Try and practice the latest Maryland Insurance Administration : Accident-and-Health-or-Sickness-Producer real questions & answers

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

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

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

                                                    1. If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?

                                                    A) Refer the employer to the carrier where a friend works
                                                    B) Refer the employer to a licensed insurance producer
                                                    C) Help the employer sign-up through the SHOP Exchange
                                                    D) Refer the employer to the Maryland Insurance Administration


                                                    2. It is unlawful for a person to provide an advertisement that:

                                                    A) Refers to the insurer's financial rating
                                                    B) Points out coverage advantages of a policy
                                                    C) Makes a comparison of benefits between policies
                                                    D) Uses a policy title to misrepresent a coverage


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

                                                    A) Routine dental care
                                                    B) Hospice care
                                                    C) Prescription drugs
                                                    D) Physical therapy


                                                    4. 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) All benefits will be taxable
                                                    B) Some benefits will usually be taxable
                                                    C) Benefits will not be taxable
                                                    D) Taxation depends on the beneficiary's tax bracket


                                                    5. A producer may be guilty of misrepresentation if the producer:

                                                    A) Failed to disclose exclusions of the policy
                                                    B) Denied a claim for failure of the policyholder to prove damages
                                                    C) Required timely written notice of loss for all claims
                                                    D) Issued a full settlement check expressly releasing the insurer


                                                    Solutions:

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

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