Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Valid 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 13, 2026
  • Q & A: 92 Questions and Answers
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  • Exam Code: Accident-and-Health-or-Sickness-Producer
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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

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

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

                                                    1. Coverage for the first three pints of blood for Medicare enrollees is:

                                                    A) A Medicare Part A benefit
                                                    B) A Medicare Supplement additional benefit
                                                    C) A Medicare Part B benefit
                                                    D) A Medicare Supplement core benefit


                                                    2. Medical expense insurance typically EXCLUDES coverage for treatment of:

                                                    A) Chronic back pain
                                                    B) Undiagnosed diseases
                                                    C) Intentionally self-inflicted injuries
                                                    D) Eating disorders


                                                    3. All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

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


                                                    4. If an insurer pays an individual accident and health insurance claim during a policy's grace period:

                                                    A) The amount of unpaid premium may be subtracted from the reimbursement
                                                    B) The deductible is waived
                                                    C) The policy is canceled automatically at the end of the grace period
                                                    D) A 10% service fee is charged


                                                    5. A nonprofit health service plan may NOT issue a contract that covers which of the following types of benefits?

                                                    A) Vision benefits
                                                    B) Medical expense benefits
                                                    C) Disability income benefits
                                                    D) Dental benefits


                                                    Solutions:

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

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