Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Q&A - in .pdf

  • Exam Code: Accident-and-Health-or-Sickness-Producer
  • Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
  • Updated: Aug 14, 2026
  • Q & A: 92 Questions and Answers
  • Printable Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer PDF Format. It is an electronic file format regardless of the operating system platform.
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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 14, 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: Maryland State-Specific Regulations20%- Compliance and Enforcement
  • 1. Reporting and recordkeeping
    • 2. Penalties and violations
      - Statutory Requirements
      • 1. Claims handling and settlement rules
        • 2. Disclosure and marketing requirements
          • 3. Mandatory benefits and coverage mandates
            Topic 2: General Insurance Concepts15%- Policy Provisions
            • 1. Mandatory and optional clauses
              • 2. Exclusions and limitations
                - Fundamental Principles
                • 1. Risk and risk management
                  • 2. Insurable interest and indemnity
                    • 3. Contract law and policy structure
                      Topic 3: Insurance Regulation30%- 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
                                - Regulation of Producers
                                • 1. Unfair trade practices
                                  • 2. Privacy and confidentiality rules
                                    • 3. Compensation and commissions
                                      Topic 4: Accident and Health Insurance Policies35%- Policy Features
                                      • 1. Benefit structures and limits
                                        • 2. Waiting periods and elimination periods
                                          • 3. Pre-existing conditions and exclusions
                                            - Types of Coverage
                                            • 1. Disability income insurance
                                              • 2. Medical expense insurance
                                                • 3. Accident-only coverage
                                                  • 4. Long-term care insurance

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

                                                    1. If an individual's occupation is considered to be illegal:

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


                                                    2. Group health insurance contracts providing coverage for employees in more than one state are usually controlled by the laws of the state where:

                                                    A) The producer resides
                                                    B) The application is signed
                                                    C) The majority of employees reside
                                                    D) The master contract is issued


                                                    3. The phrase, "this policy pays $1,800 for hospital room and board expenses," should include the:

                                                    A) Maximum daily benefit and the maximum time limit for hospital room and board expenses
                                                    B) Maximum daily benefit and the minimum time limit for hospital room and board expenses
                                                    C) Minimum daily benefit and the maximum time limit for hospital room and board expenses
                                                    D) Minimum daily benefit and the minimum time limit for hospital room and board expenses


                                                    4. A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:

                                                    A) Routine physical examinations
                                                    B) Emergency services
                                                    C) Dental and vision care
                                                    D) Well-baby or well-child care


                                                    5. After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?

                                                    A) Twisting
                                                    B) Rebating
                                                    C) Replacement
                                                    D) Fraud


                                                    Solutions:

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

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