Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Q&A - in .pdf

  • Accident-and-Health-or-Sickness-Producer pdf
  • Exam Code: Accident-and-Health-or-Sickness-Producer
  • Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
  • Updated: Aug 02, 2026
  • Q & A: 92 Questions and Answers
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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Insurance Concepts15%- Policy Provisions
  • 1. Exclusions and limitations
    • 2. Mandatory and optional clauses
      - Fundamental Principles
      • 1. Insurable interest and indemnity
        • 2. Contract law and policy structure
          • 3. Risk and risk management
            Topic 2: Insurance Regulation30%- Regulation of Producers
            • 1. Compensation and commissions
              • 2. Privacy and confidentiality rules
                • 3. Unfair trade practices
                  - Providers and Markets
                  • 1. HMOs and managed care arrangements
                    • 2. Insurers and health service organizations
                      - Licensing
                      • 1. License issuance, renewal, and termination
                        • 2. Initial qualifications and examination
                          • 3. General provisions and definitions
                            Topic 3: Accident and Health Insurance Policies35%- Types of Coverage
                            • 1. Long-term care insurance
                              • 2. Disability income insurance
                                • 3. Accident-only coverage
                                  • 4. Medical expense insurance
                                    - Policy Features
                                    • 1. Waiting periods and elimination periods
                                      • 2. Benefit structures and limits
                                        • 3. Pre-existing conditions and exclusions
                                          Topic 4: Maryland State-Specific Regulations20%- Compliance and Enforcement
                                          • 1. Reporting and recordkeeping
                                            • 2. Penalties and violations
                                              - Statutory Requirements
                                              • 1. Claims handling and settlement rules
                                                • 2. Mandatory benefits and coverage mandates
                                                  • 3. Disclosure and marketing requirements

                                                    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. Accident and health policies must cover physically or mentally handicapped dependent children:

                                                    A) To age 25
                                                    B) To age 19
                                                    C) Until they become self-sustaining
                                                    D) For life


                                                    3. All advertisements for health insurance shall make clear the identity of the:

                                                    A) Insurer
                                                    B) Insurance Commissioner
                                                    C) Beneficiary
                                                    D) Insured


                                                    4. The Maryland State Benchmark Plan applies to which of the following?

                                                    A) Individual Health Benefit Plans sold through the Exchange
                                                    B) Medicaid plans sold through the Exchange
                                                    C) Individual Health Benefit Plans sold outside the Exchange prior to January 1, 2014
                                                    D) Medicare supplement plans sold outside the Exchange prior to January 1, 2014


                                                    5. An insurance producer or advisor in the State of Maryland can be disciplined by the MarylandInsurance Administration for all of the following EXCEPT:

                                                    A) Making false or misleading statements about dividends previously paid on similar policies
                                                    B) Filing a complaint on behalf of the consumer with the Maryland Insurance Administration
                                                    C) Using inappropriate description of a policy to hide the true nature of the policy
                                                    D) Making a misleading statement about the financial condition of an insurer


                                                    Solutions:

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

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