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

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

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

Question #1

Which benefit is usually excluded from major medical expense plan coverage?

  • A. Physical therapy
  • B. Prescription drugs
  • C. Hospice care
  • D. Routine dental care
Answer: D

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Question #2

After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?

  • A. Rebating
  • B. Fraud
  • C. Twisting
  • D. Replacement
Answer: B

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Question #3

Which of the following is NOT a mandated benefit in Maryland?

  • A. Treatment of mental illness
  • B. Hearing aids for children
  • C. Weight reduction programs
  • D. Treatment of substance abuse
Answer: C

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Question #4

The waiver of premium provision in a disability income policy provides that premiums will be waived during:

  • A. The disability benefit period
  • B. The time limit on certain defenses
  • C. The grace period
  • D. The elimination period
Answer: A

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Question #5

Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:

  • A. Applicant's family's consent
  • B. Power of attorney
  • C. Report of a physical examination
  • D. Copy of the person's living will
Answer: C

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