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

SectionWeightObjectives
Topic 1: Marketing Practices8-12%- Advertising guidelines
- Marketing regulations
- Prohibited practices
- Producer responsibilities
Topic 2: Maryland Insurance Laws and Regulations20-25%- Maryland Insurance Code
- Privacy and confidentiality requirements
- Consumer protection regulations
- Producer licensing requirements
- Violations and penalty provisions
- Unfair claim settlement practices
Topic 3: Types of Health Insurance Policies20-25%- Individual health insurance
- Long-term care insurance
- Group health insurance
- Disability income insurance
- Medicare and Medicaid
- Dental and vision insurance
Topic 4: Field Underwriting and Application Process8-12%- Risk classification
- Medical underwriting
- Application procedures
- Agent responsibilities in enrollment
Topic 5: Social Insurance Programs8-12%- CHIP (Children's Health Insurance Program)
- Medicaid programs
- Medicare Part A, B, C, D
- Social Security disability benefits
Topic 6: Policy Provisions and Clauses18-22%- Waiting periods
- Coverage terms and conditions
- Preexisting condition clauses
- Deductibles and copayments
- Exclusions and limitations
- Benefit periods

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

1. An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:

A) Misleading a prospective insured in replacing accident and health insurance
B) Incorrect filing of federal income taxes
C) An accounting error discovered by the producer's accountant
D) Submitting a premium payment to an insurer in excess of the required amount


2. Under federal law, an insurance producer may be sentenced to prison for:

A) Inducing a client to sign an application for insurance
B) Suing an insurer over contract violations
C) Embezzling money from an insurance company
D) Selling insurance with a nonresident license


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


4. Which feature in a long-term care insurance policy is designed specifically to provide benefits at times when family members need a break from caring for the insured?

A) Custodial facility care
B) Respite care
C) Home health care
D) Skilled nursing facility care


5. The Maryland Health Insurance Plan is designed to provide comprehensive health benefits for:

A) Senior citizens residing in Maryland
B) Low-income residents of Maryland
C) Children of low-income Maryland residents
D) Medically uninsurable Maryland residents


Solutions:

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

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