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

Section	Weight	Objectives
Topic 1: Insurance Regulation	30%	- 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 - Providers and Markets 1. Insurers and health service organizations 2. HMOs and managed care arrangements
Topic 2: Maryland State-Specific Regulations	20%	- 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: General Insurance Concepts	15%	- 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 4: Accident and Health Insurance Policies	35%	- Types of Coverage 1. Medical expense insurance 2. Accident-only coverage 3. Long-term care insurance 4. Disability income insurance - Policy Features 1. Pre-existing conditions and exclusions 2. Benefit structures and limits 3. Waiting periods and elimination periods

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

1. An insured's statements on an accident and health insurance application are deemed to be:

A) Representations
B) General provisions
C) Warranties
D) Categorical

2. Which statement is true of trade association groups eligible for group medical benefits?

A) Such associations are formed for the purpose of purchasing insurance
B) Members of the association are usually in the same industry
C) Employer contributions are usually waived
D) The association membership primarily consists of large employers

3. Which type of Medicare Supplement information can be used without prior state approval?

A) Insurance company brochures
B) Radio announcements approved by the insurer
C) Government publications
D) Television advertisements approved by the insurer

4. Which benefit is usually excluded from accident and health plan coverage?

A) Physicians' visits
B) Hospital expense
C) Custodial care
D) Surgical expense

5. An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:

A) Incorrect filing of federal income taxes
B) An accounting error discovered by the producer's accountant
C) Submitting a premium payment to an insurer in excess of the required amount
D) Misleading a prospective insured in replacing accident and health insurance

Solutions:

Question # 1
Answer: A

Question # 2
Answer: B

Question # 3
Answer: C

Question # 4
Answer: C

Question # 5
Answer: D