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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 - Risk classification - Application procedures |
| Topic 2: Social Insurance Programs | 8-12% | - Medicare Part A, B, C, D - CHIP (Children's Health Insurance Program) - Medicaid programs - Social Security disability benefits |
| Topic 3: Policy Provisions and Clauses | 18-22% | - Coverage terms and conditions - Exclusions and limitations - Waiting periods - Benefit periods - Deductibles and copayments - Preexisting condition clauses |
| Topic 4: Types of Health Insurance Policies | 20-25% | - Disability income insurance - Individual health insurance - Group health insurance - Dental and vision insurance - Medicare and Medicaid - Long-term care insurance |
| Topic 5: Marketing Practices | 8-12% | - Producer responsibilities - Prohibited practices - Marketing regulations - Advertising guidelines |
| Topic 6: Maryland Insurance Laws and Regulations | 20-25% | - Producer licensing requirements - Maryland Insurance Code - Violations and penalty provisions - Privacy and confidentiality requirements - Unfair claim settlement practices - Consumer protection regulations |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. The primary purpose of disability income insurance is to:
A) Provide benefit payments for a period of time when the insured is unable to work
B) Provide indemnity for loss of life
C) Pay any physicians' fees resulting from a disabling injury
D) Pay necessary hospital expenses when the insured is unable to work
2. A disability income insurance policy typically provides coverage for disabilities resulting from:
A) Both accidents and sickness
B) Sickness only
C) Accidents only
D) Occupational accidents only
3. If an insurer pays an individual accident and health insurance claim during a policy's grace period:
A) The policy is canceled automatically at the end of the grace period
B) A 10% service fee is charged
C) The amount of unpaid premium may be subtracted from the reimbursement
D) The deductible is waived
4. All of the following services are covered under the Medicare Supplement preventive care benefit EXCEPT:
A) Outpatient prescription vitamins
B) Routine physical examinations
C) Immunizations
D) Hearing tests
5. If an individual's occupation is considered to be illegal:
A) It may require a waiver on a disability income insurance policy
B) It results in a substandard rating on an accident and health insurance policy
C) It must be stated as such on an accident and health insurance application
D) It may result in a denial of a disability income claim
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: D |
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