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PDF Practice Q&A's

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

SectionObjectives
Topic 1: Accident and Health Insurance Basics- Types of coverage
  • 1. Disability income insurance
    • 2. Medical expense insurance
      • 3. Accidental death & dismemberment (AD&D)
        - Policy structure and provisions
        • 1. Definitions and clauses
          • 2. Exclusions and limitations
            Topic 2: General Insurance Principles- Insurance concepts
            • 1. Principles of indemnity and insurable interest
              • 2. Risk, peril, hazard
                Topic 3: Insurance Law and Regulation (Maryland)- Maryland Insurance Administration rules
                • 1. Unfair trade practices (rebating, twisting, misrepresentation)
                  • 2. Producer licensing requirements
                    Topic 4: Policy Administration and Ethics- Ethical obligations
                    • 1. Disclosure requirements
                      • 2. Suitability and fiduciary duties
                        Topic 5: Health Insurance Systems- Managed care models
                        • 1. HMO, PPO, POS
                          - Government health programs
                          • 1. Medicaid basics
                            • 2. Medicare basics

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

                              Question 1

                              The Maryland State Benchmark Plan applies to which of the following?

                              A. Medicaid plans sold through the Exchange
                              B. Individual Health Benefit Plans sold outside the Exchange prior to January 1, 2014
                              C. Individual Health Benefit Plans sold through the Exchange
                              D. Medicare supplement plans sold outside the Exchange prior to January 1, 2014


                              Question 2

                              Medicare Supplement insurance is specifically designed for individuals who:

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


                              Question 3

                              An insurance adviser's written contract with the client must include all of the following EXCEPT:

                              A. Amount of the fee
                              B. Duration of the contract
                              C. Disclosure as to whether commissions may be received
                              D. Expiration date of the consultant's license


                              Question 4

                              When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:

                              A. Major medical
                              B. Dental
                              C. Health maintenance organization
                              D. Disability income


                              Question 5

                              Medical expense insurance typically EXCLUDES coverage for treatment of:

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


                              Solutions:

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

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