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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Accident and Health Insurance Policies | 35% | - Policy Features
|
| Topic 2: Insurance Regulation | 30% | - Providers and Markets
|
| Topic 3: Maryland State-Specific Regulations | 20% | - Statutory Requirements
|
| Topic 4: General Insurance Concepts | 15% | - Policy Provisions
|
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
Question #1
All of the following are examples of unfair claims settlement practices EXCEPT:
A. Misrepresenting pertinent facts of coverage
B. Denying unsubstantiated claims on a timely basis
C. Failing to promptly provide a reason for a claim denial
D. Refusing arbitrarily and unreasonably to pay claims
Question #2
Which benefit is usually excluded from major medical expense plan coverage?
A. Prescription drugs
B. Physical therapy
C. Routine dental care
D. Hospice care
Question #3
All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:
A. Wellness programs
B. Discounts on local health spa memberships
C. Twenty-four hour access to emergency care
D. Outpatient medical services
Question #4
If an employer with 200 employees wants to offer health insurance and calls a SHOP Exchange Navigator, what should the navigator do?
A. Refer the employer to a licensed insurance producer
B. Help the employer sign-up through the SHOP Exchange
C. Refer the employer to the Maryland Insurance Administration
D. Refer the employer to the carrier where a friend works
Question #5
In Maryland, an insurance producer is a person who solicits, negotiates, or sells insurance plans PRIMARILY in conjunction with:
A. Earning commission
B. Enrolling individuals in group plans
C. Acting as a regularly salaried officer
D. Performing clerical duties
Solutions:
| Question #1 Answer: B | Question #2 Answer: C | Question #3 Answer: B | Question #4 Answer: A | Question #5 Answer: A |


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