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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:
1. 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
2. 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
3. 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
4. The free-look period provided in a life insurance policy is usually:
A) 10 days
B) 60 days
C) 31 days
D) 45 days
5. 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
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: A |
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