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Maryland Insurance Administration Maryland Insurance Accident-and-Health-or-Sickness-Producer

Accident-and-Health-or-Sickness-Producer

Exam Code: Accident-and-Health-or-Sickness-Producer

Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam

Updated: Sep 14, 2026

Q&A Number: 92 Q&As

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

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

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

                                                    Question #1
                                                    Which of the following is NOT a mandated benefit in Maryland?

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


                                                    Question #2
                                                    Medicare Supplement insurance is specifically designed for individuals who:

                                                    A. Are ineligible for coverage under an employer group accident and health plan
                                                    B. Have low incomes and limited assets
                                                    C. Have enrolled in Medicare
                                                    D. Cannot obtain commercial coverage due to health problems


                                                    Question #3
                                                    If an individual's occupation is considered to be illegal:

                                                    A. It may result in a denial of a disability income claim
                                                    B. It may require a waiver on a disability income insurance policy
                                                    C. It results in a substandard rating on an accident and health insurance policy
                                                    D. It must be stated as such on an accident and health insurance application


                                                    Question #4
                                                    All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

                                                    A. Wellness programs
                                                    B. Discounts on local health spa memberships
                                                    C. Twenty-four hour access to emergency care
                                                    D. Outpatient medical services


                                                    Question #5
                                                    An elimination period in a disability income insurance policy is the:

                                                    A. Time period the policy is in force
                                                    B. Same as the probationary period
                                                    C. Period between the start of a disability and the beginning of benefits
                                                    D. Time during which benefits are paid under the policy


                                                    Solutions:

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

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