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

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

                              Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:

                              1. A nonprofit health service plan may NOT issue a contract that covers which of the following types of benefits?

                              A) Vision benefits
                              B) Disability income benefits
                              C) Medical expense benefits
                              D) Dental benefits


                              2. Group health insurance contracts providing coverage for employees in more than one state are usually controlled by the laws of the state where:

                              A) The majority of employees reside
                              B) The application is signed
                              C) The producer resides
                              D) The master contract is issued


                              3. Under Maryland law, the agreement between an insurance producer and insurer under which the insurance producer, for compensation, may sell, solicit, or negotiate policies issued by the insurer is defined as:

                              A) A certificate of authority
                              B) A binding agreement
                              C) An appointment
                              D) A license


                              4. Medicare Supplement insurance is specifically designed for individuals who:

                              A) Are ineligible for coverage under an employer group accident and health plan
                              B) Cannot obtain commercial coverage due to health problems
                              C) Have low incomes and limited assets
                              D) Have enrolled in Medicare


                              5. All of the following factors may affect premium determination in individual life insurance EXCEPT:

                              A) Occupation
                              B) Age
                              C) Health
                              D) Race


                              Solutions:

                              Question # 1
                              Answer: B
                              Question # 2
                              Answer: D
                              Question # 3
                              Answer: C
                              Question # 4
                              Answer: D
                              Question # 5
                              Answer: D

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