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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:

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

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

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
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for ExamPrepAway members. You can sign-up / login (it's free).

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
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for ExamPrepAway members. You can sign-up / login (it's free).

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
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for ExamPrepAway members. You can sign-up / login (it's free).

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
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for ExamPrepAway members. You can sign-up / login (it's free).

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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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