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Accident-and-Health-or-Sickness-Producer PDF Practice Q&A's
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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Types of Health Insurance Policies | 20-25% | - Long-term care insurance - Medicare and Medicaid - Group health insurance - Dental and vision insurance - Individual health insurance - Disability income insurance |
| Topic 2: Policy Provisions and Clauses | 18-22% | - Benefit periods - Exclusions and limitations - Preexisting condition clauses - Deductibles and copayments - Coverage terms and conditions - Waiting periods |
| Topic 3: Maryland Insurance Laws and Regulations | 20-25% | - Unfair claim settlement practices - Consumer protection regulations - Producer licensing requirements - Violations and penalty provisions - Maryland Insurance Code - Privacy and confidentiality requirements |
| Topic 4: Marketing Practices | 8-12% | - Marketing regulations - Producer responsibilities - Prohibited practices - Advertising guidelines |
| Topic 5: Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Social Security disability benefits - Medicare Part A, B, C, D - Medicaid programs |
| Topic 6: Field Underwriting and Application Process | 8-12% | - Risk classification - Medical underwriting - Application procedures - Agent responsibilities in enrollment |
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
1. 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) Twisting
C) Replacement
D) Fraud
2. 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 application is signed
B) The majority of employees reside
C) The producer resides
D) The master contract is issued
3. All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:
A) Physical examinations
B) Experimental surgery
C) Well-baby checkups
D) Immunizations for children
4. In dental insurance coverage, which one of the following typically is EXCLUDED?
A) Preventive care
B) Treatment started prior to the eligibility date
C) Dental X-rays
D) Root canal therapy
5. The waiver of premium provision in a disability income policy provides that premiums will be waived during:
A) The time limit on certain defenses
B) The elimination period
C) The disability benefit period
D) The grace period
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: C |
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