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Accident-and-Health-or-Sickness-Producer PDF Practice Q&A's

  • Printable Accident-and-Health-or-Sickness-Producer PDF Format
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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

SectionWeightObjectives
Maryland State-Specific Regulations20%- Statutory Requirements
  • 1. Claims handling and settlement rules
    • 2. Disclosure and marketing requirements
      • 3. Mandatory benefits and coverage mandates
        - Compliance and Enforcement
        • 1. Penalties and violations
          • 2. Reporting and recordkeeping
            Accident and Health Insurance Policies35%- Policy Features
            • 1. Waiting periods and elimination periods
              • 2. Pre-existing conditions and exclusions
                • 3. Benefit structures and limits
                  - Types of Coverage
                  • 1. Medical expense insurance
                    • 2. Disability income insurance
                      • 3. Long-term care insurance
                        • 4. Accident-only coverage
                          Insurance Regulation30%- Regulation of Producers
                          • 1. Privacy and confidentiality rules
                            • 2. Compensation and commissions
                              • 3. Unfair trade practices
                                - Providers and Markets
                                • 1. Insurers and health service organizations
                                  • 2. HMOs and managed care arrangements
                                    - Licensing
                                    • 1. General provisions and definitions
                                      • 2. License issuance, renewal, and termination
                                        • 3. Initial qualifications and examination
                                          General Insurance Concepts15%- Policy Provisions
                                          • 1. Exclusions and limitations
                                            • 2. Mandatory and optional clauses
                                              - Fundamental Principles
                                              • 1. Risk and risk management
                                                • 2. Contract law and policy structure
                                                  • 3. Insurable interest and indemnity

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

                                                    1. Disability income insurance premiums are a deductible expense when the premiums are paid by:

                                                    A) An employee for group disability income coverage
                                                    B) A corporation for group disability income coverage for the employees
                                                    C) An insured for individual disability income coverage
                                                    D) A partnership for group disability income coverage for the partners


                                                    2. An insurance producer's license may be suspended or revoked by:

                                                    A) The Attorney General
                                                    B) The continuing education course provider
                                                    C) The appointing insurer
                                                    D) The Maryland Insurance Administration


                                                    3. Which one of the following causes of loss typically is EXCLUDED under a disability income insurance policy?

                                                    A) Auto accidents
                                                    B) Cancer
                                                    C) Tropical disease
                                                    D) Intentionally self-inflicted injuries


                                                    4. It is unlawful for a person to provide an advertisement that:

                                                    A) Points out coverage advantages of a policy
                                                    B) Uses a policy title to misrepresent a coverage
                                                    C) Makes a comparison of benefits between policies
                                                    D) Refers to the insurer's financial rating


                                                    5. In general practice, can the Maryland Insurance Administration inspect the business records of an insurance company or agency?

                                                    A) Yes, because of the powers defined by state laws
                                                    B) No, because of privacy considerations
                                                    C) No, because only an officer of the court can inspect these records
                                                    D) Yes, because all company and agency records are public domain


                                                    Solutions:

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

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