Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer 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 10, 2026
  • Q & A: 92 Questions and Answers
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  • Exam Code: Accident-and-Health-or-Sickness-Producer
  • Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
  • Updated: Aug 10, 2026
  • Q & A: 92 Questions and Answers
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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

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

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


                                                    2. The primary purpose of disability income insurance is to:

                                                    A) Pay necessary hospital expenses when the insured is unable to work
                                                    B) Pay any physicians' fees resulting from a disabling injury
                                                    C) Provide benefit payments for a period of time when the insured is unable to work
                                                    D) Provide indemnity for loss of life


                                                    3. The free-look period provided in a life insurance policy is usually:

                                                    A) 10 days
                                                    B) 45 days
                                                    C) 60 days
                                                    D) 31 days


                                                    4. All of the following are considered to be fraud EXCEPT:

                                                    A) Collecting a premium for insurance that is not provided
                                                    B) Collecting a charge for insurance that is less than the charge applicable to that insurance
                                                    C) Collecting a proper premium for insurance that is provided
                                                    D) Willfully collecting a premium that exceeds the amount of the premium


                                                    5. An insurer may pay a commission directly or indirectly to:

                                                    A) Anyone soliciting business for the insurer
                                                    B) A producer whose license is terminated after earning the commission
                                                    C) An unlicensed employee of the insurer
                                                    D) A surplus lines broker operating without a license for less than one year


                                                    Solutions:

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

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