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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Marketing Practices | 8-12% | - Advertising guidelines - Marketing regulations - Producer responsibilities - Prohibited practices |
| Topic 2: Field Underwriting and Application Process | 8-12% | - Medical underwriting - Agent responsibilities in enrollment - Application procedures - Risk classification |
| Topic 3: Policy Provisions and Clauses | 18-22% | - Benefit periods - Waiting periods - Deductibles and copayments - Coverage terms and conditions - Exclusions and limitations - Preexisting condition clauses |
| Topic 4: Types of Health Insurance Policies | 20-25% | - Individual health insurance - Disability income insurance - Long-term care insurance - Medicare and Medicaid - Dental and vision insurance - Group health insurance |
| Topic 5: Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Medicare Part A, B, C, D - Social Security disability benefits - Medicaid programs |
| Topic 6: Maryland Insurance Laws and Regulations | 20-25% | - Maryland Insurance Code - Producer licensing requirements - Violations and penalty provisions - Privacy and confidentiality requirements - Consumer protection regulations - Unfair claim settlement practices |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
Question 1
In Maryland, a group accident and health certificate of insurance must contain:
A. The insurer's financial statement
B. A list of all participating physicians
C. A copy of the group contract
D. A summary of policy features and benefits
Question 2
A health maintenance organization may issue a contract that provides benefits for the following:
A. The dismemberment of an HMO member
B. The accidental death of an HMO member
C. Replacement of income lost by a member due to the member's disability
D. Health care services provided to members of the HMO
Question 3
An insurance adviser's written contract with the client must include all of the following EXCEPT:
A. Disclosure as to whether commissions may be received
B. Expiration date of the consultant's license
C. Duration of the contract
D. Amount of the fee
Question 4
Who has the right to change the beneficiary of an accident and health policy with a revocable beneficiary designation?
A. The beneficiary
B. The producer
C. The insurer
D. The policyowner
Question 5
Which statement describes the most likely federal income tax treatment of death benefits paid to the family of an insured under an accident and health insurance policy?
A. Benefits will not be taxable
B. Taxation depends on the beneficiary's tax bracket
C. Some benefits will usually be taxable
D. All benefits will be taxable
Solutions:
| Question 1 Answer: D | Question 2 Answer: D | Question 3 Answer: B | Question 4 Answer: D | Question 5 Answer: A |
