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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% | - Coverage terms and conditions - Benefit periods - Waiting periods - Preexisting condition clauses - Deductibles and copayments - Exclusions and limitations |
| Types of Health Insurance Policies | 20-25% | - Long-term care insurance - Dental and vision insurance - Disability income insurance - Individual health insurance - Medicare and Medicaid - Group health insurance |
| Field Underwriting and Application Process | 8-12% | - Application procedures - Risk classification - Medical underwriting - Agent responsibilities in enrollment |
| Social Insurance Programs | 8-12% | - Medicaid programs - Medicare Part A, B, C, D - CHIP (Children's Health Insurance Program) - Social Security disability benefits |
| Maryland Insurance Laws and Regulations | 20-25% | - Maryland Insurance Code - Producer licensing requirements - Consumer protection regulations - Privacy and confidentiality requirements - Violations and penalty provisions - Unfair claim settlement practices |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:
- A. Non-smoker
- B. Non-hazardous occupation
- C. Physically active
- D. High income
Correct Answer: D 🗳️
Explanation: Only visible for Pass4sureCert members. You can sign-up / login (it's free).
All of the following are basic underwriting actions in accident and health insurance EXCEPT:
- A. Rejecting applicants
- B. Issuing standard policies as applied for
- C. Issuing policies with exclusion riders
- D. Deleting uniform policy provisions
Correct Answer: D 🗳️
Explanation: Only visible for Pass4sureCert members. You can sign-up / login (it's free).
When a producer sells an individual accident and health insurance policy, how is the initial premium usually paid?
- A. The insurer utilizes the applicant's automatic bank draft authorization
- B. The insurer bills the applicant when the application is approved
- C. The applicant sends it directly to the insurer with the application
- D. The producer collects and forwards it to the insurer
Correct Answer: D 🗳️
Explanation: Only visible for Pass4sureCert members. You can sign-up / login (it's free).
The free-look period provided in a life insurance policy is usually:
- A. 10 days
- B. 60 days
- C. 31 days
- D. 45 days
Correct Answer: A 🗳️
Explanation: Only visible for Pass4sureCert members. You can sign-up / login (it's free).
Who has the right to change the beneficiary of an accident and health policy with a revocable beneficiary designation?
- A. The policyowner
- B. The insurer
- C. The producer
- D. The beneficiary
Correct Answer: A 🗳️
Explanation: Only visible for Pass4sureCert members. You can sign-up / login (it's free).
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