:
A. Performing clerical duties
B. Acting as a regularly salaried officer
C. Earning commission
D. Enrolling individuals in group plans
Question 4
Who has the right to change the beneficiary of an accident and health policy with a revocable beneficiary designation?
A. The producer
B. The insurer
C. The beneficiary
D. The policyowner
Question 5
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
Solutions:
| Question 1 Answer: C | Question 2 Answer: D | Question 3 Answer: C | Question 4 Answer: D | Question 5 Answer: C |



